Evidence map›Paper›PMID 37095299›Full record

Trial reportPediatric surgery international2023

A comparison of the success rate of pneumatic reduction in intussusception between general anesthesia and deep sedation: a randomized controlled trial.

Jiraporn Khorana, Sasiwimol Tepjuk, Jesda Singhavejsakul, Kanokkan Tepmalai, Sireekarn Chantakhow, Nuthapong Ukarapol, Alisara Damrongmanee, Artid Samerchua, Nutchanart Bunchungmongkol, Pannee Visrutaratna and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06365333 (Pneumatic Reduction For Intussusception In Children), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06365333 completednot on this map

Pneumatic Reduction For Intussusception In Children: A Retrospective Cohort Study In An Ultrahigh Volume Center

TypeobservationalSponsorNational Children's Hospital, VietnamRan2016 to 2024Enrolled3,562ConditionsIntussusceptionArmsFluoroscopic-guided air-enema reduction (FGAR)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Jiraporn KhoranaDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand. nanji22@gmail.com.ORCID http://orcid.org/0000-0001-9023-0923
Sasiwimol TepjukDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Jesda SinghavejsakulDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Kanokkan TepmalaiDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Sireekarn ChantakhowDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Nuthapong UkarapolDivision of Pediatric Gastroenterology and Hepatology, Department of Pediatric, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Alisara DamrongmaneeDivision of Pediatric Gastroenterology and Hepatology, Department of Pediatric, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Artid SamerchuaDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Nutchanart BunchungmongkolDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pannee VisrutaratnaDivision of Pediatric Radiology, Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Wipawee MorakoteDivision of Pediatric Radiology, Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Butsarin Nate-AnongDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Sutinee ChanaturakarnnonDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Krittayanee ItthidecharonDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Patiphon ChaimongkhonDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 110 Intavaroros Road, Muang Chiang Mai District, Chiang Mai, 50200, Thailand.
Chiang Mai University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was aimed to compare the success rate between patients who underwent general anesthesia and deep sedation.

methodsPatients who were diagnosed with intussusception and had no contraindications would receive non-operative treatment first by undergoing pneumatic reduction. The patients were then split in to two groups: one group underwent general anesthesia (GA group), while the other underwent deep sedation (SD group). This study was a randomized controlled trial which compared success rate between two groups.

resultsA total of 49 episodes diagnosed with intussusception were random into 25 episodes in GA group and 24 episodes in SD group. There was no significant difference in baseline characteristic between the two groups. The success rates of GA group and SD group were equally 88.0% (p = 1.00). Sub-analysis of the success rate was lower in the patients with high-risk score for failed reduction. (Chiang Mai University Intussusception (CMUI) failed score in success VS failed = 6.9 ± 3.2 vs. 10.3 ± 3.0 p = 0.017).

conclusionGeneral anesthesia and deep sedation offered similar success rates. In cases of high risk of failure, general anesthesia should be considered to accommodate the switch to surgical management in the same setting if the non-operative approach fails. The appropriate treatment and sedative protocol also increase the success of reduction.

Indexed as

Deep SedationIntussusceptionAnesthesia, GeneralEnemaHumansTreatment OutcomeGeneral anesthesiaIntussusceptionPneumatic reductionSedationSuccess rate

Identifiers

PMID37095299
OpenAlexW4366815228

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.