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Deep sedation during pneumatic reduction of intussusception
Anat Ilivitzki1, Luda Glozman Shtark, Karin Arish
1Department of Diagnostic Imaging, Rambam Health Care Campus, Haifa, Israel. a_ilivitaki@rambam.health.gov.il
Pediatric Radiology
|April 25, 2012
Summary
Deep sedation using propofol during pneumatic reduction for intussusception in children is safe and effective. This approach improves success rates and reduces procedure time without adding complications.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Anesthesiology
Background:
- Pneumatic reduction for intussusception is standard but challenging in unsedated children.
- Patient resistance can prolong procedures and increase radiation exposure.
- Deep sedation is employed to mitigate these challenges.
Purpose of the Study:
- To evaluate the use of deep sedation during fluoroscopic reduction of intussusception.
- To assess the benefits and complication rate associated with deep sedation.
Main Methods:
- Retrospective study of children undergoing pneumatic reduction between 2004 and 2011.
- Deep sedation administered by anesthesiologists using propofol.
- Review of fluoroscopic and ultrasound studies, and patient charts.
Main Results:
- 131 reductions in 119 children; 92% success rate.
- Two perforations (1.5%) occurred.
- Average fluoroscopic time was 1.5 minutes; no sedation-related complications.
Conclusions:
- Deep sedation with propofol is safe for pneumatic reduction of intussusception.
- Short fluoroscopic times and high success rates suggest potential benefits, possibly via smooth muscle relaxation.
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