RESUMEN
The use of iodinated contrast material in radiography is contraindicated in patients with known iodine sensitivity and such patients may present a management dilemma. The successful use of gadolinium in contrast sialography is described.
Asunto(s)
Medios de Contraste , Gadolinio , Glándula Parótida/diagnóstico por imagen , Sialografía/métodos , Adulto , Contraindicaciones , Femenino , Humanos , Hipersensibilidad/etiología , Yodo/efectos adversosRESUMEN
Retrospective scrutiny of the documents authorising 240 consecutive emergency detentions to a Glasgow psychiatric hospital over a three-year period revealed that 15 per cent were incorrectly completed. Fourteen documents (5.8%) failed to meet a list of minimum requirements supplied by the Central Legal Office and were therefore invalid. Invalid documentation was associated with a failure to use the recommended form. In practice, these documents were recognised at the hospital of detention and patients were either properly detained, informally admitted, or in three cases, discharged. It is suggested that doctors who make Emergency Recommendations without using the printed form should always discuss the wording of their letter with the receiving psychiatrist who should in turn be familial with the six minimum requirements of the Central Legal Office.