Two cases of accidental epinephrine injection into a finger

The drug is also a useful adjunct to local anesthetic agents to minimize bleeding during the repair of minor lacerations, but because of its potent vasoconstrictive properties, it is contraindicated for injection into end-artery structures, such as digits. Because the dose of epinephrine administere...

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Veröffentlicht in:Journal of allergy and clinical immunology 2006-02, Vol.117 (2), p.463-464
Hauptverfasser: Skorpinski, Edward W., McGeady, Stephen J., Yousef, Ejaz
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container_title Journal of allergy and clinical immunology
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creator Skorpinski, Edward W.
McGeady, Stephen J.
Yousef, Ejaz
description The drug is also a useful adjunct to local anesthetic agents to minimize bleeding during the repair of minor lacerations, but because of its potent vasoconstrictive properties, it is contraindicated for injection into end-artery structures, such as digits. Because the dose of epinephrine administered by an autoinjector is 5 to 10 times greater than that used in a typical laceration repair, there is risk of harmful ischemia with inadvertent administration into these areas.
doi_str_mv 10.1016/j.jaci.2005.10.005
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subjects Accidents
Adult
Drug dosages
Emergency medical care
Epinephrine - administration & dosage
Epinephrine - adverse effects
Female
Fingers & toes
Fingers - blood supply
Humans
Injections
Ischemia
Ischemia - chemically induced
Pain
Smooth muscle
title Two cases of accidental epinephrine injection into a finger
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