Literature DB >> 9413778

Treatment of accidental digital injection of adrenaline from an auto-injector device.

S J McGovern1.   

Abstract

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 digital instillation of adrenaline.

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Year:  1997        PMID: 9413778      PMCID: PMC1342979          DOI: 10.1136/emj.14.6.379

Source DB:  PubMed          Journal:  J Accid Emerg Med        ISSN: 1351-0622


  15 in total

1.  Phentolamine hydrochloride in prevention of cutaneous necrosis due to levarterenol.

Authors:  A S CLOSE
Journal:  J Am Med Assoc       Date:  1959-08-15

2.  The reversal of the ischemic effects of epinephrine on a finger with local injections of phentolamine.

Authors:  K K Burkhart
Journal:  J Emerg Med       Date:  1992 Jul-Aug       Impact factor: 1.484

3.  Use of phentolamine to prevent necrosis due to levarterenol.

Authors:  G ZUCKER
Journal:  J Am Med Assoc       Date:  1957-04-20

4.  Treatment of accidental epinephrine injection in a finger.

Authors:  N Deshmukh; J T Tolland
Journal:  J Emerg Med       Date:  1989 Jul-Aug       Impact factor: 1.484

5.  An unusual case of digital ischemia.

Authors:  L K Jordan
Journal:  N C Med J       Date:  1969-10

6.  Tissue necrosis caused by commonly used intravenous infusions.

Authors:  N R Gaze
Journal:  Lancet       Date:  1978-08-19       Impact factor: 79.321

7.  Epinephrine-induced vasospasm reversed by phentolamine digital block.

Authors:  W M Maguire; E J Reisdorff; D Smith; J G Wiegenstein
Journal:  Am J Emerg Med       Date:  1990-01       Impact factor: 2.469

8.  Acute management of dopamine infiltration injury with Regitine.

Authors:  B K Siwy; A M Sadove
Journal:  Plast Reconstr Surg       Date:  1987-10       Impact factor: 4.730

Review 9.  Phentolamine reversal of epinephrine-induced digital vasospasm. How to save an ischemic finger.

Authors:  J W Hinterberger; H E Kintzi
Journal:  Arch Fam Med       Date:  1994-02

10.  Accidental epinephrine auto-injector-induced digital ischemia reversed by phentolamine digital block.

Authors:  S J Hardy; D E Agostini
Journal:  J Am Osteopath Assoc       Date:  1995-06
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  9 in total

1.  Use of phentolamine in the treatment of Epipen induced digital ischaemia.

Authors:  Jingyuan Xu; Alice Holt
Journal:  BMJ Case Rep       Date:  2012-04-23

2.  Accidental digital injection of adrenaline from an autoinjector device.

Authors:  K S Murali; N Nayeem
Journal:  J Accid Emerg Med       Date:  1998-07

3.  Accidental digital epinephrine injection: to treat or not to treat?

Authors:  Ceara McNeil; Julie Copeland
Journal:  Can Fam Physician       Date:  2014-08       Impact factor: 3.275

4.  How long does it take phentolamine to reverse adrenaline-induced vasoconstriction in the finger and hand? A prospective, randomized, blinded study: The Dalhousie project experimental phase.

Authors:  Trefor Nodwell; Don Lalonde
Journal:  Can J Plast Surg       Date:  2003

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

Authors:  Christian Mathez; Bernard Favrat; Philippe Staeger
Journal:  J Med Case Rep       Date:  2009-06-08

6.  Two cases of accidental injection of epinephrine into a digit treated with subcutaneous phentolamine injections.

Authors:  Ryan P Bodkin; Nicole M Acquisto; Holly Gunyan; Timothy J Wiegand
Journal:  Case Rep Emerg Med       Date:  2013-08-05

7.  Epinephrine-Containing Digital Nerve Block: A Case of Digital Tip Necrosis Leading to Amputation in a Patient With No Known Vascular, Rheumatologic, or Smoking History.

Authors:  Ian S Hong; Nancy J Moontasri; David F Ratliff
Journal:  J Hand Surg Glob Online       Date:  2021-04-27

8.  Effect of phentolamine mesylate on duration of soft tissue local anesthesia in children.

Authors:  Nosrat Nourbakhsh; Farzaneh Shirani; Mahdi Babaei
Journal:  J Res Pharm Pract       Date:  2012-10

9.  Hooked epinephrine auto-injector devices in children: four case reports with three different proposed mechanisms.

Authors:  Ran D Goldman; Katharine C Long; Julie C Brown
Journal:  Allergy Asthma Clin Immunol       Date:  2020-03-14       Impact factor: 3.406

  9 in total

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