Literature DB >> 23493221

Lessons learned from 118,970 multidetector computed tomographic intravenous contrast material administrations: impact of catheter dwell time and gauge, catheter location, rate of contrast material administration, and patient age and sex on volume of extravasate.

Courtney Coursey Moreno1, Daniella Pinho, Rendon C Nelson, Dushyant V Sahani, Melissa Jenkins, MaryAnne Zabrycki, Humaira Chaudhry, Jian Kang, Zhengjia Chen.   

Abstract

OBJECTIVES: The aim of this study was to determine the impact of catheter dwell time and gauge, catheter location, rate of contrast material administration, and patient age and sex on volume of extravasate at intravenous contrast-enhanced multidetector computed tomography.
METHODS: Incident reports were reviewed for all extravasation events that occurred in adult patients between March 2006 and December 2009 at 2 institutions. Patient age and sex; catheter dwell time, gauge, and location; rate of contrast material administration; and estimated volume of extravasated contrast material were recorded.
RESULTS: Three hundred thirty extravasation events were recorded for the 118,970 contrast material administrations (0.3%). Mean volume of extravasated contrast material was statistically significantly less for catheters newly placed in the radiology department, for higher flow rates, for smaller gauge catheters, and for catheters placed in the hand. Mean volume of extravasated contrast material did not vary significantly based on patient age or sex.
CONCLUSIONS: The volume of extravasate was likely to be smaller for smaller-gauge catheters in the hand with higher flow rates and for catheters newly placed in the radiology department.

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Year:  2013        PMID: 23493221     DOI: 10.1097/RCT.0b013e31828211da

Source DB:  PubMed          Journal:  J Comput Assist Tomogr        ISSN: 0363-8715            Impact factor:   1.826


  5 in total

1.  Frequency, outcome, and risk factors of contrast media extravasation in 142,651 intravenous contrast-enhanced CT scans.

Authors:  Eui Jin Hwang; Cheong-Il Shin; Young Hun Choi; Chang Min Park
Journal:  Eur Radiol       Date:  2018-06-06       Impact factor: 5.315

2.  Contrast media extravasations in patients undergoing computerized tomography scanning: a systematic review and meta-analysis of risk factors and interventions.

Authors:  Sandrine Ding; Nicole Richli Meystre; Cosmin Campeanu; Giuseppe Gullo
Journal:  JBI Database System Rev Implement Rep       Date:  2018-01

3.  The effect of four-phasic versus three-phasic contrast media injection protocols on extravasation rate in coronary CT angiography: a randomized controlled trial.

Authors:  Júlia Karády; Alexisz Panajotu; Márton Kolossváry; Bálint Szilveszter; Ádám L Jermendy; Andrea Bartykowszki; Mihály Károlyi; Csilla Celeng; Béla Merkely; Pál Maurovich-Horvat
Journal:  Eur Radiol       Date:  2017-05-24       Impact factor: 5.315

4.  Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines.

Authors:  Giles Roditi; Nadir Khan; Aart J van der Molen; Marie-France Bellin; Michele Bertolotto; Torkel Brismar; Jean-Michel Correas; Ilona A Dekkers; Remy W F Geenen; Gertraud Heinz-Peer; Andreas H Mahnken; Carlo C Quattrocchi; Alexander Radbruch; Peter Reimer; Laura Romanini; Fulvio Stacul; Henrik S Thomsen; Olivier Clément
Journal:  Eur Radiol       Date:  2022-02-17       Impact factor: 7.034

5.  Extravasation of iodinated contrast medium in cancer patients undergoing computed tomography.

Authors:  Hernandes Cerqueira de Souza Silva; Almir Galvão Vieira Bitencourt; Rubens Chojniak
Journal:  Radiol Bras       Date:  2018 Jul-Aug
  5 in total

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