ELEVATION OF IODINATED CONTRAST MEDIA REACTIONS IN PATIENTS UNDERGOING COMPUTED TOMOGRAPHY SCAN IN THE VICINITY OF ISLAMABAD AND RAWALPINDI REGIONS, PAKISTAN
Main Article Content
Keywords
Computed Tomography CT, Iodinated contrast media, contrast reaction, administration
Abstract
This observational study aimed to assess the occurrence of contrast reactions in 250 patients who underwent contrast-enhanced CT scans using low-osmolar iodinated contrast media between July 2022 and September 2022. Data collection involved a simple random sampling technique through a questionnaire to capture representative patient experiences. The study revealed that approximately 12% (30 patients) of the participants experienced contrast reactions post-CT scan, while 88% (220 patients) did not show any reaction. Prompt identification of contrast reactions is emphasized as critical for radiology personnel to facilitate rapid and appropriate treatment, ultimately minimizing adverse effects associated with intravenous iodinated contrast media administration. These findings underscore the importance of vigilant monitoring and proactive management of contrast-related adverse events to enhance patient safety during diagnostic imaging procedures
References
2. Medically reviewed by J. Keith Fisher, M.D. — Written by Tessa Sawyers — Updated on August 10, 2020
3. Brenner, D. J., & Hall, E. J. (2007). Computed tomography—an increasing source of radiation exposure. New England journal of medicine, 357(22), 2277-2284.
4. Hunt, C. H., Hartman, R. P., & Hesley, G. K. (2009). Frequency and severity of adverse effects of iodinated and gadolinium contrast materials: retrospective review of 456,930 doses. American Journal of Roentgenology, 193(4), 1124-1127.
5. Levorstad K, Vatne K, Brodahl U, Laake B, Simonsen S, Aakhus T. Safety of the nonionic contrast medium Omnipaque in coronary angiography. Cardiovascular and interventional radiology. 1989 Mar;12(2):98-100.
6. Thomson, K. R., & Varma, D. K. (2010). Safe use of radiographic contrast media. Australian Prescriber, 33(1).
7. Andreucci, M., Solomon, R., & Tasanarong, A. (2014). Side effects of radiographic contrast media: pathogenesis, risk factors, and prevention. BioMed research international, 2014.
8. Watson, N., & Jones, H. (Eds.). (2017). Chapman & Nakielny's Guide to Radiological Procedures E-Book. Elsevier Health Sciences.
9. Delaney, A., Carter, A., & Fisher, M. (2006). The prevention of anaphylactoid reactions to iodinated radiological contrast media: a systematic review. BMC medical imaging, 6, 1-7.
10. Chand, R. B., Maharjan, S., Pant, D. K., & Paudel, S. (2013). The incidence of adverse reaction to contrast media in computed tomography scan. Journal of Institute of Medicine, 35(3), 33-36.
11. Han, S., Yoon, S. H., Lee, W., Choi, Y. H., Kang, D. Y., & Kang, H. R. (2019). Management of adverse reactions to iodinated contrast media for computed tomography in Korean referral hospitals: a survey investigation. Korean journal of radiology, 20(1), 148.
12. Chand, R. B., Maharjan, S., Pant, D. K., & Paudel, S. (2013). The incidence of adverse reaction to contrast media in computed tomography scan. Journal of Institute of Medicine, 35(3), 33-36.
13. Nagamoto, M., Gomi, T., Terada, H., Terada, S., & Kohda, E. (2006). Evaluation of the acute adverse reaction of contrast medium with high and moderate iodine concentration in patients undergoing computed tomography. Radiation Medicine, 24, 669-674.
14. Munechika, H., Hiramatsu, Y., Kudo, S., Sugimura, K., Hamada, C., Yamaguchi, K., & Katayama, H. (2003). A prospective survey of delayed adverse reactions to iohexol in urography and computed tomography. European radiology, 13, 185-194.
15. Han S, Yoon SH, Lee W, Choi YH, Kang DY, Kang HR. Management of adverse reactions to iodinated contrast media for computed tomography in Korean referral hospitals: a survey investigation. Korean journal of radiology. 2019 Jan;20(1):148-57
16. Nguyen SA, Suranyi P, Ravenel JG, Randall PK, Romano PB, Strom KA, Costello P, Schoepf UJ. Iso-osmolality versus low-osmolality iodinated contrast medium at intravenous contrast- enhanced CT: effect on kidney function. Radiology. 2008 Jul;248(1):97-105.
17. Kim YS, Yoon SH, Choi YH, Park CM, Lee W, Goo JM. Nausea and vomiting after exposure to non-ionic contrast media: incidence and risk factors focusing on preparatory fasting. The British Journal of Radiology. 2018 Jul;91(1087):20180107.
18. Hayashi H, Narumi Y, Takagi R, Takehara Y, Arai Y, Kuwatsuru R, Korogi Y, Sugimoto H, Tsushima Y, Hayakawa K, Fukuda K. Questionnaires for examinations using iodinated contrast media and their grades
19. Azer SA. Is Wikipedia a reliable learning resource for medical students? Evaluating respiratory topics. Advances in physiology education. 2015 Mar;39(1):5-14.
20. Markusson N, Venturini T, Laniado D, Kaltenbrunner A. Contrasting medium and genre on Wikipedia to open up the dominating definition and classification of geoengineering. Big Data & Society. 2016 Aug;3(2):2053951716666102..
21. Xu SX, Zhang X. Impact of Wikipedia on market information environment: Evidence on management disclosure and investor reaction. Mis Quarterly. 2013 Dec 1:1043-68.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Sharafat Ali
Department of Medical Imaging Technology, Riphah International University Faisalabad
Muhammad Abdullah
Riphah International University, Faisalabad
Nadeelah Ashraf
Times Institute, Multan
Sadaf Jameel
Government College University Faisalabad
Bilal Bashir
Riphah International University Faisalabad Campus
Dr. Muhammad Mazahir
Food Science Research Institute, National Agriculture Research Center Islamabad, Pakistan
Muhammad Akram Khan
Institute of Food and Nutritional Sciences PMAS Arid Agriculture University Rawalpindi Pakistan
Hussnain Saleem
Riphah International University, Faisalabad