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Should you remove ionic, high-osmolality contrast media from your department?

机译:您是否应该从部门中除去离子型,高渗透压的造影剂?

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摘要

Iodinated contrast media are an integral part of patient care, and methods of reducing risks to the patient from contrast media require constant vigilance. An opportunity to further reduce the risk for some patients and, at the same time, reduce the legal risk of negligence for the radiologist is available to us. Administering conventional, ionic, high-osmolality contrast media (HOCM) intrathecally is contraindicated and has been for more than two decades. Yet, despite efforts by the American College of Radiology (ACR) through educational programs beginning in the 1980s and the more recent ACR guidelines, errors still occur, and serious neurologic injuries and deaths have occurred in recent years.
机译:碘化造影剂是患者护理不可或缺的一部分,降低造影剂对患者风险的方法需要始终保持警惕。我们有机会进一步降低某些患者的风险,同时降低放射科医生的法律疏忽风险。禁止在鞘内施用常规的离子型高渗透压造影剂(HOCM),并且已经使用了二十多年。然而,尽管美国放射学院(ACR)通过1980年代开始的教育计划和最新的ACR指南做出了努力,但错误仍然发生,并且近年来发生了严重的神经系统损伤和死亡。

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