Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines
| Autor: | Michele Bertolotto, Judith A. W. Webb, Marie-France Bellin, Henrik S. Thomsen, Aart J. van der Molen, Olivier Clément, Ilona A. Dekkers, Fulvio Stacul, Gertraud Heinz-Peer, Georg Bongartz, Peter Reimer |
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| Přispěvatelé: | van der Molen, A. J., Reimer, P., Dekkers, I. A., Bongartz, G., Bellin, M. -F., Bertolotto, M., Clement, O., Heinz-Peer, G., Stacul, F., Webb, J. A. W., Thomsen, H. S. |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_treatment Contrast Media 030204 cardiovascular system & hematology Sodium Chloride urologic and male genital diseases Practice guidelines 030218 nuclear medicine & medical imaging 0302 clinical medicine Risk Factors Child Saline medicine.diagnostic_test Drug Substitution Contrast media Acute kidney injury Interventional radiology General Medicine Acute Kidney Injury female genital diseases and pregnancy complications Metformin Haemodialysis Intravenous sodium bicarbonate Injections Intra-Arterial Practice Guidelines as Topic Female Radiology Drug Risk assessment medicine.drug Glomerular Filtration Rate Human Iodine Adult medicine.medical_specialty Practice guideline Renal function Risk Assessment Injections Haemodialysi 03 medical and health sciences Renal Dialysis medicine Humans Hypoglycemic Agents Radiology Nuclear Medicine and imaging Intensive care medicine Contraindications Drug Fluid Therapy Radiography Hypoglycemic Agent Intra-Arterial business.industry Contraindications Risk Factor medicine.disease Contrast medium business |
| Zdroj: | van der Molen, A J, Reimer, P, Dekkers, I A, Bongartz, G, Bellin, M F, Bertolotto, M, Clement, O, Heinz-Peer, G, Stacul, F, Webb, J A W & Thomsen, H S 2018, ' Post-contrast acute kidney injury. Part 2 : risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines ', European Radiology, vol. 28, no. 7, pp. 2856-2869 . https://doi.org/10.1007/s00330-017-5247-4 |
| DOI: | 10.1007/s00330-017-5247-4 |
| Popis: | The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium. • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m 2 • Dialysis schedules need not change when intravascular contrast medium is given |
| Databáze: | OpenAIRE |
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