[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
IJRR Information::
For Authors::
For Reviewers::
Subscription::
News & Events::
Web Mail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
ISSN
Hard Copy 2322-3243
Online 2345-4229
..
Online Submission
Now you can send your articles to IJRR office using the article submission system.
..

AWT IMAGE

AWT IMAGE

:: Volume 21, Issue 2 (4-2023) ::
Int J Radiat Res 2023, 21(2): 319-324 Back to browse issues page
Analysis of the effect of centrifugal massage on reducing the incidence of compartment syndrome caused by contrast agent extravasation and reducing tension in patients undergoing enhanced CT examination
F. Wang , W. Liu , S. Zhao , W. Ye
Department of Medical Imaging, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, Jiangsu 215000, China , yeweijie0902@163.com
Abstract:   (574 Views)
Background: The Background: To explore the influence of centrifugal massage on reducing the incidence of compartment syndrome after contrast extravasation (CM) and reducing the tension. Materials and Methods: A total of 62 patients with iodine contrast agent extravasation who underwent CT angiography in our hospital from March 2020 to March 2022 were chosen and separated into observation group (OG, n=31) and control group (CG, n=31) following the nursing plan. Patients in the CG adopted external application of drugs, and patients in the OG received centrifugal massage. The occurrence and duration of swelling, the incidence of compartment syndrome after contrast extravasation, nursing satisfaction, patients’ symptoms, and psychological status were compared between both groups. Results: The swelling degree and duration and incidence of compartment syndrome after contrast extravasation in the OG were declined relative to the CG (P<0.05). After 24 and 48 hours of intervention, patients in the OG had elevated self-rating scales compared to the CG (P<0.05). The nursing satisfaction of patients in the OG was elevated compared to the CG (P<0.05). After intervention, the anxiety and depression scores of the OG was decreased compared to the CG (P<0.05). The effective rate of treatment in the OG was elevated compared to the CG (P>0.05). Conclusion: Centrifugal massage for patients with CT enhanced scanning can prevent the incidence of CM after contrast extravasation, reduce the damage of contrast agent to tissues, and improve nursing satisfaction.
Keywords: Compartment syndrome, massage, computed tomography angiography, contrast agent.
Full-Text [PDF 711 kb]   (535 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
References
1. 1. Silva HCS, Bitencourt AGV, Chojniak R. (2018) Extravasation of iodinated contrast medium in cancer patients undergoing computed tomography. Radiologia Brasileira, 51(4): 236-41. [DOI:10.1590/0100-3984.2017.0064] [PMID] []
2. Esposito A, Buscarino V, Raciti D, et al. (2020) Characterization of liver nodules in patients with chronic liver disease by MRI: performance of the Liver Imaging Reporting and Data System (LI-RADS v.2018) scale and its comparison with the Likert scale. La Radiologia Medica, 125(1): 15-23. [DOI:10.1007/s11547-019-01092-y] [PMID]
3. Conner B, Ash R, Allen W, et al. (2017) Preventing Intravenous Contrast Extravasation in CT: A Simple Solution. Journal of the American College of Radiology, 14(10): 1326-32. [DOI:10.1016/j.jacr.2017.05.020] [PMID]
4. Sakellariou S, Li W, Paul MC, et al. (2016) Rôle of contrast media viscosity in altering vessel wall shear stress and relation to the risk of contrast extravasations. Medical Engineering & Physics, 38(12): 1426-33. [DOI:10.1016/j.medengphy.2016.09.016] [PMID]
5. Barrera CA, White AM, Shepherd AM, et al. (2019) Contrast Extravasation using Power Injectors for Contrast-Enhanced Computed Tomography in Children: Frequency and Injury Severity. Academic Radiology, 26(12): 1668-74. [DOI:10.1016/j.acra.2019.04.008] [PMID]
6. Savage SA, Fox C, Goldie SJ. (2022) Compartment syndrome of the hand following CT contrast extravasation. ANZ J Surg, doi.org/10.1111/ans.18155. [DOI:10.1111/ans.18155] [PMID]
7. van Veelen NM, Link BC, Donner G, et al. (2020) Compartment syndrome of the forearm caused by contrast medium extravasation: A case report and review of the literature. Clin Imaging, 61: 58-61. [DOI:10.1016/j.clinimag.2020.01.013] [PMID]
8. Grimes JA, Reed RA, Beale C, et al. (2021) Effect of contrast agent viscosity and massage on success of computed tomography lymphangiography with aqueous contrast for sentinel lymph node identification in healthy dogs. Vet Comp Oncol, 19(3): 587-92. [DOI:10.1111/vco.12698] [PMID]
9. Scott HC, Stockdale C, Robinson A, et al. (2022) Is massage an effective intervention in the management of post-operative scarring? A scoping review. J Hand Ther, 35(2): 186-99. [DOI:10.1016/j.jht.2022.01.004] [PMID]
10. Mitzel-Wilkinson A. (2000) Massage therapy as a nursing practice. Holist Nurs Pract, 14(2): 48-56. [DOI:10.1097/00004650-200001000-00009] [PMID]
11. Shaqdan K, Aran S, Thrall J, et al. (2014) Incidence of contrast medium extravasation for CT and MRI in a large academic medical centre: A report on 502,391 injections. Clinical Radiology, 69(12): 1264-72. [DOI:10.1016/j.crad.2014.08.004] [PMID]
12. Sonis JD, Gottumukkala RV, Glover M, et al. (2018) Implications of iodinated contrast media extravasation in the emergency department. The American Journal of Emergency Medicine, 36(2): 294-6. [DOI:10.1016/j.ajem.2017.11.012] [PMID]
13. Dykes TM, Bhargavan-Chatfield M, Dyer RB. (2015) Intravenous Contrast Extravasation During CT: A National Data Registry and Practice Quality Improvement Initiative. Journal of the American College of Radiology, 12(2): 183-91. [DOI:10.1016/j.jacr.2014.07.021] [PMID]
14. Belzunegui T, Louis CJ, Torrededia L, et al. (2011) Extravasation of radiographic contrast material and compartment syndrome in the hand: a case report. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 19: 9. [DOI:10.1186/1757-7241-19-9] [PMID] []
15. Chew FS. (2010) Extravasation of Iodinated Contrast Medium During CT: Self-Assessment Module. American Journal of Roentgenology, 195 (6-supplement): S80-S5. [DOI:10.2214/AJR.09.7183] [PMID]
16. Wang CL, Cohan RH, Ellis JH, et al. (2007) Frequency, management, and outcome of extravasation of nonionic iodinated contrast medium in 69,657 intravenous injections. Radiology, 243(1):80-7. [DOI:10.1148/radiol.2431060554] [PMID]
17. Wang Y, Qian B, Peng J. (2022) The Effect of Enhanced Multislice Spiral Computed Tomography Scan in Nursing. Journal of Sensors, 2022: 2950689. [DOI:10.1155/2022/2950689]
18. Kappler S, Hannemann T, Kraft E, et al. (2012) First results from a hybrid prototype CT scanner for exploring benefits of quantum-counting in clinical CT: SPIE, 8313: 1-11. [DOI:10.1117/12.911295]
19. Nebuloni L, Kuhn GA, Müller R. (2013) A comparative analysis of water-soluble and blood-pool contrast agents for in vivo vascular imaging with micro-CT. Acad Radiol, 20(10): 1247-55. [DOI:10.1016/j.acra.2013.06.003] [PMID]
20. Alami Z, Nasri S, Ahid S, et al. (2015) Extravasation of contrast medium during CT examination: an observational case-control study. The Pan African Medical Journal, 20: 89. [DOI:10.11604/pamj.2015.20.89.3276] [PMID] []
21. Tsai YS, Cheng SM, Ng SP, et al. (2007) Squeeze maneuver: an easy way to manage radiological contrast-medium extravasation. Acta Radiol, 48(6): 605-7. [DOI:10.1080/02841850701324094] [PMID]
22. Moon SN, Pyo JS, Kang WS. (2021) Accuracy of Contrast Extravasation on Computed Tomography for Diagnosing Severe Pelvic Hemorrhage in Pelvic Trauma Patients: A Meta-Analysis. Medicina (Kaunas, Lithuania), 57(1):53. [DOI:10.3390/medicina57010063] [PMID] []
23. Chen J, Xie P, Huang J, Sheng E, et al. (2021) Subdural contrast extravasation after percutaneous coronary intervention mimicking acute subdural hematoma: A case report. Medicine, 100(17): e25583. [DOI:10.1097/MD.0000000000025583] [PMID] []
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Wang F, Liu W, Zhao S, Ye W. Analysis of the effect of centrifugal massage on reducing the incidence of compartment syndrome caused by contrast agent extravasation and reducing tension in patients undergoing enhanced CT examination. Int J Radiat Res 2023; 21 (2) :319-324
URL: http://ijrr.com/article-1-4768-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 21, Issue 2 (4-2023) Back to browse issues page
International Journal of Radiation Research
Persian site map - English site map - Created in 0.05 seconds with 50 queries by YEKTAWEB 4645