| Abstract [eng] |
Introduction. Computed tomography angiography with contrast media is a particularly popular diagnostic test in everyday hospital practice. As this test becomes more popular, it is important to pay attention not only to its benefits but also to its potential risks, which, although rare, can have catastrophic consequences. For this reason, the role and preparation of radiographers in situations such as contrast material extravasation is particularly import. The aim of this study was to assess the knowledge and experience of radiographers, including a discussion of current recommendations in recent literature. Materials and methods. An anonymous survey of radiographers working in Lithuania. The survey questions focused on the EURD contrast extravasation guidelines and used them as a standard against which to compare responses. These data were analyzed and compared with the latest recommendations in literature and ESUR guidelines. The data were processed by calculating absolute values and percentages of the indicators. Results. A total of 83 radiographers were interviewed, 41 of whom work in the city's university hospital, 27 in a private institution and 15 in a district hospital. It was noted in the survey that the interviewees did not consider younger patients (< 12 years), pregnant patients and patients who are unable or uncooperative as additional risks, although these risks are identified in both recent literature and ESUR guidelines. Also, despite the reported reliance on treatment in the event of extravasation, few radiological technologists identified all the recommended measures in the ESUR guidelines. Conclusions. The analysis of the study data revealed a slight lack of radiological expertise in assessing patients' risk factors and treatment options in the event of contrast material extravasation. The ESUR guidelines' recommendations for risk assessment, prevention are practically indistinguishable from those in the recent literature, but the clinic and the recognition of extravasation are described in detail without distinguishing between levels of severity of injury. Keywords: Contrast material extravasation, radiology technologists, risk factors, extravasation treatment. |
