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TITLE:

BENEFIT OF A VISUAL AID IN THE MANAGEMENT OF MODERATE-SEVERITY CONTRAST MEDIA REACTIONS

AUTHORS:

Dr Zain ul Hassan, Dr Anum Amjad, Dr Abdul Hadi

ABSTRACT:

Life-threatening anaphylaxis could happen in consequences of administration of IV contrast agents due to adverse reactions. But the ranges of these adverse reaction is low starting from 0.2% to 0.7% for nonionic iodinated contrast media and 0.06% for gadolinium-based contrast media. Many radiologists have minimum experience in managing the contrast reactions because they are rare and 50% radiologist have no idea regarding administration of the correct dose of epinephrine during a severe reaction. A survey conducted in 2009 stated that 91% of radiologists have accurately identified epinephrine as the initial drug of choice for a contrast medium related action. Result demonstrated in such way that 41% have given correct administration route and dose; 11% have knowledge about the concentration were available to them and what concentrations were needed; and 17% would have administered potentially fatal overdoses of epinephrine. The study concludes that visual aid has significantly associated with more confidence of participants in contrast medium reaction management. But there was reduction in observed error rate which is not statistically significant

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