CT contrast media power injectors can rupture conventional IV sets

CT contrast media power injectors can rupture conventional IV sets

Collection:
Health Policy and Services Research
Series Title(s):
Pennsylvania patient safety advisory
Contributor(s):
Pennsylvania. Patient Safety Authority.
ECRI (Organization)
Institute for Safe Medication Practices.
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2008
Language(s):
English
Format:
Text
Subject(s):
Contrast Media
Cross Infection -- prevention & control
Equipment Failure
Injections, Intravenous -- instrumentation
Tomography, X-Ray Computed -- instrumentation
Pennsylvania
United States
United States. Food and Drug Administration
Genre(s):
Technical Report
Abstract:
PA-PSRS has received reports of intravenous (IV) tubing rupturing during contrast media injections into patients during computed tomography scans. Many of these occurrences result in contrast or blood and fluids contacting patients or staff. Similar events have also been reported to the U.S. Food and Drug Administration (FDA). Contact with contrast media or blood and fluid could result in harm to patients or staff. In addition, rupture of a set would cause delay or cancellation of the contrast study. Often, conventional IV tubing, which can easily rupture, is used to introduce the contrast media through a power injector, spraying contrast medium or blood and fluid onto patients or staff. FDA has developed guidelines to prevent harm to patients and staff during contrast injections, which include checking the labeling of each vascular access device for its maximum pressure and flow rates, knowing the pressure limit setting for the power injector and how to adjust it, and ensuring that the pressure limit set for the power injector does not exceed the maximum labeled pressure for the tubing or other vascular access device.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
NLM Unique ID:
101568474 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101568474