Benefit of a Visual Aid in the Management of Moderate-Severity Contrast Media Reactions
| Autor: | Jennifer Arango, Shayan Rashid, James B. Gardner, Joseph J. Cavallo, Lawrence H. Staib, Jonathan Kirsch, Daniella Asch, Jay Pahade |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice genetic structures Contrast media reactions Epinephrine Contrast Media Audiology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Prospective Studies Anaphylaxis Simulation Training Aged Audiovisual Aids business.industry General Medicine Middle Aged Quality Improvement Contrast medium Female business Radiology |
| Zdroj: | AJR. American journal of roentgenology. 211(4) |
| ISSN: | 1546-3141 |
| Popis: | The purpose of this study was to compare management of moderate-severity reactions with and without a visual aid or flowchart in contrast medium reaction simulations.All attending radiologists and trainees were requested to participate in a contrast medium reaction simulation program, including a moderate-severity reaction scenario, and were randomized to groups having or not having a visual aid. The time to administer intramuscular (IM) epinephrine via automated injector and errors in administration were recorded. After the simulation, all participants completed a survey assessing their comfort in treating reactions to contrast media with and without a visual aid.A total of 138 participants were divided into 21 sessions in the program, with 68 participants in the moderate-severity reaction scenario. Eleven groups were provided a visual aid; 10 groups were not. Errors in management occurred in 18.2% (2 of 11) of groups with visual aids versus 40% (4 of 10) in groups without (p = 0.35), with epinephrine self-administration reflecting the most common error. Excluding the groups with errors, the mean time to administration of IM epinephrine was 97 seconds with versus 152 seconds without the visual aid (p = 0.04). Of the 138 participants, 97.8% agreed that the poster would aid in medication administration, and 87% agreed that it would help decrease time to administer medications.A visual aid increased the subjective confidence of radiologists in the dose and route of medication administration in the contrast medium reaction simulation and led to faster administration of epinephrine. Self-administration IM epinephrine errors were common and seen in both groups. |
| Databáze: | OpenAIRE |
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