Guideline document
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Intussusception Guideline
Topic overview
Clinical guideline for emergency department evaluation and management of pediatric patients presenting with suspected intussusception. Outlines diagnostic approach and treatment protocols including imaging criteria and reduction procedures.
Key Takeaways
- Surgery must be aware of intussusception patient before air enema attempt, even if in-person evaluation occurs after reduction.
- Air enema can be repeated every hour up to 3 times if intussusceptum continues reducing, no free air present, and patient stable.
- Successful complete reduction requires 4-hour ED observation with PO trial before discharge.
- Urgent surgical consultation indicated for acute abdomen, abnormal vitals, ill appearance, or ED provider concern.
- Ultrasound confirmation guides air enema attempt; negative study returns patient to ED for alternative workup.
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Full guideline text
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How to cite: GlobalCastMD. Intussusception Guideline. GlobalCastMD Medical Library. https://library.globalcastmd.com/guideline/4270
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