Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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
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.
Section Top | Title Page
Follow us on Twitter @pedseducation and @pedsimaging
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.