[Dysphagia] barium and gastrographine

[LOBSTERPAM at aol.com (LOBSTERPAM@aol.com)]

----- Original Message -----
From: Patricia and David <guapa@otenet.gr>
Date: Wednesday, November 2, 2005 5:10 pm
Subject: [Dysphagia] barium and gastrographine

> One of the doctors I work with has mentioned that barium should no
> longer be used in VFSS because of the effects to the lungs it has if
> aspirated, and gastrographine should be used instead.  Could anyone
> comment or give me titles of articles I could look  up.
  
>From http://www.emedicine.com/radio/topic57.htm

Gastrografin aspiration: This form of chemical aspiration can rapidly 
progress to respiratory failure. Patients may develop immediate cyanosis, respiratory 
distress, and pulmonary edema resulting in cardiopulmonary arrest. Diffuse 
bilateral opacities typically are seen on radiographs. One case report exists of 
only 50 mL in aspirate volume, quickly leading to acute pulmonary edema and 
arrest. 

Pam Smith