Anaphylactic or urticarial reactions have been reported in patients with or without
history of allergy to iodides. If such reactions occur, immediate treatment with the
appropriate agents, for example, epinephrine, antihistamines, and corticosteroids
should be administered. Resuscitative measures may also be required.
WARNING:
Do not use any ICG that has been reconstituted for more than 6 hours.
Discard any unused reconstituted ICG after each surgery is completed.
The ICG imaging agent can be reconstituted and prepared for injection either at the
beginning of, or during the surgery, depending on the preference of the surgical
team. Prepare ICG for administration as follows:
Remove one (1) 25 mg vial of ICG and one (1) 10 ml vial of Sterile Water for
Injection from the kit.
Draw up the 10 ml Sterile Water for Injection into a 10 ml syringe.
Remove the flip off cap on the ICG vial (25 mg) and inject the 10 ml of Sterile
Water for Injection through the stopper into the ICG vial.
Shake the ICG vial gently to mix.
Note:
This yields a 2.5 mg/ml solution of reconstituted ICG.
Mix the contents of the ICG vial thoroughly and inspect the reconstituted vial
for precipitation. If precipitation is noted, continue to gently shake until all ICG
is dissolved in solution.
WARNING:
If precipitation persists, do not use the mixture. Discard the reconstituted vial
and prepare a new vial, as described above.
WARNING:
The total dose of ICG injected should be kept below 2 mg/kg of patient body
weight.
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