{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T19:43:18Z","timestamp":1789069398836,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Periprocedural analgesia or sedation for air enema reduction (AER) of intussusception is a matter of debate. We set out to review Australian periprocedural pain management in AER.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective electronic medical record review of emergency department presentations of intussusception at an Australian children's hospital over 2\u2009years for periprocedural analgesia and sedation and short\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 73 patients (mean age 23\u2009months) had ultrasound\u2010confirmed intussusception. Prior to AER, analgesia was administered to 61 of 73 (83.5%) patients. Opioids were administered in 48 of 73 (65.8%) and 8 of 73 (11.0%) received sedation. Thirteen of 73 (17.8%, 95% confidence interval 9.0\u201326.6) had spontaneously reduced; 60\/73 that underwent primary AER had successful reduction in 54 (90.0%, 95% confidence interval 82.4\u201397.6). A total of seven patients required surgery. No AER attempts were complicated by bowel perforation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of periprocedural analgesia for AER in this Australian series was common, whilst sedation use was infrequent. No perforations occurred.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15142","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T22:27:34Z","timestamp":1611613654000},"page":"103-108","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Periprocedural analgesia and sedation in air enema reduction for intussusception: A retrospective Australian cohort study"],"prefix":"10.1111","volume":"57","author":[{"given":"Kenny","family":"Yeoh","sequence":"first","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta M","family":"Palmer","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia and Pain Management The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4747-6025","authenticated-orcid":false,"given":"Warwick J","family":"Teague","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatric Surgery The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itay","family":"Shavit","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Technion University \u2013 Israel Institute of Technology  Haifa Israel"},{"name":"Pediatric Emergency Department Rambam Health Care Campus  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"BinesJ IvanoffB.World Health Organisation Department of Vaccines and Biologicals. Acute Intussusception in Infants and Children. Incidence Clinical Presentation and Management: A Global Perspective.Geneva Switzerland:WHO;2002. Available from:https:\/\/vaccine\u2010safety\u2010training.org\/tl_files\/vs\/pdf\/acute\u2010intussusception\u2010infants\u2010children.pdf[accessed 24 April 2020]."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-003-1082-7"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-014-0486-9"},{"key":"e_1_2_6_5_1","first-page":"CD006476","article-title":"Management of intussusception in children","volume":"1","author":"Gluckman S","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.2012.03622_1.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-011-2311-0"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318267a75e"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13226"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e31826a94e9"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13045"},{"key":"e_1_2_6_12_1","unstructured":"Royal Children's Hospital.Clinical Practice Guidelines \u2013 Intussusception.2019. Available from:https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Intussusception_Guideline\/[accessed 24 April 2020]."},{"key":"e_1_2_6_13_1","unstructured":"Great Ormond Street Hospital for Children.Treatment of Intussusception Using an Air Enema.2016. Available from:http:\/\/www.gosh.nhs.uk\/medical-information-0\/procedures-and-treatments\/treatment-intussusception-using-air-enema[accessed 24 April 2020]."},{"key":"e_1_2_6_14_1","unstructured":"NICE.Intussusception Guidelines. September 2016. Available from:https:\/\/patient.info\/doctor\/intussusception-in-children[accessed 24 April 2020]"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.160.5.8470606"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1542\/peds.79.3.432","article-title":"Analgesic premedication in the management of ileocolic intussusception","volume":"79","author":"Touloukian RJ","year":"1987","journal-title":"Pediatrics"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12035"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.2135"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3102"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.03.025"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.15142","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.15142","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.15142","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T07:28:30Z","timestamp":1693639710000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.15142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,9]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/jpc.15142"],"URL":"https:\/\/doi.org\/10.1111\/jpc.15142","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,9]]},"assertion":[{"value":"2020-05-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}