The cornerstone of prevention of CIN is appropriate risk stratification, intravenous hydration with normal saline or sodium bicarbonate, appropriate withholding of nephrotoxic medications, use of low or iso-osmolar contrast media, and various intraprocedural methods for iodinated contrast dose reduction.
Sodium bicarbonate may be an effective therapy for the prevention of contrast-induced nephrotoxicity [42]. The proposed mechanisms are that alkalinizing the ... |
24 мар. 2009 г. · A key preventive measure is to 1) assess renal function and 2) identify high-risk patients, in order to 3) adopt preventive strategies. These ... |
5 июн. 2024 г. · Prevention is the cornerstone of contrast-induced nephropathy (CIN) management, and hydration is the cornerstone of CIN prevention. Approach Considerations · Statins · Bicarbonate Therapy |
N-Acetylcysteine (NAC) has been widely used for the prevention of CIN in high risk patients following initial reports of benefit at 600mg given orally twice ... |
9 янв. 2024 г. · Outline · Verify that contrast material is necessary · Low- or iso-osmolality contrast · Withdrawal of metformin and nephrotoxic drugs in high- ... |
Current evidence suggests that the combination of intravenous and oral volume supplementation effectively prevents CIN in low- and moderate-risk patients. |
Numerous strategies to prevent CIN have been used, including: oral hydration; volume expansion with sodium chloride or bicarbonate or a combination of both; ... The Key Questions · Methods · References |
Hemodialysis effectively removes radiocontrast and has been proposed as a prophylaxis treatment for contrast-induced nephropathy. Four small randomized trials ... |
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