Re: CT Contrast Extravasation

[leighannbowe]

What exactly does elevating the extremity accomplish?

LA 

 
-----Original Message-----
From: Nancy Costa <[EMAIL PROTECTED]>
To: Kimberly Sutters <[EMAIL PROTECTED]>; [EMAIL PROTECTED]; [EMAIL PROTECTED]; Lynn Hadaway <[EMAIL PROTECTED]>
Cc: Kimberly Sutters <[EMAIL PROTECTED]>
Sent: Mon, 21 Nov 2005 05:27:34 -0500
Subject: Re: CT Contrast Extravasation

Recomendations for treatment of contrast media extravasations from the American College of Radiology are:

Elevate affected extremity

Apply ice packs at 15-60 minute intervals

Call physician if volume > 5ml

Consult plastic surgeon if volume:

         > 30ml ionic contrast

         > 100ml non-ionic contrast

Monitor patient for:

         Blistering

         Ulceration

         Altered tissue perfusion, sensation or temperature

         Increased or persistent pain

American College of Radiology Committee on Drugs and Contrast Media.  Manual on contrast media.  4th Ed. American College of Radiology, Reston, Va. 1998

 

Hope this helps,

Nancy Costa CRNI

----- Original Message -----

From: Lynn Hadaway

To: Kimberly Sutters ; [EMAIL PROTECTED] ; [EMAIL PROTECTED]

Cc: Kimberly Sutters

Sent: Saturday, November 19, 2005 1:01 PM

Subject: Re: CT Contrast Extravasation

Immediate application of cold for anything that is hypertonic. Vitrase, a brand of hyaluronidase, is available now, but not aware of any published case reports. If severe, I would get a surgery consult as there could be compartment syndrome or necrotic ulcer depending on the volume and type of contrast. Lynn

At 1:27 PM -0800 11/18/05, Kimberly Sutters wrote:

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Dear Colleagues -

Are you aware of specific treatment recommendations for the management of a contrast extravasation?  We had a patient with an antecubital PIV who had a significant infiltration during administration of IV contrast with the power injector.

 

I would appreciate your feedback.

 

Thanks,

Kim

 

 

Kimberly A. Sutters, RN, PhD
Clinical Nurse Specialist, Surgical Services, Pain Management
Children's Hospital Central California
9300 Valley Children's Place (FW07)
Madera, CA 93638-8762
(559) 353-5440 (phone)
(559) 353-8049 (fax)
[EMAIL PROTECTED]

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Children's Hospital Central California
A Great Place to Get Better
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861