Epinephrine absorption in adults: Intramuscular versus subcutaneous injection

被引:316
作者
Estelle, F
Simons, R
Gu, XC
Simons, KJ
机构
[1] Univ Manitoba, Fac Med, Dept Pediat & Child Hlth, Allergy & Clin Immunol Sect, Winnipeg, MB, Canada
[2] Univ Manitoba, Fac Pharm, Div Pharmaceut Sci, Winnipeg, MB R3T 2N2, Canada
关键词
epinephrine; adrenaline; EpiPen; systemic anaphylaxis; anaphylactic shock; acute allergic reaction; adult; intramuscular; subcutaneous;
D O I
10.1067/mai.2001.119409
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
We report a prospective, randomized, blinded, placebo-controlled, 6-way crossover study of intramuscular versus subcutaneous injection of epinephrine in young men. Peak plasma epinephrine concentrations were significantly higher (P < .01) after epinephrine was injected intramuscularly into the thigh than after epinephrine was injected intramuscularly or subcutaneously into the upper arm. We recommend intramuscular injection of epinephrine into the thigh as the preferred route and site of injection of this life-saving medication in the initial treatment of anaphylaxis.
引用
收藏
页码:871 / 873
页数:3
相关论文
共 10 条
[1]  
AUSTEN KF, 2001, HARRISONS PRINCIPLES, P1915
[2]  
Chamberlain D, 1999, J ACCID EMERG MED, V16, P243
[3]  
Hoffmann BB, 1996, GOODMAN GILMANS PHAR, P204
[4]  
KAPLAN AP, 2000, CECIL TXB MED, P1450
[5]  
Lieberman P., 1998, ALLERGY PRINCIPLES P, P1079
[6]  
NICKLAS RA, 1998, J ALLERGY CLIN IMMUN, V101, pS465
[7]  
Pumphrey RSH, 2000, CLIN EXP ALLERGY, V30, P1144, DOI 10.1046/j.1365-2222.2000.00864.x
[8]   Epinephrine absorption in children with a history of anaphylaxis [J].
Simons, FER ;
Roberts, JR ;
Gu, XC ;
Simons, KJ .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1998, 101 (01) :33-37
[9]  
Wasserman SI, 1997, ALLERGY, P565
[10]  
WOROBEC AS, 1996, CURRENT THERAPY ALLE, P170