Contrast induced acute kidney injury

Jon Griffin made this Rhyddid Gwybodaeth request to Countess of Chester Hospital NHS Foundation Trust

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Roedd y cais yn llwyddiannus.

Dear Countess of Chester Hospital NHS Foundation Trust,

The following questions concern patients undergoing radiological investigations or procedures involving iodinated contrast media (this would involve the departments of radiology, vascular, MAU and renal):

1. Does your institution have specific guidelines/policy for the recognition and management of patients at risk of contrast induced acute kidney injury (CI-AKI) for the following procedures:
a. contrast enhanced CT scans
b. angiogram, angioplasty and stenting
c. endovascular aneurysm repair (EVAR)

2. If available please send the guidelines/policy by email.

3. When was this guideline last reviewed and/or revised?

4. What strategies does your institution use to manage patients at risk of CI-AKI?

5. Do you routinely involve a renal physician in the pre and post procedure management of patients at risk of CI-AKI who are having a contrast enhanced investigation or interventional procedure?

6. Do patients at risk of CI-AKI routinely have post procedure serum urea, creatinine, eGFR and electrolytes measured? If so, at what time post procedure does this happen?

Yours faithfully,

Jon Griffin

Foi Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

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Regards

Claire Jones
Freedom of Information Officer
Countess of Chester Hospital NHS Foundation Trust

dangos adrannau a ddyfynnir

Foi Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

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    COP Procedure for checking blood results prior to injecting IV contrast in radiology in patients.doc

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    COP Procedure for checking blood results prior to injecting IV contrast in radiology out patients.doc

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    cath lab operating policy.doc

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Hello 
 
Please see attached and below in response to your Freedom of Information
request
 
     Q 1. Does your institution have specific guidelines/policy for the
     recognition and management of patients at risk of contrast induced
     acute kidney injury (CI-AKI) for the following procedures:
     a. contrast enhanced CT scans - YES for coronary angiography – see
section 4.2
     b. angiogram, angioplasty and stenting – Please see Clinical
Operational Procedures attached                       
     c. endovascular aneurysm repair (EVAR) - Please see Clinical
Operational Procedures attached
 
    Q 2. If available please send the guidelines/policy by email.       
Enclosed
 
     Q3. When was this guideline last reviewed and/or revised?   2005
 
     Q4. What strategies does your institution use to manage patients at
     risk of CI-AKI?                                                    i)
We use isotonic contrast media
 
ii) we individually assess the patients need for a contrast exam, and if
there's   doubt, will discuss the case with a nephrologist (most of the
patients with severe CKD are actually referred to us via nephrology    
       
iii) we routinely hydrate such patients with fluids.
 
iv)we try to minimise contrast volume (on an individual basis) in patients
w. low GFR (fewer coronary shots, no LV gram)
 
     Q5. Do you routinely involve a renal physician in the pre and post
-         No, not routinely, but often
     procedure management of patients at risk of CI-AKI who are having a
     contrast enhanced investigation or interventional procedure?
 
     Q6. Do patients at risk of CI-AKI routinely have post procedure    
Yes, at 3 days usually
     serum urea, creatinine, eGFR and electrolytes measured? If so, at
     what time post procedure does this happen?
 
Regards
 
Claire Jones
Freedom of Information Officer
Countess of Chester Hospital NHS Foundation Trust
 
 

dangos adrannau a ddyfynnir