Management of Acute Adverse Reactions to Contrast Media

Thomsen, Henrik S.

doi:10.1007/174_2013_881

Cited by 6 publications

(8 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Corticosteroids are not recommended as firstline management for NAC-related ADRs because of underlying mechanisms and the up to 6-h lag in their therapeutic effects [17]. chlorphenamine) and/or H2 antagonist (e.g.…”

Section: Introductionmentioning

confidence: 99%

Incidence and management of N-acetylcysteine-related anaphylactoid reactions during the management of acute paracetamol overdose

Yamamoto

Spencer²,

Dargan³

et al. 2013

European Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Incidence and management of N-acetylcysteine-related anaphylactoid reactions during the management of acute paracetamol overdose

Yamamoto

Spencer²,

Dargan³

et al. 2013

European Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…BT'nin bir diğer limitasyonu ise yüksek volümlü (80-120 ml) kontrast ajan verilmesi ihtiyacıdır ki non-iyonik düşük ozmolalitede kontrast verilmesinden sonra %3 hastada yan etki izlenmektedir. Bu nedenle yaşlılarda, diabetli hastalarda ve renal disfonksiyonu olan hastalarda kullanımı sınırlı olmaktadır [13].…”

Section: Discussionunclassified

Comparison of ventilation/perfusion scintigraphy and multi-detector computerized tomography in diagnosis of asymptomatic pulmonary embolism after deep vein thrombosis

Yücedağ¹

2014

Diclemedj

View full text Add to dashboard Cite

Objective: Pulmonary thromboembolism (PTE) named due to migration of clots formed in systemic venous system to pulmonary vascular bed is a serious clinical table. After acute DVT, asymptomatic PTE is seen about 40-60% and this situation can not be discovered because of silent clinical course. In this study, we aimed to compare sensivity and spesifity of multi detector computerized tomography (MDCT), which is used extensively in recent years, with ventilation-perfusion (V/P) scintigraphy which is used formerly for diagnosis of asymptomatic PTE developed after acute lower extremity DVT. Methods:The study was carried out 25 patients who were admitted to our clinic and treated for lower extremity acute DVT. Pregnants, and cases with recurrent DVT, presence of symptomatic PTE during admission, thrombosis extending to vena cava, and history of passed PTE were excluded from the study. DVTs in patients were diagnosed by color doppler, and confirmed by D-dimer test. After patients's admission, V/P scintigraphy and MDCT were used to detects asymptomatic PTE at 1 st and 8 th day of the admission.Results: D-dimer was measured as higher in 24 of 25 patients with asymptomatic PTE. Ten patients were diagnosed by MDCT. Development of asymptomatic PTE related to acute DVT was determined as 40%. Conclusion:In terms of diagnostic value, MDCT was found more useful than V/P scintigraphy.Key words: Pulmonary, embolism, scintigraphy, tomography ÖZET Amaç: Pulmoner tromboemboli (PTE) sistemik venöz sistemde oluşan pıhtıların pulmoner vasküler yatağa göçü ile ortaya çıkan klinik tabloya verilen isimdir. Akut derin ven trombozu (DVT) sonrası ortalama %40-60 oranında asemptomatik PTE görülmekte ve bu durum sessiz klinik seyir nedeniyle fark edilmemektedir. Bu çalışmamızda akut alt ekstremite DVT'sine bağlı gelişen asemptomatik PTE tanısında hala günümüzde önemli bir yer tutan ventilasyon-perfüzyon (V/P) sintigrafisi ile son yıllarda kullanılmaya başlanan multi-detektor bilgisayarlı tomografinin (MDBT) sensitivite ve spesifitesini karşılaştırmayı amaçladık.Yöntemler: Çalışma alt ekstremite akut DVT nedeniyle kliniğimize yatırılarak tedavisi planlanan 25 hastada gerçekleştirildi. Gebeler, nüks DVT vakaları, müracaat esnasında semptomatik PTE tablosu olanlar, vena kavaya uzanım gösteren trombüsü olanlar, önceden geçirilmiş PTE öyküsü olanlar çalışmaya dahil edilmedi. Hastalarda DVT tanısı renkli doppler USG ile konulup, D-dimer testiyle teyit edildi. Hastalara yatışının 1.ve 8. günlerinde V/P sintigrafisi ve MDBT yapılarak asemptomatik PTE varlığı araştırıldı. Bulgular:Pulmoner tromboemboli açısından asemptomatik olan 25 DVT hastasının 24'ünde D-dimer normalin üstünde ölçüldü. MDBT ile 10 hastaya PTE tanısı konuldu. Akut DVT'ye bağlı %40 oranında asemptomatik PTE geliştiği tespit edildi.Sonuç: Multi-detektor bilgisayarlı tomografi tanı değeri açısından V/P sintigrafisinden daha faydalı bulundu.

show abstract

“…The European Society of Urogenital Radiology Committee provided guidelines for the management of the acute adverse reaction to contrast media (table 3). 13…”

Section: Discussionmentioning

confidence: 99%

Previous iodinated contrast anaphylaxis in blunt abdominal trauma: management options

Zaman

2012

Case Reports

View full text Add to dashboard Cite

SummaryA 34-year-old man presented with significant intra-abdominal and orthopaedic injuries following a high-speed motorbike crash. The man had a history of an anaphylactic reaction to iodine. As a result, the gold standard CT of the abdomen with contrast was unable to be performed to ascertain the exact nature of the intra-abdominal injuries. After stabilisation, an MRI of the abdomen was performed which localised the injuries. The previous contrast anaphylaxis delayed full assessment of the patient and subsequent management. This case discusses the current literature and the management guidelines in a patient with previous anaphylaxis to contrast. BACKGROUND

show abstract

Management of Acute Adverse Reactions to Contrast Media

Cited by 6 publications

References 44 publications

Incidence and management of N-acetylcysteine-related anaphylactoid reactions during the management of acute paracetamol overdose

Incidence and management of N-acetylcysteine-related anaphylactoid reactions during the management of acute paracetamol overdose

Comparison of ventilation/perfusion scintigraphy and multi-detector computerized tomography in diagnosis of asymptomatic pulmonary embolism after deep vein thrombosis

Previous iodinated contrast anaphylaxis in blunt abdominal trauma: management options

Contact Info

Product

Resources

About