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

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Serval ID
serval:BIB_54DF10AF5D49
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Management options for accidental injection of epinephrine from an autoinjector: a case report.
Journal
Journal of medical case reports
Author(s)
Mathez C., Favrat B., Staeger P.
ISSN
1752-1947[electronic]
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
3
Pages
7268
Language
english
Notes
Publication types: Journal Article - Publication Status: epublish
Abstract
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
Yes
Create date
16/10/2009 16:25
Last modification date
20/08/2019 14:09
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