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Hey all- are there any version of omnipaque (or similar) that is specifically labeled as “multi-use” and not a “single use” vial? Would be great to not waste so much contrast….
Mechanism?do you mean you are using SDV as MDV?
thats okay... until you have an outbreak.
so dont have an outbreak...
reusing and re-piercing the rubber stopcock in a solution that has no preservatives.Mechanism?
With a new needle every time? Doesn’t happen.reusing and re-piercing the rubber stopcock in a solution that has no preservatives.
scary...With a new needle every time? Doesn’t happen.
CDC is propaganda fluff. Not sciencescary...
CDC:
ACR:
Considerations for Imaging Contrast Shortage Management and Conservation - ASHP
This fact sheet summarizes the status of the current shortage of iohexol and provides considerations for shortage management strategieswww.ashp.org
it is not recommended to reuse SDV.
Is any of this evidence of an outbreak?scary...
CDC:
ACR:
Considerations for Imaging Contrast Shortage Management and Conservation - ASHP
This fact sheet summarizes the status of the current shortage of iohexol and provides considerations for shortage management strategieswww.ashp.org
it is not recommended to reuse SDV.
We have reused SDV for yrs, and to say we're dangerous is asinine and absurd.
Availability + risk profile = No reason to change.
Nope.your comment lends itself to misinterpretation - a hospital pharmacy can set up small syringes of contrast but it has to be under a sterile hood.
mine has been doing that for me since May, when i asked the inpatient pharmacy to look in to this issue. we get 3 doses out of 1 10 ml vial.
fyi, we have tens of thousands of people who get TFESI with particulate without paralysis. yet you use dex for TFESI.
we have had tens of thousands of people get epidurals (including labor) without fluoro, yet you would never do an epidural without fluoro.
we have had US based facet injections, which currently do not pass CMS muster. yet you did not recommend we do them.
just because one has not been sued for harm doesnt mean it does not exist.
it also doesnt make it right.
ASRA doesnt agree with the standard practice of reusing SDV, or even with the current shortages.
SIS previously said not a good practice
same with American College of Radiology, as noted above. other organizations like Pharmacy ones, or Joint Commission...
go ahead, keep doing your current injection practice. but dont think that you are doing things the safe way, because you are not. if you get an outbreak, good luck..
Don’t waste it brahThere is no contrast available unless you are owned by a hospital.
Therefore tens to hundreds of thousands of Americans are going to have no epidurals and sympathetic blocks available to them very soon. The hospitals cannot absorb all of them; the hospitals are barely functional.
The public health cost is going to be massive.
These organizations need to wake up to the reality we are in a serious medication crisis and STOP contributing to this crisis by causing well intentioned physicians to waste a 48mL of a 50mL bottle per patient. This is absurdly wasteful in time of crisis.
Note, the shortage is NOT letting up. It was expected to let up in June. Not even the slightest uptick in availability.