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Iodinated Contrast Media Hypersensitivity

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Bronchospasm riskReactive AirwayDifficult AirwayHypotensionShockArrhythmiasSeizuresEdemaFlushingRenal DysfunctionOptimize HydrationSkeletal Muscle Weakness

Pathophysiology

Most immediate reactions to iodinated contrast are anaphylactoid rather than anaphylactic. Contrast causes direct release of histamine and other mediators from mast cells and basophils with...

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