In Emergenza ci vuole naso….

La 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

Tags: emergency medicine, emergenza sanitaria territoriale, medicina d'urgenza, prehospital emergency medicine