Contrast-induced hyperdense pulmonary and cardiac field during computerized tomographic examination

Soon after the injection of intravenous iopromide (2 ml/kg) at a rate of 1.5 ml/s through antecubital vein the patient developed severe hypotension, systolic blood pressure decreased from 100 mmHg to 40 mmHg, desaturation from 100% to 72%, and bradycardia (heart rate decrease from 131 to 78/min); th...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2014-07, Vol.17 (3), p.247-248
Main Authors: Chakravarthy, Murali, Hosur, Rajathadri, Pargaonkar, Sumant, Harivelam, Chidananda, Srinivasan, Pradeep
Format: Article
Language:English
Subjects:
Abdomen
Blood pressure
Cardiac arrest
Contrast media
CT imaging
Health aspects
Heart
Lungs
Methods
Pulmonary arteries
Risk factors
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Summary:Soon after the injection of intravenous iopromide (2 ml/kg) at a rate of 1.5 ml/s through antecubital vein the patient developed severe hypotension, systolic blood pressure decreased from 100 mmHg to 40 mmHg, desaturation from 100% to 72%, and bradycardia (heart rate decrease from 131 to 78/min); this episode lasted for a few seconds, during which the CT examination commenced. Since the episode was of short duration, no therapeutic intervention was done. The radiologist, who performed the CT examination, reported "hyperdensities" in both the lungs, the heart, aortic arch and pulmonary arteries; it was suggested to the anesthesiologists to rule out pulmonary edema. Since the hemodynamic parameters, oxygenation and cardiac function as assessed by transthoracic echocardiography were normal; no further investigation/intervention was carried out.
ISSN:0971-9784
0974-5181
DOI:10.4103/0971-9784.135888