Avoidable errors in dealing with anaphylactoid reactions to iodinated contrast media

Investigative Radiology

Volumn 46, Issue 3, 2011, Pages 147-151

  Segal, Arthur J ^a,b   Bush, William H ^c  

^a ROCHESTER GENERAL HOSPITAL   (United States)

^b UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

^c UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

Author keywords

contrast media; contrast reactions; epinephrine

Indexed keywords

ADRENALIN; ATROPINE; BETA ADRENERGIC RECEPTOR STIMULATING AGENT; DIPHENHYDRAMINE; IODINATED CONTRAST MEDIUM;

ANAPHYLACTIC SHOCK; ANAPHYLAXIS; ARTICLE; BRADYCARDIA; BRONCHOSPASM; CLINICAL ASSESSMENT; CLINICAL EXAMINATION; CLINICAL OBSERVATION; CONSERVATIVE TREATMENT; DRUG CHOICE; DRUG FATALITY; DRUG SAFETY; HUMAN; HYPOTENSION; LARYNX EDEMA; MEDICAL EDUCATION; MEDICAL ERROR; MEDICAL PRACTICE; OXYGEN THERAPY; PARALYSIS; PATIENT CARE; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; RADIOLOGIST; RECOMMENDED DRUG DOSE; THERAPY DELAY; TREATMENT INDICATION; TREATMENT PLANNING; WORK EXPERIENCE;

EID: 79751537717     PISSN: 00209996     EISSN: 15360210     Source Type: Journal    
DOI: 10.1097/RLI.0b013e3181f5409e     Document Type: Article

References (13)

1. McClennan BL. Ionic and nonionic contrast media: evolution and strategies for (Pubitemid 20227844)
2. Bush WH, Krecke KN, King BF, et al, eds. Radiology Life Support: Rad-LS. London, United Kingdom: Hodder Headline Group 1999.
3. American College of Radiology, Committee on Drugs and Contrast Media. In: Segal AJ, ed. Manual on Contrast Media, Version 6.0. Reston, VA: American College of Radiology; 2008.
4. Wang CL, Cohan RH, Ellis JH, et al. Frequency, outcomes, and appropriateness of treatment of nonionic iodinated contrast media reactions. Am J Roentgenol. 2008;191:409-415.
5. Hunt CH, Hartman RP, Hesley GK. Frequency and severity of adverse effects of iodinated and gadolinium contrast material: retrospective review of 456,930 doses. Am J Roentgenol. 2009;193:1124-1127.
6. Davenport MS, Cohan RH, Ellis JH. Repeat contrast medium reactions in premedicated patients: frequency and severity. Radiology. 2009;253:372-379.
7. Bush WH, Albright DE. Should you remove ionic, higher osmolality contrast from your department? Am J Roentgenol. 2009;193:172-173.
8. Bartlett MJ, Bynevelt M. Acute contrast reaction management by radiologists: a local audit study. Australas Radiol. 2003;47:363-367. (Pubitemid 38082959)
9. Lightfoot CB, Abraham RJ, Mammen T, et al. Survey of radiologists' knowledge regarding the management of severe contrast material-induced allergic reactions. Radiology. 2009;251:691-696.
10. Collins MS, Hunt CH, Hartman RP. Use of IV epinephrine for treatment of patients with contrast reactions: lessons learned from a 5-year experience. Am J Roentgenol. 2009;192:455-461.
11. vanSonnenberg E, Neff CC, Pfister RC. Life-threatening hypotensive reactions to contrast media administration: comparison of pharmacologic and fluid therapy. Radiology. 1987;162:15-19. (Pubitemid 17001774)
12. European Society of Urogenital Radiology. Available at: http://www.esur. org/Contrast-media.51.0.html#c275. Accessed April 16, 2010.
13. Hoffman BB, Lefkowitz RJ. Catecholamines and sympathomimetic drugs. In: Gilman AG, Rall TW, Nies AS, et al, eds. Goodman and Gilman's the Pharmacological Basis of Therapeutics, 8th ed. New York, NY: Pergamon Press; 1990:187-220:Chap 10.