Iodinated contrast medium: Is there a re(n)al problem? A clinical ...
2020年11月10日 · As we were taught, for decades, that iodinated contrast-induced acute kidney injury should be dreaded, considerable efforts were made to find out effective measures in mitigating the renal risk of iodinated contrast media. Imaging procedures were frequently either downgraded (unenhanced imaging) or deferred as clinicians felt that the renal risk pertaining to contrast administration outweighed ...
Contrast-induced nephropathy: attributable incidence and …
2012年5月23日 · Contrast-induced nephropathy (CIN) is a known complication of intravenous, iodinated contrast and is a common cause of acute kidney injury (AKI) in the inpatient setting. The reported incidence of CIN varies among studies, due to differences in definition, type and dose of contrast medium, study population, imaging procedure and the frequency ...
Risk factors for the development of contrast-induced nephropathy …
2014年3月17日 · Critically ill patients cared for in ICUs often require radiological investigation using iodinated contrast agents. Contrast- induced nephropathy (CIN) - a form of acute kidney injury (AKI) - is a complication following the use of such contrast.
COVID-19: What Iodine Maps From Perfusion CT can reveal—A …
2020年10月21日 · Background Subtraction CT angiography (sCTA) is a technique used to evaluate pulmonary perfusion based on iodine distribution maps. The aim of this study is to assess lung perfusion changes with sCTA seen in patients with COVID-19 pneumonia and correlate them with clinical outcomes. Material and methods A prospective cohort study was carried out with 45 RT-PCR-confirmed COVID-19 patients that ...
Clinical review: Thyroid hormone replacement in children after …
2006年5月23日 · Cardiac surgery using cardiopulmonary bypass produces a generalized systemic inflammatory response, resulting in increased postoperative morbidity and mortality. Under these circumstances, a typical pattern of thyroid abnormalities is seen in the absence of primary disease, defined as sick euthyroid syndrome (SES). The presence of postoperative SES mainly in small children and neonates exposed ...
Feasibility and safety of watershed detection by contrast-enhanced ...
2020年4月2日 · Both techniques, however, bear disadvantages including radiation exposure and use of iodinated contrast media. We assessed the feasibility and safety of contrast-enhanced ultrasound (CEUS) to detect the watershed at the bedside in patients on bifemoral VA ECMO at three ICUs of a European tertiary care facility.
Acute kidney injury after cardiac arrest: the role of coronary ...
2019年5月30日 · However, the iodinated contrast administered during CAG-PCI may cause tubular damage due to renal vasoconstriction with potential hypoxia and direct cytotoxic effects. Therefore, clinicians are concerned that the potential harm of contrast exposure may prevail over the possible benefit of increased renal perfusion.
Contrast-induced acute kidney injury and renal support for acute …
2013年2月4日 · Acute kidney injury (AKI) is a common and serious problem affecting millions and causing death and disability for many. In 2012, Kidney Disease: Improving Global Outcomes completed the first ever international multidisciplinary clinical practice guideline for AKI. The guideline is based on evidence review and appraisal, and covers AKI definition, risk assessment, evaluation, prevention, and ...
Diagnosis, evaluation, and management of acute kidney injury: a …
2013年2月4日 · Acute kidney injury (AKI) is a common and serious problem affecting millions and causing death and disability for many. In 2012, Kidney Disease: Improving Global Outcomes completed the first ever, international, multidisciplinary, clinical practice guideline for AKI. The guideline is based on evidence review and appraisal, and covers AKI definition, risk assessment, evaluation, prevention, and ...
Albumin infusion rate and plasma volume expansion: a …
2019年5月28日 · Background Optimal infusion rate of colloids in patients with suspected hypovolemia is unknown, and the primary objective of the present study was to test if plasma volume expansion by 5% albumin is greater if fluid is administered slowly rather than rapidly. Methods Patients with signs of hypoperfusion after major abdominal surgery were randomized to intravenous infusion of 5% albumin at a ...