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Management of adverse reaction to iodinated radiocontrast media

요오드화 조영제 유해반응의 예방과 치료

  • Shin, Myung Jin (Department of Radiology, Asan Medical Center, University of Ulan College of Medicine) ;
  • Cho, Young Joo (Department of Internal Medicine, Mokdong Hospital, Ewha Womans University School of Medicine)
  • 신명진 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 조영주 (이화여자대학교 의학전문대학원 이대목동병원 알레르기내과)
  • Published : 2012.08.10

Abstract

Application of iodinated radiographic contrast media (RCM) has increased recently because of the number of computed tomography examinations using RCM is increasing rapidly. The awareness regarding potential adverse reactions due to contrast media and the necessary precautions to be taken is of utmost importance both for radiologists and referring physicians since the adverse reactions including hypersensitivity reactions to RCM are still unpredictable and reported in significantly increasing number among exposed patients year by year. In 2011, Korean guideline for the safe use of RCM was published by the Korean Society of Radiology and Korean Academy of Asthma, Allergy and Clinical Immunology. On behalf of these organizations a committee named Korean Network of Allergists Radiologists for Research of Radio-contrast Media-associated Adverse Reactions ($KOAR^3A$) was formed and collaborated to develop guidelines. Its major purpose is to provide a clinically practical and evidence-based manual full of useful information regarding patient screening, premedication, recognition of adverse reactions, and emergency treatment of such reactions in daily practice as well as other problems, especially kidney toxicity and endocrine problems in consultation with the corresponding medical specialists.

Keywords

References

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