Invaginación ileocólica en urgencias. Experiencia tras la implantación de un protocolo de sedoanalgesia.
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| Title: | Invaginación ileocólica en urgencias. Experiencia tras la implantación de un protocolo de sedoanalgesia. |
|---|---|
| Alternate Title: | Ileocolic intussusception in the emergency department. Experience after the implementation of a sedoanalgesia protocol. |
| Authors: | García-Sánchez, Paula1 paula.garsa@gmail.com, Galindo Cortés, Anna2, López López, Rosario1, Muñoz-Serrano, Antonio J.3, Bret Zurita, Montserrat4, de Ceano-Vivas la Calle, María1 |
| Source: | Andes Pediatrica. may/jun2026, Vol. 97 Issue 3, p469-476. 8p. |
| Subjects: | Conscious sedation, Medical protocols, Enema, Child patients, Intestinal intussusception, Treatment effectiveness, Hospital emergency services |
| Abstract (English): | Objectives: To describe the clinical presentation of children with ileocolic intussusception in the emergency department, and to evaluate the clinical outcomes associated with the implementation of a multidisciplinary protocol for reduction using sedation and analgesia. Patients and Method: Retrospective review of children diagnosed with ileocolic intussusception in a tertiary pediatric hospital over 8 years (2017–2024). Before 2021, reductions were performed in the radiology department without sedation. Afterward, a multidisciplinary protocol was implemented to perform the procedure using sedations and analgesia in the emergency department. Results: A total of 112 episodes in 92 patients were analyzed, with a median age of 21.5 months (IQR 9–35). Males accounted for 75% of cases. The most frequent symptom was abdominal pain (84.8%), followed by vomiting (56.5%) and leg flexion (47.3%). 12 episodes (10.7%) resolved spontaneously. In 93 episodes (83%), hydrostatic reduction with saline enema was initially performed (33 with sedation and analgesia in the emergency department). 4 patients (3.6%) required hydrostatic reduction under general anesthesia in the operating room, and 3 (2.7%) required primary laparotomy. First-attempt reduction success was achieved in all cases managed with sedation and analgesia, compared to 71.7% without sedation (p = 0.0004). Complication rates were lower in the sedation group (12.1% vs. 22.8%), although not statistically significant. Sedation- and analgesia-related complications were mild and infrequent. The average length of stay in the emergency department was similar between groups. Conclusions: The use of sedation and analgesia is a safe and useful strategy for the reduction of ileocolic intussusception in the emergency department in selected patients, with a higher success rate and no increase in complications, improving patient comfort and facilitating the procedure. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivos: Describir la presentación clínica de niños/as con invaginación ileocólica en un Servicio de Urgencias y evaluar los resultados clínicos asociados a la implantación de un protocolo multidisciplinar de reducción bajo sedoanalgesia. Pacientes y Método: Revisión retrospectiva de niños/as con invaginación ileocólica en un hospital pediátrico de tercer nivel durante 8 años (2017-2024). Antes de 2021, la reducción se realizaba en radiología sin sedación; posteriormente se implantó un protocolo multidisciplinar para realizarla en urgencias bajo sedoanalgesia. Resultados: Analizamos 112 episodios en 92 pacientes, con una mediana de edad de 21,5 meses (RIC 9-35). El 75% fueron varones y el síntoma más frecuente el dolor abdominal (84,8%), seguido de vómitos (56,5%) y encogimiento de piernas (47,3%). Doce episodios (10,7%) se resolvieron espontáneamente y en 93 (83%) se realizó inicialmente reducción hidrostática con enema de suero salino (33 con sedoanalgesia en Servicio de Urgencias), 4 (3,6%) requirieron reducción hidrostática pero con sedación en quirófano y 3 (2,7%) precisaron laparotomía inicial. La reducción fue exitosa al primer intento en todos los casos con sedoanalgesia, vs. 71,7% sin sedación (p = 0,0004). Las complicaciones fueron menores en el grupo con sedación (12,1% vs. 22,8%), aunque sin diferencias significativas. Las complicaciones asociadas a la sedoanalgesia fueron leves e infrecuentes. La estancia media en urgencias fue similar en ambos grupos. Conclusiones: El empleo de sedoanalgesia es una estrategia útil y segura para la reducción de la invaginación ileocólica en urgencias en pacientes seleccionados, con mayor tasa de éxito y sin aumento de complicaciones, mejorando el confort del paciente y facilitando el procedimiento. [ABSTRACT FROM AUTHOR] |
| Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 195298131 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Invaginación ileocólica en urgencias. Experiencia tras la implantación de un protocolo de sedoanalgesia. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Ileocolic intussusception in the emergency department. Experience after the implementation of a sedoanalgesia protocol. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22García-Sánchez%2C+Paula%22">García-Sánchez, Paula</searchLink><relatesTo>1</relatesTo><i> paula.garsa@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Galindo+Cortés%2C+Anna%22">Galindo Cortés, Anna</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22López+López%2C+Rosario%22">López López, Rosario</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Muñoz-Serrano%2C+Antonio+J%2E%22">Muñoz-Serrano, Antonio J.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Bret+Zurita%2C+Montserrat%22">Bret Zurita, Montserrat</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Ceano-Vivas+la+Calle%2C+María%22">de Ceano-Vivas la Calle, María</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Andes+Pediatrica%22">Andes Pediatrica</searchLink>. may/jun2026, Vol. 97 Issue 3, p469-476. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Conscious+sedation%22">Conscious sedation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Enema%22">Enema</searchLink><br /><searchLink fieldCode="DE" term="%22Child+patients%22">Child patients</searchLink><br /><searchLink fieldCode="DE" term="%22Intestinal+intussusception%22">Intestinal intussusception</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objectives: To describe the clinical presentation of children with ileocolic intussusception in the emergency department, and to evaluate the clinical outcomes associated with the implementation of a multidisciplinary protocol for reduction using sedation and analgesia. Patients and Method: Retrospective review of children diagnosed with ileocolic intussusception in a tertiary pediatric hospital over 8 years (2017–2024). Before 2021, reductions were performed in the radiology department without sedation. Afterward, a multidisciplinary protocol was implemented to perform the procedure using sedations and analgesia in the emergency department. Results: A total of 112 episodes in 92 patients were analyzed, with a median age of 21.5 months (IQR 9–35). Males accounted for 75% of cases. The most frequent symptom was abdominal pain (84.8%), followed by vomiting (56.5%) and leg flexion (47.3%). 12 episodes (10.7%) resolved spontaneously. In 93 episodes (83%), hydrostatic reduction with saline enema was initially performed (33 with sedation and analgesia in the emergency department). 4 patients (3.6%) required hydrostatic reduction under general anesthesia in the operating room, and 3 (2.7%) required primary laparotomy. First-attempt reduction success was achieved in all cases managed with sedation and analgesia, compared to 71.7% without sedation (p = 0.0004). Complication rates were lower in the sedation group (12.1% vs. 22.8%), although not statistically significant. Sedation- and analgesia-related complications were mild and infrequent. The average length of stay in the emergency department was similar between groups. Conclusions: The use of sedation and analgesia is a safe and useful strategy for the reduction of ileocolic intussusception in the emergency department in selected patients, with a higher success rate and no increase in complications, improving patient comfort and facilitating the procedure. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivos: Describir la presentación clínica de niños/as con invaginación ileocólica en un Servicio de Urgencias y evaluar los resultados clínicos asociados a la implantación de un protocolo multidisciplinar de reducción bajo sedoanalgesia. Pacientes y Método: Revisión retrospectiva de niños/as con invaginación ileocólica en un hospital pediátrico de tercer nivel durante 8 años (2017-2024). Antes de 2021, la reducción se realizaba en radiología sin sedación; posteriormente se implantó un protocolo multidisciplinar para realizarla en urgencias bajo sedoanalgesia. Resultados: Analizamos 112 episodios en 92 pacientes, con una mediana de edad de 21,5 meses (RIC 9-35). El 75% fueron varones y el síntoma más frecuente el dolor abdominal (84,8%), seguido de vómitos (56,5%) y encogimiento de piernas (47,3%). Doce episodios (10,7%) se resolvieron espontáneamente y en 93 (83%) se realizó inicialmente reducción hidrostática con enema de suero salino (33 con sedoanalgesia en Servicio de Urgencias), 4 (3,6%) requirieron reducción hidrostática pero con sedación en quirófano y 3 (2,7%) precisaron laparotomía inicial. La reducción fue exitosa al primer intento en todos los casos con sedoanalgesia, vs. 71,7% sin sedación (p = 0,0004). Las complicaciones fueron menores en el grupo con sedación (12,1% vs. 22,8%), aunque sin diferencias significativas. Las complicaciones asociadas a la sedoanalgesia fueron leves e infrecuentes. La estancia media en urgencias fue similar en ambos grupos. Conclusiones: El empleo de sedoanalgesia es una estrategia útil y segura para la reducción de la invaginación ileocólica en urgencias en pacientes seleccionados, con mayor tasa de éxito y sin aumento de complicaciones, mejorando el confort del paciente y facilitando el procedimiento. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.32641/andespediatr.v97i3.5912 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 469 Subjects: – SubjectFull: Conscious sedation Type: general – SubjectFull: Medical protocols Type: general – SubjectFull: Enema Type: general – SubjectFull: Child patients Type: general – SubjectFull: Intestinal intussusception Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Hospital emergency services Type: general Titles: – TitleFull: Invaginación ileocólica en urgencias. Experiencia tras la implantación de un protocolo de sedoanalgesia. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: García-Sánchez, Paula – PersonEntity: Name: NameFull: Galindo Cortés, Anna – PersonEntity: Name: NameFull: López López, Rosario – PersonEntity: Name: NameFull: Muñoz-Serrano, Antonio J. – PersonEntity: Name: NameFull: Bret Zurita, Montserrat – PersonEntity: Name: NameFull: de Ceano-Vivas la Calle, María IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may/jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 24526045 Numbering: – Type: volume Value: 97 – Type: issue Value: 3 Titles: – TitleFull: Andes Pediatrica Type: main |
| ResultId | 1 |
