Citation

Hamer R, Phelps D. Ann. Emerg. Med. 1981; 10(3): 148-150.

Copyright

(Copyright © 1981, American College of Emergency Physicians, Publisher Elsevier Publishing)

DOI

unavailable

PMID

7469155

Abstract

A female drug abuser inadvertently injected an intravenous injection of an oral anorexiant, phentaramine (Preludin), into her own brachial artery. Severe hand pain, vasospasm, and ischemia occurred. Treatment with regional axillary block, intravenous dextran, intra-arterial priscoline, and salicylate anticoagulation may have influenced a favorable outcome. Intimal damage, vasospasm, and various additive effects after intra-arterial injection contribute to the potential for serious sequelae. Prompt diagnosis, vasodilatation, elevation and compression, pain relief and, in some cases, surgery appear to improve salvage of what is frequently a major extremity injury.

Language: en