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    Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound.

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    Authors
    Moran, Deirdre E
    Moynagh, Michael R
    Alzanki, Majedah
    Chan, Victoria O
    Eustace, Stephen J
    Affiliation
    Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland. deirdreradiology@gmail.com
    Issue Date
    2012-09
    Keywords
    ALLERGY
    ANALGESIC
    MEDICINE
    Local subject classification
    ANAESTHESIA
    MeSH
    Adrenal Cortex Hormones
    Adult
    Analgesia, Epidural
    Anaphylaxis
    Back Pain
    Humans
    Male
    Methylprednisolone
    Nerve Block
    Radiography, Interventional
    
    Metadata
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    Citation
    Moran DE et al. Anaphylaxis at image-guided epidural pain block secondary to corticosteroid compound. Skeletal Radiol. 2012, 41 (10):1317-8
    Publisher
    Skeletal radiology
    Journal
    Skeletal radiology
    URI
    http://hdl.handle.net/10147/323807
    DOI
    10.1007/s00256-012-1440-3
    PubMed ID
    22639205
    Abstract
    Anaphylaxis during image-guided interventional procedures is a rare but potentially fatal event. Anaphylaxis to iodinated contrast is an established and well-recognized adverse effect. However, anaphylaxis to some of the other frequently administered medications given during interventional procedures, such as corticosteroids, is not common knowledge. During caudal epidural injection, iodinated contrast is used to confirm needle placement in the epidural space at the level of the sacral hiatus. A combination of corticosteroid, local anesthetic, and saline is subsequently injected. We describe a very rare case of anaphylaxis to a component of the steroid medication instilled in the caudal epidural space.
    Item Type
    Article
    Language
    en
    ISSN
    1432-2161
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00256-012-1440-3
    Scopus Count
    Collections
    Cappagh National Orthopaedic Hospital

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