HYDRATION IS UNNECESSARY IN PREVENTING CONTRAST INDUCED NEPHROPATHY

Dear my friends and fellow Colleagues, Here is an update on Hydration prior to Contrast CT Imaging. Hydration is unnecessary to prevent Contrast Enhanced Nephropathy. The common practice of hydration with Sodium bicarbonate prior to Contrast CT imaging shows no benefits in terms of renal safety. A study of 523 CKD stage 3 patients in Netherlands. JAMA, Internal Medicine, February, 2020. Regards and thanks, Dr Sepuri Krishna Mohan.

8 Likes

LikeAnswersShare
THANKS FOR THE UPDATE, SIr This,study regarding hydration prior to contrast CT looks very reasonable as the mechanism of CIN - contrast induced nephropathy is not clearly known but explanation given is that CIN is due to 1.Direct damage from reactive oxygen species 2.Contrast induced increase in urine output. 3.Increased oxygen consumption 4.Changes in dilation and narrowing of renal blood vessels. 5.Changes in urine viscosity. Prevention can be attempted by 1.Adjustment in dose of contrast 2.Treating risk factors- NAC- N- acetyl cysteine 1 tab twice a day before imaging Although oral adequate hydration a day before imaging may help. THANKS- SIR
Valuable opinion
0
Nice information by @Sepuri Krishna Mohan Sir & nicely explained by @Parveen Yograj Sir. Thanks a lot to both of you.
Valuable opinion
0
Informative post sir
Thank you doctor
0
Nice information sir
Thank you doctor
0
Nice updates regarding cect brain.
Valuable opinion
0
Agree with Dr Praveen Yogaraj .
Valuable opinion
0