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KMID : 1149020170190020107
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Journal of Korean Society of Computed Tomographic Technology
2017 Volume.19 No. 2 p.107 ~ p.112
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Evaluation of saline test usefulness in auto-injector for preventing contrast extravasation and IV (Intravenous) route interruption
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Cho Kyu-Sun
Seo Jeong-Won
Lee Ho-Moon
Moon Young-Min
Nam Seong-Woo
Kim Dae-Ggun
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Abstract
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Purpose : It is intended to minimize side effects, swelling and extravasation caused by saline test for blood vessel before all contrast-enhanced examinations.
Participants and Methods : In patients for whom medical examination is performed at emergency CT room, the extend tubes were connected to 3-way of contrast auto-injector at a place where a nurse made IV with the most appropriate position, and saline was injected in sequence, and patients with swelling were recorded.
Results : Among patients for whom a contrast-enhanced examined was performed, 16 patients in whom swelling or extravasation might occur were found out through saline test before contrast injection. And a level of slight swelling not serious was shown in just 2 out of 7,332 patients after examination.
Conclusion : It is possible to figure out whether patients' blood vessel is in good or bad condition by saline injection test before contrast injection into patients for whom nurses in charge of patients who undergo a contrast-enhanced examination ensure IV in the most appropriate position such as the back of hand, elbow, foot and shin randomly. Therefore, it is thought that side effects such as swelling or extravasation occurring due to weak blood vessel can be reduced.
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KEYWORD
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IV, Swelling, Extravasation
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