From: Dieter <[EMAIL PROTECTED]> True on the prednisalone but it is a cortisone.
I am currently making some enquiries on the use of alternate IV contrast agents for CT and will let you know my findings in a few days. It is not an orgainsed study but someone could do a paper on the subject. I haven't the time. Dieter At 09:00 21/07/2003 +0200, you wrote: >Woops prednisalone isnt, an anti histamine .. we use Chlorpheniramine >"piriton" in our hospital but I agree reactions to contrast seem very >unpredictable .. like you I have seen people who ewere previously OK be >bad and and previously reacted OK second like around... The question >about shelfish I think comes from a frequent query on the xray2000 >website from Students some uni is setting a question involving the >shelfish > >Cheers > >Nick > > >Dieter <[EMAIL PROTECTED]> wrote on 21.07.2003, 00:26:25: > > As far as I was aware, the iodine bound in non-ionic iv contrast has > > different reactive properties to the iodine found in shellfish. I > > was under the impression that a shellfish allergy was not > > necessarily as precurser to an iodinated iv contrast allergy. We > > injected a patient a few days ago that had an allergy to topical > > iodine. She is still fine and came back in a few days later with no > > ill > > Sender: [EMAIL PROTECTED] > > Precedence: bulk > > Reply-To: AIRNEWS > > > > From: Dieter > > > > effects to collect her films. > > > > We have also had a case of a previuos anaphylatic reaction (put the > > patient in ICU) to ionic contrast (cardiac cath). While the patient > > was still intubated the patient came down for a abdo/pelvis CT and > > was injected with > > 100 mls of non-ionic contrast (the ICU staff failed to tell radiology > > about > > the previuos reaction and had not documented it in the > > notes.....oops). The patient showed no indication of rection to that > > injection and recieved another a week later. > > > > I personally would be hesitant injecting anyone with any previous > > known allergy to any type of iodine unless absolutely necessary and > > would take > > > > the precaution of predosing with antihistamines ie prednisolone and > > the day before and hydrocortisone on the day of examination. > > > > Bring on cheaper Gadolinium so we can use that as an alternative. > > > > Dieter Halden > > Nepean Hospital > > NSW CTAP > > > > At 08:45 18/07/2003 +1000, you wrote: > > > From: Geoffrey Dick > > > > > >Is there any documented evidence that there is a relationship > > >between allergy to seafood/shellfish and an increased chance of an > > >iv contrast reaction? Your thoughts on the matter > > > > > >Geoffrey Dick > > >CT Supervisor Dandenong Hospital > > >Ext:48193 > > >03-9554-8193 +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= This message is being broadcast by AIRNEWS, the Australian Institute of Radiography list Server Send messages to [EMAIL PROTECTED] For assistance send mail to [EMAIL PROTECTED] Commands should be sent to [EMAIL PROTECTED] Opinions expressed on this list are not necessarily those of the moderator, his assistants or those of the A.I.R.
