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In Emergenza ci vuole naso….
11 GenLa somministrazione intranasale di farmaci è un’opzione terapeutica sempre più allettante in Emergenza sanitaria territoriale.
Un breve video-tutorial sul perchè, quando e come usare la via intranasale in medicina d’urgenza.
References:
Successfull administration of intranasal glucagon in out of hospital
Ahmad, IN lorazepam vs IM paraldehyde, Lancet 2006
Pires, Intranasal drug delivery – How why what for -extensive review, J Pharm Pharmaceut Sci 2009
Barton, Ed, et al. (2005). “Efficacy of intranasal naloxone as a needleless alternative for treatment of opioid overdose in the prehospital setting.” J Emerg Med 29(3): 265-71.
Thakker, A. and P. Shanbag (2012). “A randomized controlled trial of intranasal-midazolam versus intravenous-diazepam for acute childhood seizures.” J Neurol.
“Intranasal delivery of morphine may offer better effects.” Clin J Oncol Nurs 7(4): 377.2003
Ali, S. and T. P. Klassen (2007). “Intranasal fentanyl and intravenous morphine did not differ for pain relief in children with closed long-bone fractures.” Evid Based Med 12(6): 176.
Interesting readings:
EM on the edge videocast
Nasal_Drug_Delivery_in_EMS
http://intranasal.net/Home/default.htm
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Tag:emergency medicine, emergenza sanitaria territoriale, medicina d'urgenza, prehospital emergency medicine