Oral CT Contrast

[Timothy Craig Hardcastle]

Ken  

Two comments:
1: It depends on the quality of your scanner.
2: It depends what you are suspecting.

The CT is notorious for being equivocal in identifying the early blunt
duodenal leak - here a rescan with a minimal amount of contrast MAY be
useful. The other area is when there is a risk of so-called partial
voluming at the D3 / neck of pancreas junction and a pancreas injury is
suspected. To avoid the VOMIT and better delineate the lumen of the D3
contrast may be useful.

For the rest - I agree: No, no and HELL NO!

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
Sent: 10 July 2008 04:16
To: trauma-list at trauma.org
Subject: Re: Oral CT Contrast

No, NO, HELL NO.   We stopped doing that about 6 years  ago.    Numerous

papers have demonstrated that such adds risks  and does not provide ANY
new useful 
information that alters decision making,  diagnosis, or outcome.     I 
thought the entire world of  patient care had stopped this historic
urban legend.  
 
k
 
 
In a message dated 7/9/2008 10:18:14 A.M. Central Daylight Time,  
dburgess at mhg.com writes:

Do you  give oral (or NG) contrast for trauma abdominal CTs?  Any
suggested  
references?





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