Practical administration of intravenous contrast media in children: screening, prophylaxis, administration and treatment of adverse reactions View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

Ezekiel Maloney, Ramesh S. Iyer, Grace S. Phillips, Shina Menon, John J. Lee, Michael J. Callahan

ABSTRACT

Administration of intravenous contrast media to children is a routine practice at many clinical imaging centers, that can involve special considerations. In this paper, we provide practical information to facilitate optimal performance and oversight of this task. We provide targeted screening questions that can help to identify high-risk pediatric patients for both iodine-based and gadolinium-based intravenous contrast media administration. These include children at risk for allergic-like reactions, thyroid dysfunction, contrast-induced nephropathy, and nephrogenic systemic fibrosis. We make recommendations for addressing "yes" responses to screening questions using risk stratification schema that are specific to children. We also present criteria for selecting children for premedication prior to intravenous contrast administration, and suggest pediatric regimens. Additionally, we discuss practical nuances of intravenous contrast media administration to children and provide a quick-reference table of appropriate treatments with pediatric dosages for adverse contrast reactions. More... »

PAGES

433-447

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00247-018-4306-6

    DOI

    http://dx.doi.org/10.1007/s00247-018-4306-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1113063408

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30923875


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