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Risks include pulmonary oedema if aspirated and hypovolaemia, especially in children. If aspiration is likely, use water-soluble non-ionic contrast, which causes less shift of body fuid compartments. Non-ionic contrast should be used in all infants especially neonates and preoperative patients requiring water-soluble contrast. Non- ionic contrast agents are higher in cost than their ionic counterparts rarely used currently but have a lower incidence of adverse reactions by a fac- tor of 9 for severe reactions.

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Gov. uk enPublicationsandstatisticsPublicationsPublicationsPolicyAndGuidanceDH ChiropodistsPodiatrists, Physiotherapists and Radiographers within the NHS in England: A Guide for Implementation www. hpc-uk. org Health Professions Council Standards of Proficiency www.

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