title: Deep sedation during pneumatic reduction of intussusception.
abstract: Pneumatic reduction of intussusception under fluoroscopic guidance is a routine procedure. The unsedated child may resist the procedure, which may lengthen its duration and increase the radiation dose. We use deep sedation during the procedure to overcome these difficulties.
  
  
  
  The purpose of this study was to summarize our experience with deep sedation during fluoroscopic reduction of intussusception and assess the added value and complication rate of deep sedation.
  
  
  
  All children with intussusception who underwent pneumatic reduction in our hospital between January 2004 and June 2011 were included in this retrospective study. Anesthetists sedated the children using propofol. The fluoroscopic studies, ultrasound (US) studies and the childrens' charts were reviewed.
  
  
  
  One hundred thirty-one attempted reductions were performed in 119 children, of which 121 (92%) were successful and 10 (8%) failed. Two perforations (1.5%) occurred during attempted reduction. Average fluoroscopic time was 1.5 minutes. No complication to sedation was recorded.
  
  
  
  Deep sedation with propofol did not add any complication to the pneumatic reduction. The fluoroscopic time was short. The success rate of reduction was high,raising the possibility that sedation is beneficial, possibly by smooth muscle relaxation.
authors.affiliation: Department of Diagnostic Imaging, Rambam Health Care Campus, Haifa, Israel. a_ilivitaki@rambam.health.gov.il
authors.forename: Anat
authors.initials: A
authors.lastname: Ilivitzki
authors.forename: Luda Glozman
authors.initials: LG
authors.lastname: Shtark
authors.forename: Karin
authors.initials: K
authors.lastname: Arish
authors.forename: Ahuva
authors.initials: A
authors.lastname: Engel
mesh_terms: D002648:Child; D002675:Child, Preschool; D054810:Deep Sedation / Q000379:methods*; D004733:Enema / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007223:Infant; D007327:Insufflation / Q000379:methods*; D007443:Intussusception / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D015742:Propofol / Q000008:administration & dosage*; D015641:Radiography, Interventional; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol