Cholangiogram PRINT
I. Equipment
a. Contrast (Isovue 300 or Omnipaque 240)
b. Luer lock 60mL syringe
c. Betadine
d. Sterile towels
e. 4×4’s
f. Extension tubing
II. Personnel
a. Radiologist/RA
i. Verifies order
ii. Administers contrast and takes spot images
b. Hospital Technologist
i. Prints order and relevant notes for radiologist/RA review
ii. Documents patient history and pregnancy status prior to exam
iii. Assists the radiologist or fluoroscopy technologist during procedure
iv. Provides patient and floor nurse with aftercare instructions
III. Procedure
a. Scout KUB
b. Remove drainage bag from T-tube
c. Using sterile technique clean T-Tube
d. Allow Tube to drain and aspirate gently
e. Tilt table upright 45 degrees and have patient roll slightly LPO
f. Under fluoroscopic guidance gently inject contrast ( under supervision of an interventional radiologist)
g. Contrast should fill the biliary tree (do not force)
h. Continue injecting until contrast begins to fill duodenum
i. Let contrast drain out onto sterile towel
j. Clean off T-tube and reconnect drainage bag
IV. Required Images
a. Scout
b. Spot images of contrast filled biliary tree and duodenum
c. Post drainage KUB
V. Special Considerations
a. Follow contrast allergy protocol