tailieunhanh - Báo cáo y học: " Management options for accidental injection of epinephrine from an autoinjector: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Management options for accidental injection of epinephrine from an autoinjector: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Management options for accidental injection of epinephrine from an autoinjector a case report Christian Mathez Bernard Favrat and Philippe Staeger Address Department of Ambulatory Care and Community Medicine University of Lausanne Bugnon 44 1011 Lausanne-CHUV Switzerland Email CM - BF - PS - Corresponding author Received 6 February 2008 Accepted 30 March 2009 Published 8 June 2009 Journal ofMedical Case Reports 2009 3 7268 doi 1752-1947-3-7268 This article is available from http jmedicalcasereports article view 7268 2009 Mathez et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. 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 . 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 .