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The Use of Contrast Agents in Interventional Pain Procedures: A Multispecialty and Multisociety Practice Advisory on Nephrogenic Systemic Fibrosis, Gadolinium Deposition in the Brain, Encephalopathy After Unintentional Intrathecal Gadolinium Injection, and Hypersensitivity Reactions
- Source :
- Anesthesia and Analgesia, 133(2), 535-552. LIPPINCOTT WILLIAMS & WILKINS
- Publication Year :
- 2021
- Publisher :
- LIPPINCOTT WILLIAMS & WILKINS, 2021.
-
Abstract
- This Practice Advisory presents a comprehensive and evidence-based set of position statements and recommendations for the use of contrast media in interventional pain procedures. The advisory was established by an international panel of experts under the auspices of 11 multinational and multispecialty organizations based on a comprehensive review of the literature up to December 31, 2019. The advisory discusses the risks of using gadolinium-based contrast agents. These include nephrogenic systemic fibrosis, gadolinium brain deposition/retention, and encephalopathy and death after an unintentional intrathecal gadolinium injection. The advisory provides recommendations on the selection of a specific gadolinium-based contrast agent in patients with renal insufficiency, those who had multiple gadolinium-enhanced magnetic resonance imaging examinations, and in cases of paraspinal injections. Additionally, recommendations are made for patients who have a history of mild, moderate, or severe hypersensitivity reactions to contrast medium.
- Subjects :
- medicine.medical_specialty
Consensus
Delphi Technique
Gadolinium
Encephalopathy
chemistry.chemical_element
Contrast Media
DENTATE NUCLEUS
Intrathecal
Risk Assessment
Nephrogenic Fibrosing Dermopathy
Drug Hypersensitivity
Iodinated contrast
Risk Factors
medicine
Humans
Pain Management
In patient
Tissue Distribution
HIGH SIGNAL INTENSITY
RISK
Brain Diseases
GLOBUS-PALLIDUS
medicine.diagnostic_test
business.industry
RADIOCONTRAST MEDIA
Brain
Magnetic resonance imaging
ASSOCIATION
medicine.disease
Prognosis
Contrast medium
Anesthesiology and Pain Medicine
chemistry
ADVERSE-REACTIONS
Nephrogenic systemic fibrosis
ENHANCED MR CISTERNOGRAPHY
IODINATED CONTRAST
Radiology
business
CORTICOSTEROID PROPHYLAXIS
Subjects
Details
- Language :
- English
- ISSN :
- 00032999
- Volume :
- 133
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Anesthesia and Analgesia
- Accession number :
- edsair.doi.dedup.....12716644a2b80313ff0bf939cfd26956