Management options for accidental injection of epinephrine from an autoinjector: a case report.

Détails

Ressource 1Télécharger: BIB_54DF10AF5D49.P001.pdf (257.89 [Ko])
Etat: Public
Version: de l'auteur⸱e
ID Serval
serval:BIB_54DF10AF5D49
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Management options for accidental injection of epinephrine from an autoinjector: a case report.
Périodique
Journal of medical case reports
Auteur⸱e⸱s
Mathez C., Favrat B., Staeger P.
ISSN
1752-1947[electronic]
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
3
Pages
7268
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: epublish
Résumé
INTRODUCTION: Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Accidental injection, usually involving a finger, is a potential complication. CASE PRESENTATION: A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen((R))). He developed swelling, pallor, and pain in the thumb. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. There was full recovery 2 months after the accident. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. CONCLUSIONS: All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. A regimen for management of accidental epinephrine injection, in particular the use of phentolamine, should be emphasized.
Pubmed
Open Access
Oui
Création de la notice
16/10/2009 16:25
Dernière modification de la notice
20/08/2019 14:09
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