Contrast Reaction Readiness for Your Department or Facility

Carolyn L Wang; Erik V Soloff

doi:10.1016/j.rcl.2020.04.002

Contrast Reaction Readiness for Your Department or Facility

Radiol Clin North Am. 2020 Sep;58(5):841-850. doi: 10.1016/j.rcl.2020.04.002. Epub 2020 Jul 15.

Authors

Carolyn L Wang¹, Erik V Soloff²

Affiliations

¹ Radiology Department, University of Washington, Box 357115, 1959 Northeast Pacific Street, Seattle, WA 98195, USA. Electronic address: wangcl@uw.edu.
² Radiology Department, University of Washington, Box 357115, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

PMID: 32792118
DOI: 10.1016/j.rcl.2020.04.002

Abstract

Moderate and severe contrast reactions are rare but can be life threatening. Appropriate contrast reaction management is necessary for the best patient outcome. This review summarizes the types and incidences of adverse events to contrast media, treatment algorithms, and equipment needed to treat common contrast reactions, the current status of contrast reaction management training, and preventative strategies to help mitigate adverse contrast events.

Keywords: Allergic-like reactions to contrast media; Contrast extravasation; Contrast reaction management; Gadolinium-based contrast agents; High-fidelity simulation; Hypersensitivity reactions; Iodinated contrast media.

Publication types

Review

MeSH terms

Contrast Media / adverse effects*
Drug Hypersensitivity / diagnosis*
Extravasation of Diagnostic and Therapeutic Materials / prevention & control*
Gadolinium / adverse effects*
Humans
Iodine / adverse effects*
Medication Errors / prevention & control
Radiology / education*
Risk Factors

Substances

Contrast Media
Iodine
Gadolinium