An audit of contrast extravasation in patients undergoing contrast enhanced CTs at radiology department in a tertiary care hospital in Pakistan

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Authors

  • Laiba Masood Department of Radiology, Shifa International Hospital, Islamabad, Pakistan
  • Sanam Yasir Department of Radiology, Shifa International Hospital, Islamabad, Pakistan
  • Atif Iqbal Rana Department of Radiology, Shifa International Hospital, Islamabad, Pakistan
  • Kiran Mian Ali Department of Radiology, Shifa International Hospital, Islamabad, Pakistan
  • Mariam Shah Department of Radiology, Shifa International Hospital, Islamabad, Pakistan
  • Nimra Riaz Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4591

Abstract

Objective: To audit the radiology department of a health facility, focusing on contrast extravasations management pre- and post-implementation of a standard protocol.

Methods: The audit was conducted at the Radiology Department of Shifa International Hospital, Islamabad, Pakistan and comprised reported computed tomography contrast extravasation incidents from January 2017 to December 2019 in the retrospective phase before the implementation of a standard protocol. Post-implementation, re-audit was done prospectively to assess compliance from January 2020 to May 2021. Overall score of >80% was chosen arbitrarily as a qualifying standard for adequate documentation.

Results: Of the 49 total cases, 26(53%) related to the first phase and 23(47%) to the second. In the first phase, 2(20%) of the 10 parameters cleared the cut-off mark; 'study performed' 25(96%) and 'limb assessment by technician' 26(100%). In the second phase, 2(20%) parameters failed to clear the cut-off mark; site of cannula/extravasation' 18(78.3%) and 'volume of contrast' 15(65%).

Conclusion: Lack of early identification and appropriate management, especially in cases of large-volume extravasation, may result in significant morbidity.

Key Words: Contrast extravasation, Contrast-enhanced CT, IV contrast media.

Author Biographies

Sanam Yasir, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

Consultant, Radiology Department

Atif Iqbal Rana, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

Consultant, Department of Interventional Radiology

Kiran Mian Ali, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

Associate Consultant, Radiology Department

Mariam Shah, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

Resident, Radiology Department

Nimra Riaz, Department of Radiology, Shifa International Hospital, Islamabad, Pakistan

Resident, Radiology Department

Published

2022-02-23

How to Cite

Masood, L., Yasir, S. ., Rana, A. I., Ali, K. M., Shah, M., & Riaz, N. (2022). An audit of contrast extravasation in patients undergoing contrast enhanced CTs at radiology department in a tertiary care hospital in Pakistan: `. Journal of the Pakistan Medical Association, 72(8), 1603–1607. https://doi.org/10.47391/JPMA.4591

Issue

Section

Audit