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Virtual Pediatric Hospital: Paediapaedia: Air Enema for Intussusception Paediapaedia: Gastrointestinal Procedure Descriptions

Air Enema for Intussusception

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Patient Preparation:
Patient needs to have been seen by pediatric surgery prior to enema


Contraindications - peritonitis

When using Shiels' Kit, use the small blue enema tip for child < 7 months old, and use large pink enema tip for child > 7 months old.
Tape tip in securely.
Take a spot film to start.
Position the patient prone.
Gently fill the colon with air.
Never exceed 120 mm Hg of pressure.
Make 3 tries to reduce the intussusception, each lasting for 3 minutes.
Be sure to reflux the terminal ileum completely, otherwise you cannot be sure you have completely reduced the intussusception.
Take a post evacuation film to make sure intussusception has not recurred.

Views to Take:
Spot films of any pathology
Overhead when done

See References Chapter.

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