Jaspreet Kaur Bisla MD, Presenter: Nothing to Disclose

Jeanne Miriam Horowitz MD, Abstract Co-Author: Nothing to Disclose

Cecil Gordon Wood MD, Abstract Co-Author: Nothing to Disclose

Senta Maria Berggruen MD, Abstract Co-Author: Nothing to Disclose

Frederick Lawrence Hoff MD, Abstract Co-Author: Nothing to Disclose

Vahid Yaghmai MD, Abstract Co-Author: Nothing to Disclose

The purpose of this exhibit is: 1. To review the risks and benefits of premedication in pregnant patients 2. To review indications for contrast enhanced CT in pregnant patients 3. To discuss alternative imaging tests for a pregnant patient  

I. Risks and benefits of premedication in pregnant patients A. Benadryl-Class B B. Prednisone-Class C C. Break-through reactions D. Informed written consent II. Are there indications for a contrast enhanced CT in pregnancy? A. Body imaging B. Neuro imaging C. Low radiation dose CT technique III. Imaging alternatives A. Ultrasound a. Appendix b. Pelvic B. MRI- noncontrast a. Acute abdominal pain- appendicitis, SBO, biliary, pancreatitis IV. Conclusion – While pregnant patients can be premedicated, alternative imaging such as ultrasound and/or MRI is preferable to premedicating pregnant patients for a CT due to the risk of a breakthrough reaction and lack of radiation.    

http://abstract.rsna.org/uploads/2014/14010849/14010849_cc45.pdf

Bisla, J, Horowitz, J, Wood, C, Berggruen, S, Hoff, F, Yaghmai, V, Premedicating Pregnant Patients with A Contrast Allergy Before CT: Is There a Role — Alternatives, Risks, and Benefits.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14010849.html