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Unstable angina following anaphylaxis
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  • Published on: 2 April 2009
    Re: Intravenous epinephrine?

    As stated in the article, the patient experienced throat tightness, respiratory distress as well as angioedema as part of anaphylaxis. The throat tightness and lower respiratory tract involvement were valid indications for intramuscular adrenaline.

    Failure to treat anaphylaxis promptly may have placed the patient at risk of continued deterioration and death from respiratory failure (bronchospasm or laryngeal...

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    Conflict of Interest:
    None declared.
  • Published on: 2 April 2009
    Intravenous epinephrine?

    The choice of the route of adminstration of epinephrine as discussed in this case leads to vetricular arrthymia which would be fatal in the setting that defibrillator is not in hand immediately. This would be especially problematic for those practising in the third world countries like us. With no immediate defrillation in hand I think it would be rather reluctant to give adrenaline even intramuscularly in view of appa...

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    Conflict of Interest:
    None declared.