veitch57
Moderator
Registered: 30/04/07
Posts: 36
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Reply with quote | #1 |
I guess we usually aim for steroids and antihistamines. Some go for the night before for steroids if possible. Hmm there is debate about using Omnipaque or Visipaque. Some say either. Both have iodine in them of course so i suspect no difference, I must ask around to see what is the best.
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Cardiac Cathlab information group Victoria Australia |
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cathmrt
Registered: 07/05/07
Posts: 16
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Reply with quote | #2 |
My understanding is that it is not the iodine that is responsible for contrast reactions. Previous known contrast reaction should be the indicator for prophylactic cover. We premedicate with Hydrocortisone prior to subsequent studies and stick with Visipaque, as it is the superior product (IMO). Known seafood allergy is also misleading. It is more that a history of anaphylactic/allergic response to seafood is an indicator that they may have a similar reponse to contrast (along with other compounds). We don't often see contrast reactions in our lab (fingers crossed) and I can only recall one full on anaphylactic response in the last 5-6 years.
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ferretpants
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Registered: 01/05/07
Posts: 31
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Reply with quote | #3 |
Hey Cath MRT! Great to see you here, great answer too BTW. and good to see you here too Pete.
Both of you Veterans of the web blog/post scene.
About time we had some proper discussion forums for the cath labs.
Will try to pop into these forums more often but the computer is residing in the bedroom at the mo and limits my late nite online contact.
Keep up the good work guys
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cathmrt
Registered: 07/05/07
Posts: 16
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Reply with quote | #4 |
Nice to see you here as well FP, and you too Peter. Anyone else out there want to join in??????? Come on, don't be shy....
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ferretpants
Moderator
Registered: 01/05/07
Posts: 31
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Reply with quote | #5 |
Yeh, where are the Americans?
I would like to discuss quite a few issues with them regarding doses, radiation protection, frame rates etc.
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gorskik
Registered: 05/06/07
Posts: 11
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Reply with quote | #6 |
Here's the token American!
- Ken
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Kenneth A. Gorski, RN, RCIS, FSICP
Cleveland Clinic Heart and Vascular Institute
9500 Euclid Ave
Cardiovascular Medicine Desk J2-1
Cleveland, OH 44195-5245
(216) 444-4241 / gorskik@.ccf.org
There is but one worthy ambition for us all.Do better whatever we do. No matter how capable, we must work, think, study,and do better.
This alone leads to Mastery, Leadership, and Independence.
-Gutzon Borglum (Sculptor, Artist, Engineer Mount Rushmore)
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jeandy
Registered: 07/05/07
Posts: 5
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Reply with quote | #7 |
Hi All
Yet another Australian. We use Hydrocortisone if the person has not been identified prior and there is a need to do the case with some haste. Anti- histamines as well more for the urticarial reaction. Hydrocortisone will take at least 6 hours for effect and is really for subsequent serum sickness post. Prednisolone for 3 days prior is best treatment. Some use ranitidine as it has antihistamine actions also. It is the proteins with shellfish allergy that tends to be the problem rather than iodine. We have visipaque on hand for renal patients rather than for allergic reactions. Iodine allergy is usually a pre-identified issue where a previous contrast reaction has been noted. We have had no anaphylactic reactions here in my 10 years. Mostly urticarial rash.
Jeanette D
UNM
Geelong
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ferretpants
Moderator
Registered: 01/05/07
Posts: 31
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