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Information Journal Paper

Title

A Saline Test Injection Mode Improving the Safety of Using a Power Injector for CT

Pages

  0-0

Abstract

 Background: Computedtomography (CT) with rapid injection of contrastmediumis important for the diagnosis of manydiseases. To obtain good diagnostic accuracy, a Power Injector is recommended and routinely used to achieve a consistent injection rate of contrast medium. Although rapid contrast injection improves diagnostic accuracy, it increases the risk of Extravasation of Contrast medium. Objectives: The aim of this study was to evaluate the extravasation rate of contrast medium using a Power Injector and determine if using a saline test injection mode can reduce the rate. Patients and Methods: The records of 10, 310 computed tomography (CT) examinations with contrast administration by a dualsyringe Power Injector were retrospectively reviewed. Before contrast administration, the same volume of saline was injected with a higher injection rate than that for contrast medium and the protocol was defined as “ saline test injection mode” . The incident reports of patients with extravasations were reviewed and the extravasation rate and prevention rate were calculated. Results: Extravasations occurred in 12 (0. 12%) of 10310 patients, and follow-up information was available for all patients. Five (41. 67%) of 12 extravasations occurred during the saline test injection period, and the CT examinations were completed after creation of a new venous access. Contrast medium extravasation occurred in only six (0. 06%) patients. One of the patients with contrast medium extravasation developed compartment syndrome and required decompression surgery. Other cases with extravasation had only mild symptoms and improved within 5 days. Conclusion: The saline test injection mode may reduce the risk of contrast medium extravasation and improve the safety of using a Power Injector.

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    APA: Copy

    Chang, Shu Yu, Lu, Chia Hsin, Chiang, I. Chan, Chung, Wei Shiuan, & Hsieh, Tsyh Jyi. (2019). A Saline Test Injection Mode Improving the Safety of Using a Power Injector for CT. IRANIAN JOURNAL OF RADIOLOGY, 16(3), 0-0. SID. https://sid.ir/paper/284795/en

    Vancouver: Copy

    Chang Shu Yu, Lu Chia Hsin, Chiang I. Chan, Chung Wei Shiuan, Hsieh Tsyh Jyi. A Saline Test Injection Mode Improving the Safety of Using a Power Injector for CT. IRANIAN JOURNAL OF RADIOLOGY[Internet]. 2019;16(3):0-0. Available from: https://sid.ir/paper/284795/en

    IEEE: Copy

    Shu Yu Chang, Chia Hsin Lu, I. Chan Chiang, Wei Shiuan Chung, and Tsyh Jyi Hsieh, “A Saline Test Injection Mode Improving the Safety of Using a Power Injector for CT,” IRANIAN JOURNAL OF RADIOLOGY, vol. 16, no. 3, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/284795/en

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