Contrast induced acute kidney injury

Jon Griffin made this Freedom of Information request to Oxford University Hospitals NHS Foundation Trust

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Dear Oxford University Hospitals NHS 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