ABSTRACT
Children show fewer reactions to intravenous contrast material than adults, and they tend to have anaphylactoid reactions rather than primary cardiac problems. In general, children have healthy hearts, in contrast to the elderly patients who are often seen in radiology departments. In the pediatric population, cutaneous and respiratory reactions predominate. The treatment of pediatric contrast reactions follows similar algorithms to treatment plans for adult reactions. Drug dosages are weight dependent, and it is helpful to have a chart posted in each room where contrast is administered, listing pediatric emergency medications and weight-based dosages. Children's airways are smaller in diameter and more easily compromised than the adult airway. The airway position can be improved by placing a pad or towel under the child's shoulders, which elevates the upper torso and allows the neck to return to a neutral position. The chin lift and jaw thrust are useful methods for more urgent airway management.
