Pretreatment of high-risk patients requiring radiographic contrast media studies

Paul Allen Greenberger*, Roy Patterson, Ronald Simon, Philip Lieberman, Warren Henry Wallace

*Corresponding author for this work

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Pretreatment for 318 radiographic contrast media procedures in 284 patients with a prior anaphylactoid reaction to radiographic contrast media was associated with no adverse effects in 294 (92.5%) procedures. In 23 procedures (7.1%), mild or minimal reactions occurred that were of little or no consequence to the patient. One (0.3%) patient experienced transient hypotension, wheezing, and urticaria. The pretreatment program consisted of prednisone 50 mg orally every 6 hr for three doses ending 1 hr before the procedure and diphenhydramine 50 mg intramuscularly 1 hr before the procedure. Based on the cumulative results in the prospective series of 318 procedures, this regimen is appropriate prophylaxis for high-risk patients.

Original languageEnglish (US)
Pages (from-to)185-187
Number of pages3
JournalThe Journal of Allergy and Clinical Immunology
Volume67
Issue number3
DOIs
StatePublished - Jan 1 1981

Fingerprint

Contrast Media
Diphenhydramine
Urticaria
Respiratory Sounds
Prednisone
Hypotension

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

Cite this

@article{f26e482709fb485f90883aded61ce1a6,
title = "Pretreatment of high-risk patients requiring radiographic contrast media studies",
abstract = "Pretreatment for 318 radiographic contrast media procedures in 284 patients with a prior anaphylactoid reaction to radiographic contrast media was associated with no adverse effects in 294 (92.5{\%}) procedures. In 23 procedures (7.1{\%}), mild or minimal reactions occurred that were of little or no consequence to the patient. One (0.3{\%}) patient experienced transient hypotension, wheezing, and urticaria. The pretreatment program consisted of prednisone 50 mg orally every 6 hr for three doses ending 1 hr before the procedure and diphenhydramine 50 mg intramuscularly 1 hr before the procedure. Based on the cumulative results in the prospective series of 318 procedures, this regimen is appropriate prophylaxis for high-risk patients.",
author = "Greenberger, {Paul Allen} and Roy Patterson and Ronald Simon and Philip Lieberman and Wallace, {Warren Henry}",
year = "1981",
month = "1",
day = "1",
doi = "10.1016/0091-6749(81)90059-2",
language = "English (US)",
volume = "67",
pages = "185--187",
journal = "Journal of Allergy and Clinical Immunology",
issn = "0091-6749",
publisher = "Mosby Inc.",
number = "3",

}

Pretreatment of high-risk patients requiring radiographic contrast media studies. / Greenberger, Paul Allen; Patterson, Roy; Simon, Ronald; Lieberman, Philip; Wallace, Warren Henry.

In: The Journal of Allergy and Clinical Immunology, Vol. 67, No. 3, 01.01.1981, p. 185-187.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pretreatment of high-risk patients requiring radiographic contrast media studies

AU - Greenberger, Paul Allen

AU - Patterson, Roy

AU - Simon, Ronald

AU - Lieberman, Philip

AU - Wallace, Warren Henry

PY - 1981/1/1

Y1 - 1981/1/1

N2 - Pretreatment for 318 radiographic contrast media procedures in 284 patients with a prior anaphylactoid reaction to radiographic contrast media was associated with no adverse effects in 294 (92.5%) procedures. In 23 procedures (7.1%), mild or minimal reactions occurred that were of little or no consequence to the patient. One (0.3%) patient experienced transient hypotension, wheezing, and urticaria. The pretreatment program consisted of prednisone 50 mg orally every 6 hr for three doses ending 1 hr before the procedure and diphenhydramine 50 mg intramuscularly 1 hr before the procedure. Based on the cumulative results in the prospective series of 318 procedures, this regimen is appropriate prophylaxis for high-risk patients.

AB - Pretreatment for 318 radiographic contrast media procedures in 284 patients with a prior anaphylactoid reaction to radiographic contrast media was associated with no adverse effects in 294 (92.5%) procedures. In 23 procedures (7.1%), mild or minimal reactions occurred that were of little or no consequence to the patient. One (0.3%) patient experienced transient hypotension, wheezing, and urticaria. The pretreatment program consisted of prednisone 50 mg orally every 6 hr for three doses ending 1 hr before the procedure and diphenhydramine 50 mg intramuscularly 1 hr before the procedure. Based on the cumulative results in the prospective series of 318 procedures, this regimen is appropriate prophylaxis for high-risk patients.

UR - http://www.scopus.com/inward/record.url?scp=0019504533&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0019504533&partnerID=8YFLogxK

U2 - 10.1016/0091-6749(81)90059-2

DO - 10.1016/0091-6749(81)90059-2

M3 - Article

C2 - 7462535

AN - SCOPUS:0019504533

VL - 67

SP - 185

EP - 187

JO - Journal of Allergy and Clinical Immunology

JF - Journal of Allergy and Clinical Immunology

SN - 0091-6749

IS - 3

ER -