Premedication and short term complications in iohexol discography.
Ann Chir Gynaecol
; 80(1): 49-53, 1991.
Article
in En
| MEDLINE
| ID: mdl-1832270
ABSTRACT
In 52 patients 0.5-3.0 ml of iohexol, 180 mg/ml, was injected using lateral injection technique and fluoroscopy control. A total of 146 lumbar discs using local anaesthesia was injected. Two types of premedication were used; either diazepam alone or diazepam in combination with pethidine and glycopyrronium bromide. There was no difference in the discography injection pain between the groups (X2 = 0.774, P greater than 0.05]. During discography, some patients had nausea (2%), convulsions (4%), back pain (6%) and hypotension (10%), but no allergic reactions were seen. This suggests that these immediate reactions are more related to the procedure itself than to the non-ionic ratio 3.0 iohexol contrast medium. More troublesome iatrogenic complications were seen the day after the discography in the form of severe headache (10%) probably related to liquor leakage, and increasing low back pain (81%). The latter may be caused by local haematoma or chemical irritation from iohexol. Patients with no pain during injection had a relatively slight need for analgesics (Somer's D = -0.196, P less than 0.05).
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain
/
Premedication
/
Iohexol
/
Intervertebral Disc
/
Lumbar Vertebrae
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Ann Chir Gynaecol
Year:
1991
Document type:
Article
Affiliation country:
Finland