• Pramod K Guru, J Kyle Bohman, Chad J Fleming, Hon L Tan, Devang K Sanghavi, De MoraesAlice GalloAGDepartment of Anesthesiology and Critical Care, Mayo Clinic, Rochester, MN., Gregory W Barsness, Erica D Wittwer, Bernard F King, Grace M Arteaga, Randall Flick, and Gregory J Schears.
• Department of Anesthesiology and Critical Care, Mayo Clinic, Rochester, MN.
• Mayo Clin. Proc. 2016 Mar 1; 91 (3): 362-6.

AbstractNonanaphylactic noncardiogenic pulmonary edema leading to cardiorespiratory arrest related to the magnetic resonance imaging contrast agent gadobutrol has rarely been reported in the literature. Rarer is the association of hypokalemia with acidosis. We report 2 patients who had severe pulmonary edema associated with the use of gadobutrol contrast in the absence of other inciting agents or events. These cases were unique not only for their rare and severe presentations but also because they exemplified the increasing role of extracorporeal membrane oxygenation in resuscitation. Emergency extracorporeal membrane oxygenation resuscitation can be rapidly initiated and successful in the setting of a well-organized workflow, and it is a viable alternative and helps improve patient outcome in cases refractory to conventional resuscitative measures.Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

22 keywords...

hide…