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Updated: Jun 14, 2026
06:37
Multispectral Real-time Fluorescence Imaging for Intraoperative Detection of the Sentinel Lymph Node in Gynecologic Oncology
Published on: October 20, 2010
Contrast media use in the operating room.
Peggy Bickham1, Julie Golembiewski
1Hospital Pharmacy Services, University of Illinois Medical Center, Chicago, IL 60612-7239, USA. pbickham@uic.edu
Summary
Healthcare providers need better understanding of iodinated contrast media, a drug used in surgery. Proper knowledge of its risks, like anaphylactoid reactions and kidney injury, is vital for patient safety.
Area of Science:
- Radiology
- Pharmacology
Background:
- Iodinated contrast media (ICM) is widely used in operating rooms for diagnostic imaging.
- Healthcare providers often lack comprehensive understanding of ICM administration, classification, and potential risks.
Purpose of the Study:
- To enhance healthcare providers' understanding of iodinated contrast media.
- To highlight the importance of ICM classification, adverse effects, and safe administration practices.
Main Methods:
- Review of ICM properties, including osmolarity and ionicity.
- Discussion of FDA classification as a drug, with associated indications and contraindications.
- Analysis of potential adverse effects, drug and disease interactions, and laboratory interferences.
Main Results:
- ICM characteristics influence adverse effect potential and agent selection.
- Adverse effects range from mild to life-threatening, including anaphylactoid reactions and contrast-induced acute kidney injury.
- Off-label use of gadolinium-based contrast requires specific considerations.
Conclusions:
- Familiarity with ICM is crucial for perianesthesia nurses and other healthcare providers.
- Understanding risk factors and preventive strategies for ICM administration is vital for patient safety.
- Informed selection of ICM agents, considering financial and safety factors, is essential.
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