Clinical practice guideline for contrast media administration in diagnostic imaging.

Abstract

Iodinated contrast media has been increasingly used according to the increased demand of radiological and computed tomographical imaging. Various adverse reactions related to iodinated contrast media have been well recognized. The overall frequency of the reactions is 5 - 8%, and less than 0.1% is life-threatening adverse reactions. Iodinated contrast media-related reactions can be categorized as renal versus non renal, or immediate versus delayed reactions. It is important for radiologists and related health care providers to know how to evaluate and identify high-risk of patients and to have practical guidelines to manage them which include the proper use of premedication protocol. This article has been written to provide the appropriate guidelines to manage and prevent iodinated contrast media-related adverse reactions, contrast-induced acute kidney injury and immediate life-threatening reactions.