Life-threatening cardiac arrhythmia after a single dose of nebulized epinephrine in pediatric emergency department

Journal of Tropical Pediatrics

Volumn 57, Issue 6, 2011, Pages 497-499

  Toaimah, Fatihi Hassan ^a   Al Ansari, Khalid ^a,b  

^a HAMAD MEDICAL CORPORATION   (Qatar)

^b WEILL CORNELL MEDICAL COLLEGE   (Qatar)

Author keywords

Bronchiolitis; Cardiac arrhythmia; Croup; Nebulized epinephrine

Indexed keywords

ADRENALIN;

BRONCHIOLITIS; CARDIOVERSION; CASE REPORT; CHILD; COUGHING; DYSPNEA; ELECTROCARDIOGRAM; EMERGENCY WARD; FOLLOW UP; HEART VENTRICLE ARRHYTHMIA; HEART VENTRICLE EXTRASYSTOLE; HUMAN; INFANT; LETTER; MALE; NEBULIZATION; THORAX RADIOGRAPHY;

ADMINISTRATION, INHALATION; BRONCHIOLITIS; BRONCHODILATOR AGENTS; DRUG ADMINISTRATION SCHEDULE; EMERGENCY SERVICE, HOSPITAL; EPINEPHRINE; HUMANS; INFANT; MALE; TACHYCARDIA, VENTRICULAR; VENTRICULAR PREMATURE COMPLEXES;

EID: 82955240677     PISSN: 01426338     EISSN: 14653664     Source Type: Journal    
DOI: 10.1093/tropej/fmq123     Document Type: Letter

References (8)

1. Bertrand P, AranõÂbar H, Castro E, SaÂnchez I. Efficacy of nebulized epinephrine versus salbutamol in hospitalized infants with bronchiolitis. Pediatr Pulmonol 2001;31:284-8.
2. Prendergast M, Jones JS, Hartman D. Racemic epinephrine in the treatment of laryngotracheitis: Can we identify children for outpatient therapy? Am J Emerg Med 1994;12:613-16.
3. Ledwith C, Shea L, Mauro R. Safety and efficacy of nebulized racemic epinephrine in conjunction with dexamethasone and mist in the outpatient treatment of croup. Ann Emerg Med 1995;25:331-5.
4. Zhang L, Sanguebsche LS. The safety of nebulization with 3 to 5 ml of adrenaline (1:1000) in children: an evidence based review. J Pediatr 2005;81:193-7.
5. Babbitt CJ, Tse GC, Ramos P. Continuous nebulized racemic epinephrine for bronchiolitis. Clin Inten Care 2004;15:149-52.
6. Butte MJ, Nguyen BX, Hutchison TJ, Wiggins JW, et al. Pediatric myocardial infarction after racemic epinephrine administration. Pediatrics 1999;104:e9.
7. Waisman Y, Klein BL, Boenning DA, et al. Prospective randomized double-blind study comparing l-epinephrine and racemic epinephrine aerosols in the treatment of laryngotracheitis (Croup). Pediatrics 1992;89:302-6.
8. American Academy of Pediatrics, Hegenbarth MA, the Committee on Drugs. Preparing for pediatric emergencies: drugs to consider. Pediatrics 2008;121:433-43.