[optimal] Re: No infiltration...no Fluorescein

  • From: Michael Kelly <michael.p.kelly@xxxxxxxx>
  • To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
  • Date: Mon, 14 Oct 2013 15:15:37 +0000

Back in the day we would standardly do all FA injecions on all patients with 
the arm elevated to or above heart level.  I think because the incidence of 
'pooling' -and subsequent no/poor tranist-  is so low, we have gotten away from 
this practice over the years.   

________________________________________
From: optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf of 
Joe Warnicki [warnickij@xxxxxxxxxxxxx]
Sent: Monday, October 14, 2013 10:59 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: No infiltration...no Fluorescein

Sorry this is late. Been out of town.

This happen to me twice both with obese patients. At mid phases I spoke
to the referring physician about it. With out a pause he said try
raising the arm the dye might be pooling.

I raised the arm and had a good early phase several minutes after the
injection. With repeat tests we starting raising the arm if we saw any
indications of poor early phases.

Joe

On 10/9/2013 9:39 AM, Egnatz, Thomas James wrote:
> Thanks for posting those links, Tim.
>
> Tom
>
> Quoting "Bennett, Timothy" <tbennett1@xxxxxxxxxxx>:
>
>> Both of the mentioned JOP articles can be found here:
>>
>> http://www.opsweb.org/forums/posts.asp?topic=657644&;
>>
>> tim
>>
>>
>
>

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