ArticleWorld journal of pediatric surgery2025
Is sedation necessary for hydrostatic reduction in ileocolic intussusception? Evaluating procedural outcomes and parents' preferences.
Article in World journal of pediatric surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The necessity for procedural sedation during hydrostatic reduction for ileocolic intussusception in children is being debated. This study aimed to compare outcomes of procedures with and without sedation, as well as parental preferences. Methods: This retrospective study (2019-2021) reviewed the medical records of children treated for ileocolic intussusception at two hospitals-one that did not provide sedation (non-sedation, NS) and one that did (with-sedation, WS) during hydrostatic reduction. The primary outcomes encompassed success rate, perforation, and recurrence. Parental satisfaction was assessed using a 5-point Likert scale questionnaire. Results: Data from 65 children were included: 42 in the NS group and 23 in the WS group. The hydrostatic reduction success rates were 79% (NS) and 74% (WS) ( Conclusions: There were no significant differences in success rates, complications, or parental satisfaction between procedures performed with or without sedation during hydrostatic reduction. Effective pain management and a comforting approach are crucial for stress reduction. Shared decision-making with parents regarding the pros and cons of sedation is recommended.
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