Titre : Épinéphrine

Épinéphrine : Questions médicales fréquentes

Termes MeSH sélectionnés :

Platelet Transfusion
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anaphylaxie ?\nQuels tests sont utilisés pour évaluer l'épinéphrine ?\nQuels signes indiquent un choc anaphylactique ?\nComment évaluer une réaction allergique ?\nQuels sont les critères de diagnostic de l'anaphylaxie ?", "url": "https://questionsmedicales.fr/mesh/D004837?mesh_terms=Platelet+Transfusion&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Épinéphrine", "description": "Quels sont les symptômes d'une surdose d'épinéphrine ?\nComment reconnaître une réaction allergique ?\nQuels signes indiquent une crise d'asthme ?\nQuels symptômes nécessitent une injection d'épinéphrine ?\nQuels sont les effets secondaires de l'épinéphrine ?", "url": "https://questionsmedicales.fr/mesh/D004837?mesh_terms=Platelet+Transfusion&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Épinéphrine", "description": "Comment prévenir une réaction allergique ?\nQuelles précautions prendre 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une surdose d'épinéphrine ?\nComment gérer les effets secondaires de l'épinéphrine ?\nQuelles sont les conséquences d'une anaphylaxie non traitée ?\nQuels sont les effets à long terme d'une anaphylaxie ?", "url": "https://questionsmedicales.fr/mesh/D004837?mesh_terms=Platelet+Transfusion&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Épinéphrine", "description": "Quels sont les facteurs de risque d'anaphylaxie ?\nComment l'âge influence-t-il le risque d'anaphylaxie ?\nQuels médicaments augmentent le risque d'allergies ?\nComment les allergies alimentaires influencent-elles le risque ?\nQuels facteurs environnementaux peuvent aggraver les allergies ?", "url": "https://questionsmedicales.fr/mesh/D004837?mesh_terms=Platelet+Transfusion&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une anaphylaxie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'anaphylaxie est diagnostiquée par des symptômes cliniques et l'historique d'exposition à un allergène." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer l'épinéphrine ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de laboratoire peuvent mesurer les niveaux d'épinéphrine dans le sang en cas de besoin." } }, { "@type": "Question", "name": "Quels signes indiquent un choc anaphylactique ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une difficulté respiratoire, une chute de la pression artérielle et des éruptions cutanées." } }, { "@type": "Question", "name": "Comment évaluer une réaction allergique ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation se fait par l'examen des symptômes et l'historique médical du patient." } }, { "@type": "Question", "name": "Quels sont les critères de diagnostic de l'anaphylaxie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent des symptômes cutanés, respiratoires et gastro-intestinaux après exposition à un allergène." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une surdose d'épinéphrine ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent palpitations, anxiété, tremblements et hypertension." } }, { "@type": "Question", "name": "Comment reconnaître une réaction allergique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les réactions allergiques peuvent se manifester par des démangeaisons, des éruptions cutanées et un gonflement." } }, { "@type": "Question", "name": "Quels signes indiquent une crise d'asthme ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent une respiration sifflante, une toux persistante et une oppression thoracique." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une injection d'épinéphrine ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes graves comme des difficultés respiratoires et un gonflement du visage nécessitent une injection." } }, { "@type": "Question", "name": "Quels sont les effets secondaires de l'épinéphrine ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires peuvent inclure des palpitations, des maux de tête et des nausées." } }, { "@type": "Question", "name": "Comment prévenir une réaction allergique ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Évitez les allergènes connus et portez un auto-injecteur d'épinéphrine en cas d'urgence." } }, { "@type": "Question", "name": "Quelles précautions prendre avec l'épinéphrine ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Conservez l'épinéphrine à température ambiante et vérifiez la date d'expiration régulièrement." } }, { "@type": "Question", "name": "Comment éduquer sur l'utilisation de l'épinéphrine ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Formez les patients et leurs proches à reconnaître les symptômes et à administrer l'épinéphrine." } }, { "@type": "Question", "name": "Quels sont les conseils pour les personnes allergiques ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Ayez toujours un auto-injecteur, informez votre entourage et portez un bracelet d'alerte médicale." } }, { "@type": "Question", "name": "Comment éviter les déclencheurs d'allergies ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Identifiez et évitez les aliments, médicaments ou insectes qui provoquent des réactions." } }, { "@type": "Question", "name": "Comment administrer l'épinéphrine en cas d'urgence ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "L'épinéphrine est généralement administrée par injection intramusculaire dans la cuisse." } }, { "@type": "Question", "name": "Quelle est la posologie standard d'épinéphrine ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La posologie standard pour l'anaphylaxie est de 0,3 à 0,5 mg pour les adultes, par injection." } }, { "@type": "Question", "name": "Quand répéter l'injection d'épinéphrine ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "L'injection peut être répétée toutes les 5 à 15 minutes si les symptômes persistent." } }, { "@type": "Question", "name": "Quels traitements alternatifs à l'épinéphrine existent ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des antihistaminiques et des corticostéroïdes peuvent être utilisés en complément, mais pas en remplacement." } }, { "@type": "Question", "name": "Comment l'épinéphrine aide-t-elle en cas d'asthme ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "L'épinéphrine dilate les voies respiratoires, facilitant la respiration lors d'une crise d'asthme." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une injection d'épinéphrine ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des complications peuvent inclure des arythmies cardiaques, des douleurs thoraciques ou des réactions locales." } }, { "@type": "Question", "name": "Quels risques sont associés à une surdose d'épinéphrine ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Une surdose peut entraîner des complications graves comme des crises cardiaques ou des AVC." } }, { "@type": "Question", "name": "Comment gérer les effets secondaires de l'épinéphrine ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Surveillez les symptômes et consultez un médecin si les effets secondaires persistent ou s'aggravent." } }, { "@type": "Question", "name": "Quelles sont les conséquences d'une anaphylaxie non traitée ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Une anaphylaxie non traitée peut entraîner un choc, une perte de conscience et même la mort." } }, { "@type": "Question", "name": "Quels sont les effets à long terme d'une anaphylaxie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les effets à long terme peuvent inclure des troubles anxieux et des modifications du mode de vie." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'anaphylaxie ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des antécédents d'allergies, des maladies respiratoires et des expositions répétées." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il le risque d'anaphylaxie ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les jeunes enfants et les personnes âgées sont plus à risque en raison de systèmes immunitaires fragiles." } }, { "@type": "Question", "name": "Quels médicaments augmentent le risque d'allergies ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Certains antibiotiques et anesthésiques peuvent augmenter le risque de réactions allergiques." } }, { "@type": "Question", "name": "Comment les allergies alimentaires influencent-elles le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les allergies alimentaires, comme celles aux arachides, augmentent le risque d'anaphylaxie." } }, { "@type": "Question", "name": "Quels facteurs environnementaux peuvent aggraver les allergies ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "La pollution, le pollen et les acariens peuvent exacerber les symptômes allergiques." } } ] } ] }

Sources (7155 au total)

Systematic reviews on platelet transfusions: Is there unnecessary duplication of effort? A scoping review.

Platelet transfusions are used across multiple patient populations to prevent and correct bleeding. This scoping review aimed to map the currently available systematic reviews (SRs) and evidence-based... A systematic literature search was conducted in seven databases for SRs on effectiveness (including dose and timing, transfusion trigger and ratio to other blood products), production modalities and d... We identified 110 SRs. The majority focused on clinical effectiveness, including prophylactic or therapeutic transfusions compared to no platelet transfusion (34 SRs), prophylactic compared to therape... An interactive evidence map of SRs and evidence-based guidelines in the field of platelet transfusion has been developed and identified multiple reviews. This work serves as a tool for researchers loo...

The safety of ABO minor incompatible platelets transfusions using a rapid infuser.

Administering platelets through a rapid infuser is proven to be safe. However, the clinical significance of infusing ABO-incompatible platelets with red blood cells (RBCs) in a rapid infuser remains u... Seven in vitro studies were performed including five cases (type A RBCs and type O platelets) and two controls (type A RBCs and platelets). Anti-A titers were measured in platelet units. An RBC unit a... The post-mix DAT was positive for IgG in all test samples (5/5), and weakly positive for complement in 3/5. The changes in free Hb in test cases between measured and calculated post-mix spanned -2.2 t... Our study suggested that mixing ABO-incompatible platelets with RBCs in a rapid infuser does not induce in vitro hemolysis. These findings support the use of rapid infusers regardless of platelet comp...

Therapeutic Efficacy of Platelet Transfusion and Analysis of Influencing Factors in 364 patients.

The aims of this study were to observe the therapeutic effect of platelet (PLT) transfusion and to analyze influencing factors for the sake of providing useful clues for improving the efficacy of PLT ... Included in this study were patients who received PLT transfusion in the affiliated hospital of Nantong University. Patients' sex, age, height, weight, PLT transfusion status, and 20-24-h PLT count be... A total of 364 patients received 1,060 PLT transfusions, including 728 successful transfusions and 332 unsuccessful transfusions. When the patients were grouped according to different etiologies, sign... To reduce PTR, multiple factors should be considered comprehensively when PLT transfusion therapy is to be implemented in clinical practice. PLT antibody is the main immune factor causing PTR....

Platelet transfusion practice pattern before and after implementation of a local restrictive transfusion protocol in a neonatal intensive care unit.

Following the results of the PlaNeT-2 randomized controlled trial showing decreased morbidity and mortality in neonates transfused at a threshold of 25 versus 50 × 10... Prospective observational cohort chart-review study comparing all neonates consecutively admitted to the NICU during two 5-months periods: 2013 (before; N = 401) versus 2021 (after; N = 402). Possible... Mean (± standard deviation) gestational age and birth weight were 34.9 ± 4.2 weeks and 2.5 ± 1.0 kg, respectively. In 2021, 5.0% were platelet-transfused versus 9.2% in 2013 (p = .027). Platelet trans... Restrictive local transfusion thresholds in a NICU decreased the proportion of platelet-transfused neonates by 46% and reduced donor exposure in transfused patients....

Two-year outcomes following a randomised platelet transfusion trial in preterm infants.

Assess mortality and neurodevelopmental outcomes at 2 years of corrected age in children who participated in the PlaNeT-2/MATISSE (Platelets for Neonatal Transfusion - 2/Management of Thrombocytopenia... Randomised clinical trial, enrolling from June 2011 to August 2017. Follow-up was complete by January 2020. Caregivers were not blinded; however, outcome assessors were blinded to treatment group.... 43 level II/III/IV neonatal intensive care units (NICUs) across UK, Netherlands and Ireland.... 660 infants born at less than 34 weeks' gestation with platelet counts less than 50×10... Infants were randomised to undergo a platelet transfusion at platelet count thresholds of 50×10... Our prespecified long-term follow-up outcome was a composite of death or neurodevelopmental impairment (developmental delay, cerebral palsy, seizure disorder, profound hearing or vision loss) at 2 yea... Follow-up data were available for 601 of 653 (92%) eligible participants. Of the 296 infants assigned to the higher threshold group, 147 (50%) died or survived with neurodevelopmental impairment, as c... Infants randomised to a higher platelet transfusion threshold of 50×10... ISRCTN87736839....

Aged versus fresh autologous platelet transfusion in a two-hit healthy volunteer model of transfusion-related acute lung injury.

Transfusion-related acute lung injury (TRALI) is a severe complication of blood transfusion that is thought of as a two-hit event: first the underlying patient condition (e.g., sepsis), and then the t... In a randomized controlled trial, 18 healthy male volunteers received a first hit of experimental endotoxemia (2 ng/kg lipopolysaccharide), and a second hit of fresh (2-day old) or aged (7-day old) au... All subjects reacted adequately to lipopolysaccharide infusion and satisfied SIRS criteria (increased pulse [>90/min] and temperature [>38°C]). There were no differences between the saline, fresh, and... In a human endotoxemia model of autologous platelet transfusion, with an adequate first hit and platelet storage lesion, transfusion of 7-day-old PC does not increase pulmonary inflammation compared w...

A randomized cross-over study of cryopreserved platelets in prophylactic transfusions of thrombocytopenic patients.

The short shelf-life of liquid-stored platelets (LP) at 20-24°C poses shortage and wastage challenges. Cryopreserved platelets have significantly extended shelf-life, and were safe and efficacious for... We performed a phase 1b/2a randomized cross-over study comparing the safety and efficacy of cryopreserved buffy coat-derived pooled platelets (CP) to LP in the prophylactic transfusions of thrombocyto... A total of 18 adults were randomly assigned 1:1 to CP and LP for their first thrombocytopenic period (TP) of up to 28-days. A total of 14 crossed over to the other platelet-arm for the second TP. Over... During shortages, CP may supplement LP in prophylactic transfusions of thrombocytopenic patients....