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In medicine, a contraindication is a condition (a situation or factor) that serves as a reason not to take a certain medical treatment due to the harm that it would cause the patient. [1] [2] Contraindication is the opposite of indication, which is a reason to use a certain treatment.
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In terms of contraindications associated with LA there are "absolute" and "relative" contraindications. When something is said to have an "absolute" contraindication this underlines that under no circumstance would that LA be selected to administer to that specific patient as it poses a potential life-threatening risk e.g. allergy.
Absolute contraindications, which are reasons why the procedure absolutely cannot be done, include: [9] Pregnancy is an absolute contraindication to the use of breast irradiation . In some cases, it may be possible to perform breast-conserving surgery in the third trimester and treat the patient with radiation after delivery.
Few absolute contraindications exist, however, "relative contraindications are important and can only be considered following a full assessment." [ 4 ] They include: Medical conditions that would compromise the inhalation of the sedation medication, such as the common cold , tonsillitis , severe COPD or nasal blockage
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The foremost absolute contraindication to canthotomy is globe rupture, sometimes referred to as an open globe injury. [9] Globe rupture can be recognized by these symptoms or physical exam features: Irregular-shaped pupil or iris; Subconjunctival hemorrhage; Enophthalmos; Conjunctival or scleral tear