Document Detail


The incidence and severity of hypoxia associated with 99Tcm Technegas ventilation scintigraphy and 99Tcm MAA perfusion scintigraphy.
MedLine Citation:
PMID:  1319255     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Inhalation of the ventilatory radiopharmaceutical 99Tcm Technegas leads, in some patients, to symptoms that may be attributed to temporary lowering of oxygen saturation. In order to evaluate this, oxygen saturation was measured by pulse oximetry in a series of patients undergoing Technegas ventilation scintigraphy. A decrease in oxygen saturation was recorded in 87% of the patient group. The mean change, as a percentage of the initial value, was 8.3% (range 1-24%). Hypoxia arising in association with Technegas administration may be reduced by pre-oxygenation. In patients who were pre-oxygenated, oxygen saturation did not fall below 85% (PaO2: 50 mmHg) but in 39% of those not pre-oxygenated the value fell below this level. Oxygen saturation was also monitored in a series of patients undergoing perfusion scintigraphy. In 17% of patients a decrease was recorded (range 2-11%). In view of the large number of perfusion scans performed annually in this department and elsewhere without untoward effect, such temporary decreases in oxygen saturation presumably present no hazard to the patient.
Authors:
J M James; J J Lloyd; B C Leahy; R A Shields; M C Prescott; H J Testa
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of radiology     Volume:  65     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-07-28     Completed Date:  1992-07-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  403-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Nuclear Medicine and Medical Physics, Manchester Royal Infirmary, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Albumins / adverse effects
Anoxia / etiology*
Female
Graphite / adverse effects
Humans
Lung / radionuclide imaging*
Male
Middle Aged
Oxygen / administration & dosage,  blood
Sodium Pertechnetate Tc 99m / adverse effects*
Technetium Tc 99m Aggregated Albumin / adverse effects*
Chemical
Reg. No./Substance:
0/Albumins; 0/Technetium Tc 99m Aggregated Albumin; 112263-77-1/Technegas; 23288-60-0/Sodium Pertechnetate Tc 99m; 70536-17-3/macro aggregates of albumin; 7782-42-5/Graphite; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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