%0 Journal Article %T Prevention of Radiocontrast Nephropathy %A Abbas A. Kanso %A MD %A Bassam G. Abu Jawdeh %A MD %A Jeffrey R. Schelling %A MD %J Journal of Hospital Medicine %D 2009 %R 10.1002/jhm.477 %X Abstract The frequency of radiocontrast administration is dramatically increasing, with over 80 million doses delivered annually worldwide. Although recently developed radiocontrast agents are relatively safe in most patients, contrast nephropathy (CN) is still a major source of inİ\hospital and longİ\term morbidity and mortality, particularly in patients with preexisting kidney disease. Multiple protocols for CN prevention have been studied; however, strict guidelines have not been established, in part because of conflicting efficacy data for most prevention approaches. In this work, we critically review the major trials that have addressed common CN prophylaxis strategies, including type of radiocontrast media, Nİ\acetylcysteine administration, extracellular fluid volume expansion, and hemofiltration/hemodialysis. We conclude with evidenceİ\based recommendations for CN prevention, which emphasize concurrent NaHCO3 infusion and Nİ\acetylcysteine administration. These guidelines should be helpful to hospitalists, who frequently order radiocontrast studies, and could therefore have a significant impact on prevention of CN. Journal of Hospital Medicine 2009;4:500¨C506. £ż 2009 Society of Hospital Medicine %U https://www.journalofhospitalmedicine.com/jhospmed/article/126890/prevention-radiocontrast-nephropathy