TY - JOUR
T1 - Gadolinium use for interventional pain procedures
T2 - Where we are and where we are heading
AU - Durbhakula, Shravani
AU - Cohen, Steven P.
N1 - Publisher Copyright:
© 2019 American Society of Regional Anesthesia & Pain Medicine.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - In recent years as the use of interventional pain procedures has soared, so too has outside and internal scrutiny. This scrutiny includes agreater emphasis on weighing the risks and benefits of procedures, increased surveillance for adverse events, and cost containment strategies. In 2016, the first reports of gadolinium deposition in the central nervous system began to surface, though retention in other organ systems has been appreciated for over a decade. In this issue of Regional Anesthesia & Pain Medicine, Benzon et al. report a series of patients with document edhypersensitivity reactions to iodinated contrast medium who were inadvertently administered iodine-based contrast without adverse consequences. In this article, we discuss the epidemiology of contrast-mediated adverse effects, the mechanistic basis for hypersensitivity reactions, the risks and benefits of various approaches in the patient with a documented contrast hypersensitivity reaction, and risk mitigation strategies.
AB - In recent years as the use of interventional pain procedures has soared, so too has outside and internal scrutiny. This scrutiny includes agreater emphasis on weighing the risks and benefits of procedures, increased surveillance for adverse events, and cost containment strategies. In 2016, the first reports of gadolinium deposition in the central nervous system began to surface, though retention in other organ systems has been appreciated for over a decade. In this issue of Regional Anesthesia & Pain Medicine, Benzon et al. report a series of patients with document edhypersensitivity reactions to iodinated contrast medium who were inadvertently administered iodine-based contrast without adverse consequences. In this article, we discuss the epidemiology of contrast-mediated adverse effects, the mechanistic basis for hypersensitivity reactions, the risks and benefits of various approaches in the patient with a documented contrast hypersensitivity reaction, and risk mitigation strategies.
KW - chronic pain: imaging
KW - interventional pain management
KW - pain medicine
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U2 - 10.1136/rapm-2018-100163
DO - 10.1136/rapm-2018-100163
M3 - Article
C2 - 30640646
AN - SCOPUS:85060009998
SN - 1098-7339
VL - 44
SP - 4
EP - 6
JO - Regional anesthesia and pain medicine
JF - Regional anesthesia and pain medicine
IS - 1
ER -