Omnipaque 2.0

[jsaul]

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Wondering the same thing. I think I read on here some people would dilute it down with normal saline.

I can't even get normal saline. Where do you guys get normal saline

 

[lobelsteve]

I can't even get normal saline. Where do you guys get normal saline

Amazon product ASIN B078YZDW2X

 

[GlowInTheDark]

Wondering the same thing. I think I read on here some people would dilute it down with normal saline.

Someone chimed in that it’s not the concentration, as 180(or was it 140?) is not for IT either. Was a question about pyrogens.

 

[jsaul]

Amazon product ASIN B078YZDW2X

You going to inject that particular product into the epidural space?

 

[Taus]

Someone chimed in that it’s not the concentration, as 180(or was it 140?) is not for IT either. Was a question about pyrogens.

Correct, not just concentration on 140/350 there is a different ingredient of concern

 

[mid|ine]

You can't just dilute the 350. For some reason it contains "pyrogens". What is that and why does it seem that it is added? Causes fever (best I can tell) and who the hell knows why...

 

[mid|ine]

We have tons of NS ampules. Would love to trade for some omnipague or isovue

 

[lobelsteve]

Awesoneness. You know. I know.

 

[Ducttape]

you using mail order?

i havent tried that. usually using it for when i get back in to town, which has not been since pre-COVID...

 

[lobelsteve]

you using mail order?

i havent tried that. usually using it for when i get back in to town, which has not been since pre-COVID...

Mail order all the time. My Xmas gift list is Harry and David.

 

[Ducttape]

you did go to the actual site when you went up there, right?

you'll get lots of opportunities in the next few years. i envy that...

 

[lobelsteve]

you did go to the actual site when you went up there, right?

you'll get lots of opportunities in the next few years. i envy that...

Deli was closed, went to bakery. They have like 5 restaurants/shops in that cute neighborhood.

 

[runfastnow]

View attachment 360213
Awesoneness. You know. I know.

And here I thought you were a good guy until I saw that UGA glass.

 

[Ducttape]

he lives in Georgia.

old habits die hard.

but he is getting in to Zingermans.



just wait until you sit down with a Zingermans Reuben. my favorite sandwich.

i know this is sacrilege, i would also say that their pastrami reuben is on par with Katz's.......

 

[nvrsumr]

Lot of UM love on here. Used to walk there from my house during residency

 

[strike5858]

You can't just dilute the 350. For some reason it contains "pyrogens". What is that and why does it seem that it is added? Causes fever (best I can tell) and who the hell knows why...

For those who need it:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/018956s099lbl.pdf
Omnipaque140 and 350 not indicated for intrathecal but the others should be fine.

 

[Crybaby]

For those of you unable to get contrast look into setting up an account through GE. This is the route I am going. One of the hospitals I am at has been using GE directly.

Welcome to GE Healthcare

 

[Pain Applicant1]

I didn't read every post on here but are you sure you're supposed to refrigerate it? There are specific temperature ranges for storage of different medications/reagents/dyes, etc. and I believe the one for omnipaque is room temperature.

If I were found to store any item incorrectly for my lab, the CLIA inspector would flag me for it and I could possible lose my certification.

 

[lobelsteve]

I didn't read every post on here but are you sure you're supposed to refrigerate it? There are specific temperature ranges for storage of different medications/reagents/dyes, etc. and I believe the one for omnipaque is room temperature.

If I were found to store any item incorrectly for my lab, the CLIA inspector would flag me for it and I could possible lose my certification.

Pretty sure.

https://www.ashp.org/-/media/assets/drug-shortages/docs/considerations-imaging-contrast-shortage-mgmt.pdf

 

[Agast]

Everyone good on Omnipaque now? We’ve been told it’s back in stock so the staff want to go back to wasting the 18 cc I don’t use in each vial…

 

[painfree23]

Everyone good on Omnipaque now? We’ve been told it’s back in stock so the staff want to go back to wasting the 18 cc I don’t use in each vial…

U waste 18cc with each epidural?

 

[Agast]

U waste 18cc with each epidural?

It’s either that or 8 cc. We have 20 and 10 cc vials

 

[painfree23]

It’s either that or 8 cc. We have 20 and 10 cc vials

Did you have any issues during the shortage? Why not just continue what you were doing during the shortage?

 

[Ducttape]

as of right now, still rationing, but thats only because changes to hospital systems are sometimes slow to respond...

 

[mid|ine]

We still can't get our normal supply. We did order off the secondary market at 10x the cost and also got a shipment of a different concentration. But definitely not back to normal.

 

[painfree23]

Can’t get lidocaine right now either…

 

[mid|ine]

We are getting supply trays with lidocaine and have gotten a few shipments of lidocaine 1% ampules. We can't get the larger vials, 2%, 4%, or with epi at all.

 

[Ducttape]

the trays i use have 1 lido vials.

save one out of the 2 for later just in case.

 

[nvrsumr]

Anyone have a good source for lidocaine with epi? Mckesson is out(at least for me)

 

[lobelsteve]

Anyone have a good source for lidocaine with epi? Mckesson is out(at least for me)

I have a few cases, but it is stuck behind my massive surplus of omnipaque.

 

[painfree23]

Anyone have a good source for lidocaine with epi? Mckesson is out(at least for me)

Why do u need lido with epi?

 

[nvrsumr]

kyphos

 

[lobelsteve]

And SCS trials. ANytime an 11 blade stabs the skin, lido with epi is agent of choice as hemostasis.

 

[jwalker12]

Are most of you using Omni 300 or 180? any benefits or risks to the higher concentration besides better visualization?

 

[BobBarker]

I would just prefer to use 240 but have mostly 300 at the moment.

 

[PAINISGOOD]

Getting 1-2 boxes per week.

Please mail me some of those? 🙂