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epinephrine in anaphylaxis

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https://www.readbyqxmd.com/read/27892597/a-multi-center-study-on-anaphylaxis-caused-by-peanut-tree-nuts-and-seeds-in-children-and-adolescents
#1
Kyunguk Jeong, So-Yeon Lee, Kangmo Ahn, Jihyun Kim, Hae-Ran Lee, Dong In Suh, Bok-Yang Pyun, Taek Ki Min, Ji-Won Kwon, Kyu-Earn Kim, Kyung Won Kim, Myung Hyun Sohn, Yoon Hee Kim, Tae Won Song, Jung Hyun Kwon, You Hoon Jeon, Hyung Young Kim, Jeong Hee Kim, Young Min Ahn, Sooyoung Lee
Peanut (PN) and tree nuts (TNs) are common causes of anaphylaxis in Western countries but no information is available in Korea. To feature clinical characteristics of anaphylaxis caused by PN, TNs, and seeds, a retrospective medical record review was performed in 14 university hospitals in Korea (2009-2013).One hundred and twenty-six cases were identified, with the mean age of 4.9 years. PN, walnut (WN), and pine nut accounted for 32.5%, 41.3%, and 7.1%, respectively. The median values of specific IgE (sIgE) to PN, WN and pine nut were 10...
November 28, 2016: Allergy
https://www.readbyqxmd.com/read/27890557/anaphylaxis-in-a-health-maintenance-organization-international-classification-of-diseases-coding-and-epinephrine-auto-injector-prescribing
#2
Deena Pourang, Michael Batech, Javed Sheikh, Shefali Samant, Michael Kaplan
BACKGROUND: Accurate estimates of the incidence of anaphylaxis are limited. Current International Classification of Diseases, Ninth Revision (ICD-9) codes complicate accurate diagnosis of anaphylaxis and assessment of appropriate epinephrine prescribing. OBJECTIVE: To quantify the incidence and demographic character of patients with anaphylaxis-related ICD-9 codes in a large health maintenance organization and analyze epinephrine prescribing and dispensing rates...
November 24, 2016: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/27873193/childcare-and-school-management-issues-in-food-allergy
#3
REVIEW
Angela Tsuang, Julie Wang
PURPOSE OF REVIEW: The goal of this review is to characterize food allergy management and anaphylaxis in schools and assess current policies and level of preparedness of schools to recognize and treat anaphylaxis. RECENT FINDINGS: An increasing number of school-aged children have food allergies, and studies show that a significant number of school children with no known history of allergies will experience their first anaphylactic reaction at school. Stock-unassigned epinephrine auto-injectors are recommended in schools but not mandatory in most states, and therefore, epinephrine is not always available...
November 2016: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/27871512/case-report-management-of-differential-diagnosis-and-treatment-of-severe-anaphylaxis-in-the-setting-of-spinal-anesthesia
#4
Brian M Osman, Joni M Maga, Sebastian M Baquero
The purpose of this case report is to educate fellow anesthesiologists of a complicated differential diagnosis for sudden cardiovascular collapse after spinal anesthesia. We report a case where anaphylaxis occurred while under spinal anesthesia and resulted in difficult resuscitation. A 58-year-old woman undergoing bilateral knee replacements under spinal anesthesia experienced sudden seizure and cardiovascular collapse from acute anaphylactic shock while administering a cephalosporin. Local anesthetic toxicity, high spinal, and anaphylaxis were considered due to overlapping of symptoms...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27869359/pitfalls-in-the-use-of-epinephrine-for-anaphylaxis-patient-and-provider-opportunities-for-improvement
#5
Michael B Cohen, Stefanie S Saunders, Sarah K Wise, Samih Nassif, Michael P Platt
BACKGROUND: Epinephrine remains the mainstay of treatment for life-threatening allergic reactions. A number of challenges are encountered with epinephrine, resulting in underutilization and misutilization of epinephrine. The purpose of this study was to identify the scope of epinephrine pitfalls and opportunities for improvement in the management of allergy emergencies. METHODS: A PubMed search from 1990 to 2015 was performed to identify all cases and reports pertaining to the use and misuse of epinephrine for anaphylaxis...
November 21, 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27833688/autoinjectors-preferred-for-intramuscular-epinephrine-in-anaphylaxis-and-allergic-reactions
#6
Ronna L Campbell, M Fernanda Bellolio, Megan S Motosue, Kharmene L Sunga, Christine M Lohse, Maria I Rudis
INTRODUCTION: Epinephrine is the treatment of choice for anaphylaxis. We surveyed emergency department (ED) healthcare providers regarding two methods of intramuscular (IM) epinephrine administration (autoinjector and manual injection) for the management of anaphylaxis and allergic reactions and identified provider perceptions and preferred method of medication delivery. METHODS: This observational study adhered to survey reporting guidelines. It was performed through a Web-based survey completed by healthcare providers at an academic ED...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27822074/diagnosis-of-exercise-induced-anaphylaxis-current-insights
#7
REVIEW
Valerio Pravettoni, Cristoforo Incorvaia
Exercise-induced anaphylaxis (EIAn) is defined as the occurrence of anaphylactic symptoms (skin, respiratory, gastrointestinal, and cardiovascular symptoms) after physical activity. In about a third of cases, cofactors, such as food intake, temperature (warm or cold), and drugs (especially nonsteroidal anti-inflammatory drugs) can be identified. When the associated cofactor is food ingestion, the correct diagnosis is food-dependent EIAn (FDEIAn). The literature describes numerous reports of FDEIAn after intake of very different foods, from vegetables and nuts to meats and seafood...
2016: Journal of Asthma and Allergy
https://www.readbyqxmd.com/read/27799840/the-importance-of-educating-postgraduate-pediatric-physicians-about-food-allergy
#8
Mehdi Adeli, Mohamed A Hendaus, Lukman I Abdurrahim, Ahmed H Alhammadi
BACKGROUND: Food allergy is an increasing public health burden, and is considered among the most common chronic noncommunicable diseases in children. Proper diagnosis and management of food allergy by a health care provider is crucial in keeping affected children safe while simultaneously averting unnecessary avoidance. OBJECTIVE: The rationale of the study was to estimate the knowledge of pediatric residents and academic general pediatric fellows with regard to food allergies in children...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27761282/school-board-policies-on-prevention-and-management-of-anaphylaxis-in-%C3%A4-stanbul-where-do-we-stand
#9
Ahmet Özen, Perran Boran, Fatih Torlak, Elif Karakoç-Aydıner, Safa Barış, Melda Karavuş, Işıl Barlan
BACKGROUND: Allergic diseases with a potential for anaphylaxis pose a critical public health issue in schools. AIMS: This study was carried out to identify the current status of prevention and management of anaphylaxis in school children with the main goal of establishing such an action plan. STUDY DESIGN: Cross-sectional study. METHODS: Schools were randomly selected from 11 different regions of Istanbul. A questionnaire was filled out by 2596 teachers/school principals from 232 public schools...
September 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/27753590/stinging-the-conscience-a-case-of-severe-hymenoptera-anaphylaxis-and-the-need-for-provider-awareness
#10
Kyle Mikals, Douglas Beakes, Taylor A Banks
Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar indications. We present a case of severe reaction to hymenoptera venom requiring an epinephrine drip and provide an overview for primary care providers on who should be referred to allergy or an allergist, carry an epinephrine auto-injector, and be a candidate for VIT...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27743592/the-risk-of-recurrent-anaphylaxis
#11
Andrew O'Keefe, Ann Clarke, Yvan St Pierre, Jennifer Mill, Yuka Asai, Harley Eisman, Sebastien La Vieille, Reza Alizadehfar, Lawrence Joseph, Judy Morris, Jocelyn Graveli, Moshe Ben-Shoshan
OBJECTIVES: To determine the recurrence rate of anaphylaxis in children medically attended in an emergency department (ED), we performed a prospective cohort study to evaluate prehospital and ED management of children with recurrent anaphylaxis and to assess factors associated with recurrent anaphylaxis. STUDY DESIGN: As part of the Cross-Canada Anaphylaxis Registry, parents of children with anaphylaxis identified prospectively in 3 EDs and through an emergency medical response service were contacted annually after presentation and queried on subsequent reactions...
October 12, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27689430/anaphylaxis-and-cardiac-surgery-for-hypertrophic-obstructive-cardiomyopathy-a-case-report-and-review-of-anaesthetic-management
#12
Kevin Fu Hong Yee, Marcin Wasowicz
BACKGROUND: The aim of this paper is to describe clinical management in a situation where a patient has experienced anaphylaxis while undergoing surgical septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM). CASE REPORT: A 40-yr-old female was scheduled to undergo surgical septal myectomy for the treatment of HOCM. After induction, the patient developed refractory hypotension that did not respond to escalating doses of vasopressors and volume therapy...
September 30, 2016: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/27603965/in-brief-epinephrine-auto-injectors-for-anaphylaxis
#13
(no author information available yet)
No abstract text is available yet for this article.
September 12, 2016: Medical Letter on Drugs and Therapeutics
https://www.readbyqxmd.com/read/27585580/cashew-nut-allergy-clinical-relevance-and-allergen-characterisation
#14
Cíntia Mendes, Joana Costa, António A Vicente, Maria Beatriz P P Oliveira, Isabel Mafra
Cashew plant (Anacardium occidentale L.) is the most relevant species of the Anacardium genus. It presents high economic value since it is widely used in human nutrition and in several industrial applications. Cashew nut is a well-appreciated food (belongs to the tree nut group), being widely consumed as snacks and in processed foods by the majority of world's population. However, cashew nut is also classified as a potent allergenic food known to be responsible for triggering severe and systemic immune reactions (e...
September 1, 2016: Clinical Reviews in Allergy & Immunology
https://www.readbyqxmd.com/read/27555092/prevention-of-anaphylaxis-the-role-of-the-epinephrine-auto-injector
#15
REVIEW
Leonard Fromer
Anaphylaxis is a life-threatening condition, with at-risk individuals remaining at chronic high risk of recurrence. Anaphylaxis is frequently underrecognized and undertreated by healthcare providers. The first-line pharmacologic intervention for anaphylaxis is epinephrine, and guidelines uniformly agree that its prompt administration is vital to prevent progression, improve patient outcomes, and reduce hospitalizations and fatalities. Healthcare costs potentially associated with failure to provide epinephrine (hospitalizations and emergency department visits) generally exceed those of its provision...
December 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27545736/anaphylaxis
#16
REVIEW
Lorenzo Hernandez, Sarah Papalia, George G A Pujalte
Anaphylaxis is an acute, systemic reaction mediated by immunoglobulin E hypersensitivity. Release of bioactive factors causes vasodilation and bronchiole constriction that can lead to hypotensive shock and asphyxiation. Differential diagnosis includes acute asthma, localized angioedema, syncope, and anxiety/panic attacks. Diagnostic tests lack specificity. Clinical diagnosis is based on demonstration of specific airway or cardiovascular compromise within proximity of allergen exposure. Treatment includes epinephrine, antihistamines, fluid resuscitation, and airway management...
September 2016: Primary Care
https://www.readbyqxmd.com/read/27545732/insect-allergy
#17
REVIEW
Hobart Lee, Sara Halverson, Regina Mackey
Insect bites and stings are common. Risk factors are mostly associated with environmental exposure. Most insect bites and stings result in mild, local, allergic reactions. Large local reactions and systemic reactions like anaphylaxis are possible. Common insects that bite or sting include mosquitoes, ticks, flies, fleas, biting midges, bees, and wasps. The diagnosis is made clinically. Identification of the insect should occur when possible. Management is usually supportive. For anaphylaxis, patients should be given epinephrine and transported to the emergency department for further evaluation...
September 2016: Primary Care
https://www.readbyqxmd.com/read/27543733/clinical-features-of-anaphylaxis-according-to-age-in-a-center
#18
Lira Yoon, Bo Ryung Kim, Young Mi Kim, Jaeyoung Lee, Kwanghoon Kim, Seong Heon Kim, Hye Young Kim
BACKGROUND: Prevalence of anaphylaxis is increasing steadly but we have little information of anaphylaxis. OBJECTIVE: This study was aimed to identify the prevalence of anaphylaxis and evaluate the cause and features of anaphylaxis according to age. METHODS: This study investigated gender, age, history of allergic diseases, causes and clinical symptoms, treatment and prognosis of anaphylaxis retrospectively in patients diagnosed with anaphylaxis in Pusan National University Hospital from January 2009 to June 2014...
August 16, 2016: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/27543730/the-etiology-and-clinical-features-of-anaphylaxis-in-a-developing-country-a-nationwide-survey-in-turkey
#19
Ersoy Civelek, Mustafa Erkoçoğlu, Ayşegül Akan, Celal Özcan, Ayşenur Kaya, Emine Vezir, Tayfur Giniş, Müge Toyran, Mahmut Tokaç, Can Naci Kocabaş
BACKGROUND: Despite the increasing frequency of anaphylaxis, there is inadequate information on the etiology and clinical features in various countries, regions and age groups, especially in developing countries. OBJECTIVE: Our aim is to assess the etiology and clinical findings of anaphylaxis in Turkey. Gathering reliable data about the etiology and clinical findings of anaphylaxis in the general population will decrease the related morbidity and mortality. METHOD: We obtained the names and phone numbers of individuals who had been prescribed an epinephrine auto-injector with a diagnosis of anaphylaxis from ministry of health...
August 16, 2016: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/27490724/evaluation-of-anaphylaxis-management-in-a-pediatric-emergency-department
#20
Natasha Sidhu, Stacie Jones, Tamara Perry, Tonya Thompson, Elizabeth Storm, Maria S Melguizo Castro, Todd G Nick
OBJECTIVE: In 2006, the National Institute of Allergy and Infectious Disease established evidence-based treatment guidelines for anaphylaxis. The purpose of our study was to evaluate provider adherence to guidelines-based management for anaphylaxis in a tertiary care pediatric emergency department (ED). METHODS: Retrospective chart review was conducted of patients (0-18 years) presenting to the Arkansas Children Hospital ED from 2004 to 2011 for the treatment of anaphylaxis using International Classification of Diseases, Ninth Edition, codes...
August 2016: Pediatric Emergency Care
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