Accidental digital epinephrine injection: to treat or not to treat?
نویسندگان
چکیده
Epinephrine autoinjectors are widely prescribed for the self-treatment of anaphylaxis. Accidental digital injection of epinephrine is an increasingly common occurrence and can be associated with profound ischemia of the affected digit. Several case reports of such injuries exist; however, it is unclear what the appropriate treatment of accidental digital epinephrine injection should be. We will present a case of accidental digital epinephrine injection, review the available literature, and suggest treatment options.
منابع مشابه
Management options for accidental injection of epinephrine from an autoinjector: a case report
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)))...
متن کاملNormal saline injection; a promising method to treat steroid-induced atrophy
Subcutaneous fat atrophy at the site of multiple injections can follow intradermal or intramuscular administration of steroids to treat inflammatory diseases. This condition takes several months to develop, and usually patients seek medical attention due to cosmetic deformities. Several methods, including fat transfer, filler injection and normal saline injection haven been proposed to tr...
متن کاملTreatment after Accidental Injection with Epinephrine Autoinjector: A Systematic Review
Background: Epinephrine (adrenaline) autoinjectors are increasingly prescribed for the emergency management of severe allergic reactions. There is an increasing incidence of unintentional administration of these devices, typically into a digit. Digital epinephrine has theoretical dangers of ischemia and gangrene and multiple interventions have been advocated in the treatment of these unintentio...
متن کاملTreatment of accidental digital injection of adrenaline from an auto-injector device.
Following an increase in the number of patients attending the accident and emergency department because of accidental injection of adrenaline from autoinjector devices prescribed for patients with severe allergic reactions, a review of published reports was undertaken to identify the best form of treatment. Local injection of phentolamine is effective for up to 13 hours after the inadvertent di...
متن کاملAccidental injection of epinephrine by a child: a unique approach to treatment.
A 9-year-old girl accidentally injected her right thumb with an adult dose of epinephrine through an auto-injector syringe, delivering 0.3 mg of 1:1000 epinephrine. This injection caused immediate ischemic changes in the digit. This is the first reported case of accidental self injection by a child of an adult dose of epinephrine and its successful treatment with low-dose phentolamine simultane...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Canadian family physician Medecin de famille canadien
دوره 60 8 شماره
صفحات -
تاریخ انتشار 2014