Use of glyceryl trinitrate patches in the treatment of accidental digital injection of epinephrine from an autoinjector

Abstract

We often experience clinical cases in which children swallow foreign substances, but for a child to swallow

Digital Ischemia From Accidental Epinephrine Injection

“…2 To date, there are no established treatment guidelines on managing cases of digital injection. An online PubMed and Google Scholar search of the literature found one systematic review, 3 four observational studies, 4-7 seven case series, [8][9][10][11][12][13][14] and several case reports 1,15-33 on the subject. Most of the patients in the published retrospective studies (71%) were treated conservatively with warming of the affected hand and observation, and the majority of patients in the case reports (87%) were treated pharmacologically, most commonly with topical nitroglycerin and phentolamine.…”