Pediatric anesthesia & critical care

Opioid Administration and Reduction of Pediatric Ileocolic Intussusception

JAMA Netw OpenPublished Secondary analysis of a cross-sectional study

Primary result · Failed reductionResult — go to the resultOdds ratio 0.66 95% CI 0.36–1.22

Authors' conclusion

In this cross-sectional study of pediatric ileocolic intussusception, fentanyl administration prior to attempted reduction was not associated with failed reduction.

Study context

Population
Children 4 to 48 months with ileocolic intussusception undergoing attempted reduction, 2017–2019median age 17 months
Participants
3,184 children
Comparison
Fentanyl vs no fentanyl before attempted reduction
  • Fentanyln = 116
Primary endpoint
Percentage of patients with failed reduction of ileocolic intussusception
Methodological detailsmulticentre, 86 pediatric tertiary care centers in 14 countries, consecutive sample, Fentanyl given to 116 of 3167 patients (3.66%)
  • Multicentre
  • 86 pediatric tertiary care centers in 14 countries
  • Consecutive sample
  • Fentanyl given to 116 of 3167 patients (3.66%)

Primary result

Failed reduction

Odds ratio

0.66

95% CI 0.36–1.22

Fentanyl vs No fentanyl
OR 0.66 (95% CI 0.36–1.22)

As reported in the abstract

Failed reduction, all patients (484 of 3184)
15.20%

Further findings

Factors associated with failed reduction (adjusted analysis)

Preexisting gastrointestinal anomalies, OR
4.38 (95% CI 1.50-12.76)
Longer triage to reduction time, OR
1.04 (95% CI 1.01-1.07)
Younger age, OR
0.96 (95% CI 0.95-0.97)

Original publication

Opioid Administration and Reduction of Pediatric Ileocolic Intussusception. JAMA Netw Open. Published 2 September 2025. doi:10.1001/jamanetworkopen.2025.33584

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