Point-of-Care Ultrasound-Guided Hydrostatic Reduction of Ileocolic Intussusception in the Pediatric Emergency Department
When considering hydrostatic reduction for suspected ileocolic intussusception, incorporating POCUS guidance at the bedside is a feasible adjunct that enhances procedural confidence. While this approach seems straightforward, remember that ultrasound visualization alone does not replace clinical judgment regarding contraindications or failure to reduce. Always maintain a high index of suspicion for complications and be prepared for immediate escalation if resistance is met.
This article details the authors' practical experience utilizing point-of-care ultrasound guidance for hydrostatic reduction of ileocolic intussusception performed directly at the bedside within a pediatric emergency department setting. The core focus is on integrating POCUS into the management algorithm for this common pediatric surgical emergency, allowing for real-time visualization during the reduction attempt. By guiding the procedure with ultrasound, the authors aim to improve procedural success and safety when performing hydrostatic reduction in the acute care environment. This approach emphasizes the role of the primary care provider, specifically the PEM physician, in managing this condition without needing immediate transfer to an operating room setting for guidance. It serves as a practical description of workflow enhancement rather than presenting novel diagnostic criteria.