Titre
Management options for accidental injection of epinephrine from an autoinjector: a case report.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Mathez, C.
Auteure/Auteur
Favrat, B.
Auteure/Auteur
Staeger, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1752-1947[electronic]
Statut éditorial
Publié
Date de publication
2009
Volume
3
Première page
7268
Peer-reviewed
Oui
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.
PID Serval
serval:BIB_54DF10AF5D49
PMID
Open Access
Oui
Date de création
2009-10-16T15:25:20.426Z
Date de création dans IRIS
2025-05-20T13:48:08Z
Fichier(s)![Vignette d'image]()
En cours de chargement...
Nom
BIB_54DF10AF5D49.P001.pdf
Version du manuscrit
preprint
Taille
257.89 KB
Format
Adobe PDF
PID Serval
serval:BIB_54DF10AF5D49.P001
URN
urn:nbn:ch:serval-BIB_54DF10AF5D497
Somme de contrôle
(MD5):d910484c210b802b1a62b8df93390cc4