Skip to main content
SpringerLink
Log in

Intramuskuläre Injektion im Rahmen der Anaphylaxie

Einfach und praktisch

Intramuscular injection to treat anaphylaxis

Simple and practical

  • Teamwork + Education
  • Published:
Notfall + Rettungsmedizin Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1

Literatur

  1. Beirne PV, Hennessy S, Cadogan SL, Shiely F, Fitzgerald T, MacLeod F (2018) Needle size for vaccination procedures in children and adolescents. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD010720.pub3

    Article  PubMed  Google Scholar 

  2. Bergeson PS, Singer SA, Kaplan AM (1982) Intramuscular injections in children. Pediatrics 70(6):944–948

    CAS  PubMed  Google Scholar 

  3. Breckwoldt J (2006) Präklinische Behandlung der Anaphylaxie. Notfall Rettungsmed 9(8):711–720. https://doi.org/10.1007/s10049-006-0872-5

    Article  Google Scholar 

  4. Campbell RL, Bellolio MF, Knutson BD, Bellamkonda VR, Fedko MG, Nestler DM, Hess EP (2015) Epinephrine in anaphylaxis. Higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine. J Allergy Clin Immunol Pract 3(1):76–80. https://doi.org/10.1016/j.jaip.2014.06.007

    Article  PubMed  Google Scholar 

  5. Fateh M, Emamian MH, Zahraei SM, Fotouhi A (2014) Syringe-type and needle gauge have no role in adverse events following DTwP immunization. A randomized multicenter trial. Pediatr Infect Dis J 33(9):e239–e246. https://doi.org/10.1097/INF.0000000000000374

    Article  PubMed  Google Scholar 

  6. Fineman SM (2014) Optimal treatment of anaphylaxis. Antihistamines versus epinephrine. Postgrad Med 126(4):73–81. https://doi.org/10.3810/pgm.2014.07.2785

    Article  PubMed  Google Scholar 

  7. Grove C, Graw M (2014) Ein kleiner Pieks mit fatalen Folgen. MMW Fortschr Med 156(2):40–44. https://doi.org/10.1007/s15006-014-2595-8

    Article  PubMed  Google Scholar 

  8. Gupta RS (2014) Anaphylaxis in the young adult population. Am J Med 127(1 Suppl):S17–S24. https://doi.org/10.1016/j.amjmed.2013.09.010

    Article  PubMed  Google Scholar 

  9. Kawano T, Scheuermeyer FX, Stenstrom R, Rowe BH, Grafstein E, Grunau B (2017) Epinephrine use in older patients with anaphylaxis. Clinical outcomes and cardiovascular complications. Resuscitation 112:53–58. https://doi.org/10.1016/j.resuscitation.2016.12.020

    Article  PubMed  Google Scholar 

  10. Mehl A, Wahn U, Niggemann B (2005) Anaphylactic reactions in children – a questionnaire-based survey in Germany. Allergy 60(11):1440–1445. https://doi.org/10.1111/j.1398-9995.2005

    Article  CAS  PubMed  Google Scholar 

  11. Poland GA (1997) Determination of deltoid fat pad thickness. JAMA 277(21):1709. https://doi.org/10.1001/jama.1997.03540450065037

    Article  CAS  PubMed  Google Scholar 

  12. Ring J, Beyer K, Biedermann T, Bircher A, Duda D, Fischer J, Friedrichs F, Fuchs T, Gieler U, Jakob T, Klimek L, Lange L, Merk HF, Niggemann B, Pfaar O, Przybilla B, Ruëff F, Rietschel E, Schnadt S, Seifert R, Sitter H, Varga E‑M, Worm M, Brockow K (2014) Guideline for acute therapy and management of anaphylaxis. S2 Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Association of German Allergologists (AeDA), the Society of Pediatric Allergy and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Austrian Society for Allergology and Immunology (ÖGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Society for Psychosomatic Medicine (DGPM), the German Working Group of Anaphylaxis Training and Education (AGATE) and the patient organization German Allergy and Asthma Association (DAAB). Allergo J Int 23(3):96–112. https://doi.org/10.1007/s40629-014-0009-1

    Article  Google Scholar 

  13. Ring J, Klimek L, Worm M (2018) Adrenaline in the acute treatment of anaphylaxis. Dtsch Aerztebl. https://doi.org/10.3238/arztebl.2018.0528

    Article  Google Scholar 

  14. Schneider TH, Emmel M, Daubländer M (2011) Intramuskuläre Adrenalingabe durch Zahnärzte bei Anaphylaxie. Notfall Rettungsmed 14(3):211–216. https://doi.org/10.1007/s10049-010-1363-2

    Article  Google Scholar 

  15. Simons FE, Gu X, Simons KJ (2001) Epinephrine absorption in adults. Intramuscular versus subcutaneous injection. J Allergy Clin Immunol 108(5):871–873. https://doi.org/10.1067/mai.2001.119409

    Article  CAS  PubMed  Google Scholar 

  16. Sisson H (2015) Aspirating during the intramuscular injection procedure. A systematic literature review. J Clin Nurs 24(17–18):2368–2375. https://doi.org/10.1111/jocn.12824

    Article  PubMed  Google Scholar 

  17. Soar J, Pumphrey R, Cant A, Clarke S, Corbett A, Dawson P, Ewan P, Foëx B, Gabbott D, Griffiths M, Hall J, Harper N, Jewkes F, Maconochie I, Mitchell S, Nasser S, Nolan J, Rylance G, Sheikh A, Unsworth DJ, Warrell D (2008) Emergency treatment of anaphylactic reactions – guidelines for healthcare providers. Resuscitation 77(2):157–169. https://doi.org/10.1016/j.resuscitation.2008.02.001

    Article  PubMed  Google Scholar 

  18. Song TT, Nelson MR, Chang JH, Engler RJM, Chowdhury BA (2005) Adequacy of the epinephrine autoinjector needle length in delivering epinephrine to the intramuscular tissues. Ann Allergy Asthma Immunol 94(5):539–542. https://doi.org/10.1016/S1081-1206(10)61130-1

    Article  CAS  PubMed  Google Scholar 

  19. Truhlář A, Deakin CD, Soar J, Khalifa GEA, Alfonzo A, Bierens JJLM, Brattebø G, Brugger H, Dunning J, Hunyadi-Antičević S, Koster RW, Lockey DJ, Lott C, Paal P, Perkins GD, Sandroni C, Thies K‑C, Zideman DA, Nolan JP (2015) Kreislaufstillstand in besonderen Situationen. Notfall Rettungsmed 18(8):833–903. https://doi.org/10.1007/s10049-015-0096-7

    Article  Google Scholar 

  20. Turner PJ, Gowland MH, Sharma V, Ierodiakonou D, Harper N, Garcez T, Pumphrey R, Boyle RJ (2015) Increase in anaphylaxis-related hospitalizations but no increase in fatalities. An analysis of United Kingdom national anaphylaxis data, 1992–2012. J Allergy Clin Immunol 135(4):956–963.e1. https://doi.org/10.1016/j.jaci.2014.10.021

    Article  PubMed  PubMed Central  Google Scholar 

  21. Walters M, Furyk J (2010) Nurse education in a resource limited environment. An evaluation of an educational teaching package on intramuscular injections, in Blantyre, Malawi. Nurse Educ Pract 10(5):256–261. https://doi.org/10.1016/j.nepr.2009.11.015

    Article  PubMed  Google Scholar 

  22. Worm M, Eckermann O, Dölle S, Aberer W, Beyer K, Hawranek T, Hompes S, Koehli A, Mahler V, Nemat K, Niggemann B, Pföhler C, Rabe U, Reissig A, Rietschel E, Scherer K, Treudler R, Ruëff F (2014) Triggers and treatment of anaphylaxis. An analysis of 4,000 cases from Germany, Austria and Switzerland. Dtsch Arztebl Int 111(21):367–375. https://doi.org/10.3238/arztebl.2014.0367

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. DRK Rettungsdienst Reutlingen, Obere Wässere 1, 72764, Reutlingen, Deutschland

    N. Heinemann & D. Häske

  2. Klinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin, Schmerztherapie und Palliativmedizin, Klinikum am Steinenberg Reutlingen, 72764, Reutlingen, Deutschland

    G. Gaier

  3. Medizinische Klinik II – Kardiologie, Angiologie, Intensivmedizin, Klinikum am Steinenberg Reutlingen, 72764, Reutlingen, Deutschland

    B. Schempf

  4. Medizinische Fakultät, Eberhard Karls Universität Tübingen, 72076, Tübingen, Deutschland

    D. Häske

Authors
  1. N. Heinemann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Gaier
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Schempf
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. Häske
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. Heinemann.

Ethics declarations

Interessenkonflikt

N. Heinemann, G. Gaier und B. Schempf, D. Häske geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Additional information

Serienpaten

P. Gotthardt, Nürnberg

D. Häske, Reutlingen

B. Hossfeld, Ulm

J. Knapp, Bern

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Heinemann, N., Gaier, G., Schempf, B. et al. Intramuskuläre Injektion im Rahmen der Anaphylaxie. Notfall Rettungsmed 22, 342–346 (2019). https://doi.org/10.1007/s10049-018-0524-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10049-018-0524-6

Search

Navigation