Is sedation necessary for hydrostatic reduction in ileocolic intussusception? Evaluating procedural outcomes and...

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Anesthesiology

Background:

• Hydrostatic reduction is a common treatment for ileocolic intussusception in children.
• The necessity of procedural sedation during this procedure is a subject of ongoing debate.
• Understanding procedural outcomes and parental preferences is crucial for optimizing care.

Purpose of the Study:

• To compare the outcomes of hydrostatic reduction for ileocolic intussusception with and without procedural sedation.
• To assess parental satisfaction with procedures performed under sedation versus without sedation.
• To inform clinical decision-making regarding sedation practices.

Main Methods:

• Retrospective study analyzing medical records of children treated for ileocolic intussusception between 2019-2021.
• Comparison of two groups: non-sedation (NS) and with-sedation (WS) during hydrostatic reduction.
• Primary outcomes included success rate, perforation, and recurrence; parental satisfaction assessed via questionnaire.

Main Results:

• No significant differences in success rates (79% NS vs. 74% WS), perforation (1 each), or recurrence (14.3% NS vs. 17.4% WS) between groups.
• Parental satisfaction was high in both groups (75% NS vs. 85% WS), with no statistically significant difference.
• A notable percentage of parents in both groups expressed preferences for or against sedation or presence during the procedure.

Conclusions:

• Procedural sedation does not significantly alter success rates, complications, or parental satisfaction in hydrostatic reduction for ileocolic intussusception.
• Effective pain management and a supportive environment are key to reducing patient stress.
• Shared decision-making with parents regarding sedation is recommended.