Navigation Menu
Optimizing Fluid Administration for Contrast Nephropathy Prevention Presenter Richard Solomon November 01 2016 REGISTER for free or LOG IN to view this content Clinical Cardiology Presentation TCT 2016 Prevention Up Next Presentation Fusion Imaging for TAVR Is There Added Utility Presenter Jeremy J Thaden
The administration of intravenous fluid remains the cornerstone treatment for the prevention of contrast induced acute kidney injury However no well defined protocols exist to guide fluid administration in this treatment We aimed to establish the efficacy of a new fluid protocol to prevent contrast
The fluid rate was set at the start of the procedure before contrast exposure continued for the duration of the procedure and for 4 h post procedure in both groups Thus both study groups received intravenous fluids for the same duration but at different rates
FLUID ADMINISTRATION SET with user selectable vented spike roller clamps and small bore tubing Packaged 25 units per box 4 boxes per case Bifurcated 72 Length 183 cm CATALOG NUMBER FAS6072 PRESSURIZED CONTRAST ADMINISTRATION SYSTEM one way piercing Sosa spike and large bore tubing Packaged 15 units per box 4 boxes per case
Smiths Medical Products As a leading global provider of medical devices and technologies Smiths Medical provides solutions for the hospital emergency home and specialist environments Browse through our range of products designed to impact the lives of patients throughout the world in critical and intensive care surgery post operative care and home infusion therapies
An angiogram is a specific type of CT scan with contrast In a CT angiogram the contrast is timed so that it will highlight either the arteries or veins venogram of interest For instance a CT angiogram of the chest to evaluate for PE will have the timing set so the contrast is present in the pulmonary arteries
The saline flush during contrast medium administration otherwise known as a saline chaser is a secondary injection following the administration of contrast medium via a power injector is used in both CT and MRI The primary purpose of the saline chaser is to push the otherwise unused contrast agent in the peripheral vessels and connecting tubing
PDF On Dec 1 2014 Sujoy Banik published Haemodynamic guided fluid administration for the prevention of contrast induced acute kidney injury The POSEIDON randomised controlled trial Find
systems indicated for the controlled automatic venous administration of contrast agents for CT procedures The Transfer Set is to be discarded after one of the following conditions has occurred first the contrast media container has been depleted the contrast media use time has expired or 10 hours has elapsed since the container was penetrated
1 1 Principles and protocols for intravenous fluid therapy The assessment and management of patients fluid and electrolyte needs is fundamental to good patient care 1 1 1 Assess and manage patients fluid and electrolyte needs as part of every ward review Provide intravenous IV fluid therapy only for patients whose needs cannot be met by oral or enteral routes and stop as soon
Guidance This guideline covers the general principles for managing intravenous IV fluid therapy in hospital inpatients aged 16 and over with a range of conditions It aims to help prescribers understand the optimal amount and composition of IV fluids to be administered and the best rate at which to give them to improve fluid prescribing and
therapy or a standard fl uid administration protocol We used the same fl uid type commercially available 0 9 sodium chloride in all patients A bolus infusion at 3 mL/kg for 1 h was given to all patients before the procedure Before the administration of contrast media we measured the left ventricular end diastolic pressure
IV fluids can be used to correct electrolyte or acid base disorders while equally so their inadequate use can cause these disorders Tables 1 2 2 Nephrologists are often asked for advice on IV fluids in consultative services for example in the intensive care surgical or medical wards
Call Us Medical professionals medical facility employees 855 571 2100 Need help with SupplyManager 800 422 0280 Accounts Receivable 800 453 5180
Merit Medical offers an integrated suite of fluid management products designed to effectively manage patient fluid levels contrast media and waste in diagnostic and interventional procedures From tubing to transducers fluid spikes to drainage bags Merit Medical provides high quality angiographic accessories you can rely on to deliver safe
B macrodrip administration set that is designed to be used exclusively with 1 000 mL bags of type O negative blood C macrodrip administration set that is designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or a combination of IV fluids and blood
In contrast fluid restricted animals had significantly higher CSF lactate and lower CSF glucose concentrations than fluid supplemented animals lactate 13 5 3 5 vs 10 1 3 3 mmol/L glucose 1 89 1 39 vs 4 11 1 39 mmol/L These results fail to support the hypothesis that administration of large amounts of fluid in this model
fluid intake by reducing its effects and replacing lost fluids Recognising the signs and symptoms of fluid loss is necessary to identify the need for fluid administration Knowledge of when to administer IV fluids what type of fluid to administer and why they are all Key points The loss of circulating fluid volume can lead to imbalances in
Restricted peri operative fluid administration adjusted by serum lactate level improved outcome after major elective surgery for gastrointestinal malignancy Wenkui Y 1 Ning L Jianfeng G Weiqin L Shaoqiu T Zhihui T Tao G Juanjuan Z Fengchan X Hui S Weiming Z Jie Shou L
intravenous fluid administration and the pathogenesis of renal dysfunction or renal failure Particular reference is made to 0 9 NaCl and the hydroxyethylstarch solutions but other fluids such as gelatin and dextran are also considered addition the metabolic effects of intravenous fluids are discussed as these may influence the
IV Admin Sets There are 20 products Sort by Relevance Name A to Z Name Z to A Price low to high Price high to low Filter Showing 1 20 of 20 item s Active filters Quick view Add to compare
Smiths Medical offers a range of gravity administration sets in 10 drop 20 drop and 60 drop configurations We are committed to providing products that meet your needs 20 Drop Trifurcated Non Vented Spike Colored Coded Administration Set with 15
Administration of Contrast Media in CT and Trust guideline on Acute Kidney Injury Trustdocs ID No 1345 Guideline for Administration of IV Contrast Media in Patients at Risk of Contrast Induced Nephrotoxicity CIN Author/s Dr J MacKay R Forton Dr P Malcolm
Tubing Multiple tubing configurations made with highly flexible polyurethane or clear PVC for effective fluid management Several custom options available including DEHP free Clear PVC co extruded nylon/polyurethane or flexible braided polyurethane 1200 900 and 500 psi
VINC 20 50 8 cm Tubing Length Coeur Transfer Fill Set with Swabable Valve and Short Valve 100/BX
Often the contrast is introduced though conventional intravenous IV sets i e sets used with infusion pumps to deliver medication therapy which may rupture if the injector pressures exceed the pressure tolerance of the IV set A ruptured IV set can expose a patient or staff member to the contrast solution or blood and fluid potentially
Isotonic fluids 0 9 Saline 5 dextrose in water D5W also used as a hypotonic solution after it is administered because the body absorbs the dextrose BUT it is considered isotonic 5 Dextrose in 0 225 saline D5W1/4NS Lactated Ringer s Isotonic solutions are used to increase the EXTRACELLULAR fluid volume due to blood loss surgery
The figures above demonstrate the concentration curves for a contrast agent after bolus injection or continuous infusion administration Though the bolus may reach a higher peak concentration this is often above the dynamic range of the system see previous Chapter 1 2 Machine settings resulting is saturation of the image
IV administration sets Let us be your first line of defense Patient safety is on the line Our full portfolio of IV therapy products are designed to optimize infusion delivery reduce the risk of infection and protect vascular access sites
2 days ago Guidelines for Contrast Administration and Hydration ≥30 Low risk At the current time there is very little evidence that intravenous iodinated contrast material is an independent risk factor for AKI in patients with eGFR ≥ 30 mL min/1 73m2 <30 Higher risk
The administration schedule is based on the patient s ability to tolerate large volumes of fluid in a given time frame as well as quality of life preferences Outpatient TPN is generally a cyclic infusion that allows patients to have some freedom from the pump and to closely mimic typical eating patterns
Contrast Control System 60in 152cm large bore tubing fixed male luers two 1 way valves 30mL Burette Chamber 1 way and 3 way Stopcocks 10 197641 Fluid Delivery System 72in 183cm administration set 30mL luer lock syringe 1 way valve 20 197643 IV Spike 6in Vented contrast management spike For use with 197652 25 197640
B macrodrip administration set that is designed to be used exclusively with 1 000 mL bags of type O negative blood C macrodrip administration set that is designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or a combination of IV fluids and blood
Contact Us 8 Cheye Road Songjiang District Shanghai 201611 China Tel Email email protected
Contrast Sets Various contrast media administration sets of different configurations are available for your convenience including a contrast manager device Easy to setup its clear and squeezable chamber offers better visibility and easier priming The blue ball is designed to form a seal preventing air from entering the line when the
Trusted in the most extreme situations for more than 20 years The Belmont Rapid Infuser delivers rapid reliable and bubble free delivery of life saving warmed blood and fluid at the touch of a button Precise control of fluid delivery at rates from 2 5 to 1000 ml per minute Precise high speed warming Automatic air detection and removal
