Name of the Procedure:

Common Name: High Osmolar Contrast Material Injection
Technical Term: Q9963 - High Osmolar Contrast Material, 350-399 mg/ml Iodine Concentration, per ml

Summary

This procedure involves injecting a high osmolar contrast material containing 350-399 mg/ml of iodine into the body. The iodine helps enhance the visibility of internal structures during imaging studies such as X-rays or CT scans, allowing for better diagnosis and treatment planning.

Purpose

This contrast material is used to improve the clarity and detail of imaging studies. The procedure helps diagnose or monitor various conditions such as tumors, blood vessel abnormalities, and organ function.

Indications

• Unexplained pain or swelling in specific body regions
• Suspicion of tumors or cancer
• Assessment of blood vessel integrity or blockages
• Evaluation of organ health (e.g., kidneys, liver)
• Pre-surgical planning

Preparation

• Fasting: Patients may be instructed to fast for several hours prior to the procedure.
• Medications: Certain medications may need to be adjusted or paused. Specific instructions will be provided.
• Hydration: Patients might be advised to hydrate well before the procedure.
• Allergy Check: Screening for allergies to iodine or contrast material.

Procedure Description

1. Pre-Procedure Assessment: Vital signs are checked, and patient history reviewed.
2. Intravenous (IV) Line Placement: An IV line is inserted, typically in the arm.
3. Contrast Injection: The high osmolar contrast material is slowly injected through the IV.
4. Imaging: Immediately following injection, imaging studies (e.g., X-ray, CT scan) are performed.
5. Monitoring: Patient is monitored for any adverse reactions during and after the injection.

Tools and Equipment:

• IV cannula
• High osmolar contrast material (Q9963)
• Imaging equipment (X-ray, CT scanner)

Anesthesia or Sedation:

• Localized numbing cream or spray may be applied at the IV insertion site, but sedation is usually not required.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the type of imaging study.

Setting

This procedure is performed in a hospital, outpatient clinic, or an imaging center.

Personnel

• Radiologist or Technician (administers the contrast and performs imaging)
• Nurse or Medical Assistant (places IV and monitors patient)

Risks and Complications

• Common Risks: Mild allergic reactions (rash, itching), slight discomfort or pain at the injection site.
• Rare Risks: Severe allergic reactions (anaphylaxis), kidney function impairment, and tissue damage if the contrast leaks outside the vein.

Benefits

• Improved Diagnostic Accuracy: Enhanced imaging allows for precise diagnosis.
• Speed of Results: Typically, immediate or rapid improvements in image quality are observed.
• Better Treatment Planning: More detailed images aid in effective treatment planning.

Recovery

• Post-Procedure Care: Patients are advised to drink plenty of fluids to help flush out the contrast material.
• Monitoring: Patients are monitored for any immediate reactions after the procedure.
• Follow-up: Any additional instructions or follow-up appointments will be provided based on the imaging results.

Alternatives

• Non-Contrast Imaging: Using imaging techniques that do not require contrast material.
• Low Osmolar Contrast Material: Utilizing a lower concentration of iodine, which may be preferable for certain patients.
• Alternative Imaging Modalities: MRI or ultrasound, which do not require iodine-based contrast.

Patient Experience

• During the Procedure: Patients may feel a warm sensation or mild discomfort at the IV site.
• After the Procedure: Some slight soreness at the IV site may occur; pain management will be provided if necessary.
• Comfort Measures: Medical staff will ensure patient comfort and address any concerns during the procedure.

This markdown-styled text provides a comprehensive overview of the use of high osmolar contrast material (350-399 mg/ml iodine concentration) in medical imaging, covering preparation, procedure, risks, recovery, and more.