2014, Number 2
Ideal volume for evacuants enemas y children
Santos JKA. Cantoral MBA. Maza VJ. Bañuelos CCJ. Assia ZS
Full text
Language: Spanish
References: 5
Page: 63-69
PDF size: 286.95 Kb.
ABSTRACT
Introduction: In children there are no bibliographic data that indicates which is the appropriate volume for an enema in children. The aim of this study was to determine the volume/kg of weight needed to perform an enema.Methodos: An observational, retrospective, cross-sectional study, including 500 children who underwent a contrast enema study. The variables studied were age, enema volume per kg of body weight, rectopelvic ratio, and diagnosis. For statistical analysis the SPSS 20.0 software was used; the results were analyzed by dividing the sample into two groups patients without colorectal disease and those with colorectal pathology (U-Mann-Whitney); a linear regression was performed to analyze whether through IRP calculation we could predict the volume / kg required to perform an enema.
Results 500 participants were included, 21.67 ml/kg was the mean volume / kg (95% CI 20.36-22.97), SD 14.83 When analyzed separately (group 1 "without colorectal disease" n=151 and Group 2 "with colorectal disease" n=341) no significant differences were observed (p=.054 for volume/kg and p=. 303 for the IRP). The linear regression model showed that it is not possible to predict volume / kg for an enema from the IRP calculation (R2 of .006, and ANOVA p = .077).
Discussion: The results of our study can be applied in the clinical setting, clarifying the volume of fluid to be infused safely for an enema in any pediatric population is 20 mL/kg
REFERENCES