Oral Contrast
1. Why do we use oral contrast? | |
2. What kind of oral contrast do we use? | |
3. When do we use positive agents and when do we use neutral agents? | |
4. What are the advantages of oral LOCM (Omnipaque)? | |
5. Is there any contraindication to the use of oral contrast? | |
6. If a patient has had a prior reaction to IV contrast can we still use oral contrast? | |
Part 2: Does this differ between inpatients and outpatients? | |
8. Are there any other oral contrast agents that are used? | |
There are a number of agents that can be used but are not routinely used at Hopkins. Milk for example can be used but we tend to save it for our morning coffee and breakfast cereal. Two references to milk are listed below. "Milk contains 4% fat and slows peristalsis and gives good distension of small bowel." "Whole milk is comparable to VoLumen with respect to bowel distension and bowel wall visualization and has a lower cost, better patient acceptance, and fewer adverse symptoms. Milk is a cost effective alternative to VoLumen as a low attenuation oral contrast agent." | |
9. Can you use a single bottle of Omnipaque -350 at multiple time points by drawing 10-20 cc at a time to use to mix oral contrast? | |
10. What is VoLumen and when do you use it? |
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