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

التفاصيل البيبلوغرافية
العنوان: Management options for accidental injection of epinephrine from an autoinjector: a case report
المؤلفون: Philippe Staeger, Christian Mathez, Bernard Favrat
المصدر: Journal of Medical Case Reports, Vol 3, Iss 1, p 7268 (2009)
Journal of Medical Case Reports
Journal of medical case reports, vol. 3, pp. 7268
بيانات النشر: BMC, 2009.
سنة النشر: 2009
مصطلحات موضوعية: Medicine(all), medicine.medical_specialty, business.industry, lcsh:R, lcsh:Medicine, Anaphylactic reactions, macromolecular substances, General Medicine, body regions, Epinephrine, Autoinjector, Accidental, Anesthesia, Family medicine, Case report, Medicine, Epinephrine autoinjector, business, medicine.drug
الوصف: 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®). 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.
وصف الملف: application/pdf
اللغة: English
تدمد: 1752-1947
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9cce94b078059394d657cb9cc36738d4
http://www.jmedicalcasereports.com/content/3/1/7268
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....9cce94b078059394d657cb9cc36738d4
قاعدة البيانات: OpenAIRE