Post by Tony Held on Jul 24, 2017 13:35:30 GMT -6
Anaphylaxis - Episode 1
Some things in medicine get infinitely more complicated while others seem to become simpler. Protect the airway. Use epinephrine, use it correctly. Give the rest of the goodie bag when you've finally turned the corner if you even believe in it.
Podcast notes here
Link to the podcast here
Sources:
Life in the Fast Lane
World Allergy Organization Guidelines
Insect sting anaphylaxis; prospective evaluation of treatment with intravenous adrenaline and volume resuscitation.
Brown SG, Blackman KE, Stenlake V, Heddle RJ
Emerg Med J. 2004;21(2):149.
Epinephrine absorption in children with a history of anaphylaxis.
Simons FE, Roberts JR, Gu X, Simons KJ
J Allergy Clin Immunol. 1998;101(1 Pt 1):33.
Epinephrine absorption in adults: intramuscular versus subcutaneous injection.
Simons FE, Gu X, Simons KJ
J Allergy Clin Immunol. 2001;108(5):871.
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H
Ann Emerg Med. 2010;55(4):341. Epub 2010 Jan 19.
Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine.
Campbell RL, Bellolio MF, Knutson BD, Bellamkonda VR, Fedko MG, Nestler DM, Hess EP
J Allergy Clin Immunol Pract. 2015 Jan;3(1):76-80. Epub 2014 Aug 29.
Anaphylaxis--a practice parameter update 2015.
Lieberman P, Nicklas RA, Randolph C, Oppenheimer J, Bernstein D, Bernstein J, Ellis A, Golden DB, Greenberger P, Kemp S, Khan D, Ledford D, Lieberman J, Metcalfe D, Nowak-Wegrzyn A, Sicherer S, Wallace D, Blessing-Moore J, Lang D, Portnoy JM, Schuller D, Spector S, Tilles SA
Ann Allergy Asthma Immunol. 2015;115(5):341.
Glucocorticoids for the treatment of anaphylaxis.
Choo KJ, Simons FE, Sheikh A
Cochrane Database Syst Rev. 2012;
Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses.
Grunau BE, Wiens MO, Rowe BH, McKay R, Li J, Yi TW, Stenstrom R, Schellenberg RR, Grafstein E, Scheuermeyer FX
Ann Emerg Med. 2015 Oct;66(4):381-9. Epub 2015 Mar 25.
H2-antihistamines for the treatment of anaphylaxis with and without shock: a systematic review.
Nurmatov UB, Rhatigan E, Simons FE, Sheikh A
Ann Allergy Asthma Immunol. 2014 Feb;112(2):126-31. Epub 2013 Dec 5.
Histamine H2-receptor antagonists for urticaria.
Fedorowicz Z, van Zuuren EJ, Hu N
Cochrane Database Syst Rev. 2012;
Successful extracorporeal resuscitation of a probable perioperative anaphylactic shock due to atracurium.
Lafforgue E, Sleth JC, Pluskwa F, Saizy C
Ann Fr Anesth Reanim. 2005 May;24(5):551-5. Epub 2005 Mar 17
Cardiac arrest with anaphylactic shock: a successful resuscitation using extracorporeal membrane oxygenation.
Zhang Z, Su X, Liu C.
Am J Emerg Med. 2015;33:130.e3-4
Some things in medicine get infinitely more complicated while others seem to become simpler. Protect the airway. Use epinephrine, use it correctly. Give the rest of the goodie bag when you've finally turned the corner if you even believe in it.
Podcast notes here
Link to the podcast here
Sources:
Life in the Fast Lane
World Allergy Organization Guidelines
Insect sting anaphylaxis; prospective evaluation of treatment with intravenous adrenaline and volume resuscitation.
Brown SG, Blackman KE, Stenlake V, Heddle RJ
Emerg Med J. 2004;21(2):149.
Epinephrine absorption in children with a history of anaphylaxis.
Simons FE, Roberts JR, Gu X, Simons KJ
J Allergy Clin Immunol. 1998;101(1 Pt 1):33.
Epinephrine absorption in adults: intramuscular versus subcutaneous injection.
Simons FE, Gu X, Simons KJ
J Allergy Clin Immunol. 2001;108(5):871.
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H
Ann Emerg Med. 2010;55(4):341. Epub 2010 Jan 19.
Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine.
Campbell RL, Bellolio MF, Knutson BD, Bellamkonda VR, Fedko MG, Nestler DM, Hess EP
J Allergy Clin Immunol Pract. 2015 Jan;3(1):76-80. Epub 2014 Aug 29.
Anaphylaxis--a practice parameter update 2015.
Lieberman P, Nicklas RA, Randolph C, Oppenheimer J, Bernstein D, Bernstein J, Ellis A, Golden DB, Greenberger P, Kemp S, Khan D, Ledford D, Lieberman J, Metcalfe D, Nowak-Wegrzyn A, Sicherer S, Wallace D, Blessing-Moore J, Lang D, Portnoy JM, Schuller D, Spector S, Tilles SA
Ann Allergy Asthma Immunol. 2015;115(5):341.
Glucocorticoids for the treatment of anaphylaxis.
Choo KJ, Simons FE, Sheikh A
Cochrane Database Syst Rev. 2012;
Emergency Department Corticosteroid Use for Allergy or Anaphylaxis Is Not Associated With Decreased Relapses.
Grunau BE, Wiens MO, Rowe BH, McKay R, Li J, Yi TW, Stenstrom R, Schellenberg RR, Grafstein E, Scheuermeyer FX
Ann Emerg Med. 2015 Oct;66(4):381-9. Epub 2015 Mar 25.
H2-antihistamines for the treatment of anaphylaxis with and without shock: a systematic review.
Nurmatov UB, Rhatigan E, Simons FE, Sheikh A
Ann Allergy Asthma Immunol. 2014 Feb;112(2):126-31. Epub 2013 Dec 5.
Histamine H2-receptor antagonists for urticaria.
Fedorowicz Z, van Zuuren EJ, Hu N
Cochrane Database Syst Rev. 2012;
Successful extracorporeal resuscitation of a probable perioperative anaphylactic shock due to atracurium.
Lafforgue E, Sleth JC, Pluskwa F, Saizy C
Ann Fr Anesth Reanim. 2005 May;24(5):551-5. Epub 2005 Mar 17
Cardiac arrest with anaphylactic shock: a successful resuscitation using extracorporeal membrane oxygenation.
Zhang Z, Su X, Liu C.
Am J Emerg Med. 2015;33:130.e3-4