Peripheral Sympathectomy as a Novel Treatment Option for Distal Digital Necrosis following Parenteral Administration of Promethazine

Cross, Michael B.; Warner, Kristin K.; Young, K C; Weiland, Andrew J.

doi:10.1007/s11420-012-9297-5

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Somnolence was a common side effect, however, and 4.3% of patients reported extrapyramidal symptoms as compared to no extrapyramidal symptoms in the sumatriptan plus placebo group. Parenteral use of promethazine should be avoided where possible because of its association with severe local adverse events . Ondansetron has not been investigated for efficacy in migraine related nausea, and has been reported to cause migraine‐like headache in children …”

Section: Clinical Use Of Acute Medicationsmentioning

confidence: 99%

Acute Migraine Treatment in Adults

Becker

2015

Headache

151

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There are many options for acute migraine attack treatment, but none is ideal for all patients. This study aims to review current medical office-based acute migraine therapy in adults and provides readers with an organized approach to this important facet of migraine treatment. A general literature review includes a review of several recent published guidelines. Acetaminophen, 4 nonsteroidal anti-inflammatory drugs (NSAIDs) (ibuprofen, acetylsalicylic acid [ASA], naproxen sodium, and diclofenac potassium), and 7 triptans (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, and zolmitriptan) have good evidence for efficacy and form the core of acute migraine treatment. NSAID-triptan combinations, dihydroergotamine, non-opioid combination analgesics (acetaminophen, ASA, and caffeine), and several anti-emetics (metoclopramide, domperidone, and prochlorperazine) are additional evidence-based options. Opioid containing combination analgesics may be helpful in specific patients, but should not be used routinely. Clinical features to be considered when choosing an acute migraine medication include usual headache intensity, usual rapidity of pain intensity increase, nausea, vomiting, degree of disability, patient response to previously used medications, history of headache recurrence with previous attacks, and the presence of contraindications to specific acute medications. Available acute medications can be organized into 4 treatment strategies, including a strategy for attacks of mild to moderate severity (strategy one: acetaminophen and/or NSAIDs), a triptan strategy for patients with severe attacks and for attacks not responding to strategy one, a refractory attack strategy, and a strategy for patients with contraindications to vasoconstricting drugs. Acute treatment of migraine attacks during pregnancy, lactation, and for patients with chronic migraine is also discussed. In chronic migraine, it is particularly important that medication overuse is eliminated or avoided. Migraine treatment is complex, and treatment must be individualized and tailored to the patient's clinical features. Clinicians should make full use of available medications and formulations in an organized approach.

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Section: Clinical Use Of Acute Medicationsmentioning

confidence: 99%

Acute Migraine Treatment in Adults

Becker

2015

Headache

151

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“…The adverse side effect profile in addition to the black box warning the drugs carry have caused many clinicians to opt for newer antiemetics [7,14,15]. As such, these drugs are no longer recommended as first-line antiemetic agents [16].…”

Section: Phenothiazinesmentioning

confidence: 99%

“…I.v. and accidental intra-arterial injections were associated with skin necrosis and subsequent limb amputation [14,34].…”

Section: Adverse Reactionsmentioning

confidence: 99%

Safety and efficacy of commonly used antiemetics

Hendren

Aponte-Feliciano

Kovac³

2015

Expert Opinion on Drug Metabolism & Toxicology

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The key to providing relief for patients suffering from nausea and vomiting is to consider multiple drugs to approach the nausea in a systematic way. Anesthesiologists identify patients who are at high risk of nausea and vomiting based on physical characteristics and surgical procedures. Oncologists treat nausea based on the prescribed chemotherapeutics regimen and known risk of emesis while palliative care physicians and others balance the etiology of the nausea while optimizing patients other co morbid conditions.

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“…18 Intravenous promethazine requires verification of IV catheter placement to avoid extravasation and other complications. 19 …”

Section: Typical Management Of Postoperative Nausea and Vomitingmentioning

confidence: 99%

Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

Brenner¹,

Kautz²

2015

AORN Journal

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Elective laparoscopic cholecystectomies are common outpatient surgical procedures. After briefly discussing cholecystectomy and its indications, best practices in phase I, phase II, and phase III recovery are discussed. Typical pharmaceutical regimens for controlling pain and postoperative nausea and vomiting are summarized. By implementing best practices, nurses can prevent and recognize complications. The criteria for discharge, extended recovery, and inpatient admission are discussed, along with the required patient discharge teaching using the teach-back technique, as well as patient and family teaching needs in the immediate postoperative period. Nurses can optimize the patient's surgical experience and promote safety by implementing best practices in all phases of recovery from laparoscopic cholecystectomy.

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Peripheral Sympathectomy as a Novel Treatment Option for Distal Digital Necrosis following Parenteral Administration of Promethazine

Cited by 4 publications

References 11 publications

Acute Migraine Treatment in Adults

Acute Migraine Treatment in Adults

Safety and efficacy of commonly used antiemetics

Postoperative Care of Patients Undergoing Same‐Day Laparoscopic Cholecystectomy

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