♦ Kharazmi SA, et al. Pediatr Emerg Care. 2013;29(9):979-981.
Outcomes were similar among children given oral contrast material within two hours of sedation with propofol for abdominal computed tomography (CT) and those receiving intravenous contrast prior to sedation, according to a study of 106 patients.
Imaging quality is optimal if oral contrast is administered one hour before an abdominal CT. In children who require sedation, this practice is at odds with American Society of Anesthesiologists guidance, which recommends no oral intake of clear fluids within two hours of sedation to reduce the risk of pulmonary aspiration of gastric contents.
The authors of this study reviewed sedation records from January 2010 through October 2011 to determine if propofol administration within two hours of administration of enteric contrast material for abdominal CT was associated with higher rates of adverse outcomes compared to traditional NPO controls.
Eighty-five patients received PO contrast within...