We encourage all physicians responsible for contrast media administration and reaction management to review this curriculum on a regular basis, at least biannually. Algorithms provided are also a good resource for placement in radiology suites and hospital crash carts.
This teaching file is based on the original PowerPoint presentation authored by Dr. William H. Bush, Jr., Clinical Professor of Radiology (Retd.) at University of Washington. It is regularly updated and has been used for teaching our residents and fellows.
- To review acute reactions to contrast media and their management. Algorithmic approach to the management of these reactions has been outlined.
- To discuss premedication regimens employed in susceptible patients prior to administering the contrast media.
- To review contrast-induced nephrotoxicity and nephrogenic systemic fibrosis along with guidelines for administering contrast media in different stages of renal failure. Interventions that can minimize the risk of these complications have been discussed.
Favinger J, Bastawrous S, Bhargava P. Management of Acute Contrast Media Reactions: Assessing Preparedness of a Tertiary Care Veterans Affairs Medical Center. Journal of the American College of Radiology. Available online 22 February 2013 from http://dx.doi.org/10.1016/j.jacr.2012.12.019
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