Archive

Tag: PC-AKI

REBEL Cast Ep98: Intravenous Contrast and Long-Term Kidney Impairment

Background: It has long been thought that intravenous contrast can lead to acute kidney injury. Recent data, however, has called this dogmatic teaching into question.  Unfortunately, the data arguing against the association of contrast with AKI comes from observational trials …

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Renal and Genitourinary

The Kompas Trial: Sodium Bicarbonate Prehydration in Adults with CKD Prior to Contrast-Enhanced CT

Background: Most guidelines recommend prehydration prior to iodine-based contrast media to prevent postcontrast acute kidney injury (PC-AKI) in patients with CKD.  There is, however, a lack of evidence for the effectiveness of this as well as the potential adverse effects …

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Renal and Genitourinary

Post Contrast Acute Kidney Injury (PC-AKI): We Don’t Need Another Retrospective Observational Study

Background: Computed tomography pulmonary angiography (CTPA) is the current gold standard for diagnosing acute pulmonary embolism in the ED.  It has a high sensitivity, and specificity, is readily available, and can establish analternative diagnoses.  One issue with CTPA is that …

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Renal and Genitourinary

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