Contrast-Induced Acute Kidney Injury: The At-Risk Patient and Protective Measures

✍ Scribed by Jeremiah R. Brown; Craig A. Thompson

• Book ID: 107535423
• Publisher: Springer
• Year: 2010
• Tongue: English
• Weight: 127 KB
• Volume: 12
• Category: Article
• ISSN: 1523-3782
• DOI: 10.1007/s11886-010-0129-2

✦ Synopsis

Contrast-induced acute kidney injury (CI-AKI) is a major complication following radiocontrast procedures. In this review, we characterize the recent literature on CI-AKI, risk factors, prevention, biomarkers, and new technologies. The premise of CI-AKI prophylaxis should focus on implementing mandatory standing orders before and after cardiac catheterization for hydration with normal saline or sodium bicarbonate and use of high-dose (1200-mg) N-acetylcysteine. Contrast agents may play a role in preventing CI-AKI. Implement catheter-laboratory technology and awareness to limit the amount of contrast dye used for any patient.