The clinical study on conservative therapy of pediatric intussusception: caudal block improves the success rate

Abstract

Intestinal intussusception is one of diseases in which pediatric patient complain of acute abdominal pain and its morbidity is high. Therefore, it is necessary to diagnose and treat it swiftly but there are several difficulties for its treatment. Recently, there are many study and success for researching diagnosis and treatment of acute abdominal pain. Etiology and pathophysiology of intussusception are revealed so that noninvasive treatment is applied in clinical field. This study objective is to establish method of caudal block for treatment of pediatric intussusception and reveal the efficacy of this method. 124 pediatric patients received classical treatment for repair of intestinal intussusception; 42 patients received anesthesia by only ketamine intramuscularly in control group, whereas 82 patients received caudal block in combination with basal ketamine anesthesia in study group. Repair times of the classical method for pediatric intussusception by caudal block were 1.7±0.62 times in study group and 2.6±0.38 times in control group, respectively. The necessary time and success rate for repair were 19.7±3.87 min and 93.9% in study group and 28.1±18.47 min and 85.7% in control group, respectively. Caudal block in combination with intramuscular ketamine is very effective one that can raise the success rate (93.9%) for repair as well as shorten repair times and necessary time. Keywords: Analgesia, basal ketamine anesthesia, caudal block, intestinal intussusception, pediatric intussusception Cite this Article Jong-Nam Kim, Chan Kim, Gum-Sun Choe, Hyon-Nam Kim. The Clinical Study on Conservative Therapy of Pediatric Intussusception: Caudal Block Improves the Success Rate. Research & Reviews: Journal of Medicine . 2020; 10(3): 29–34p.