Evidence map›Paper›PMID 40769873›Full record

ReviewClinical and translational allergy2025

Optimizing Adrenaline Administration in Anaphylaxis: Clinical Practice Considerations and Safety Insights.

Motohiro Ebisawa, Antonella Muraro, Margitta Worm, Constance H Katelaris, Guillaume Pouessel, Johannes Ring, George Du Toit, Adam T Fox

Abstract readReview
In one paragraph

Review in Clinical and translational allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Motohiro EbisawaClinical Research Center for Allergy and Rheumatology, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan.ORCID https://orcid.org/0000-0003-4117-558X
Antonella MuraroFood Allergy Referral Centre, Department of Woman and Child Health, Padua University Hospital, Padua, Italy.ORCID https://orcid.org/0000-0002-5026-5862
Margitta WormDivision of Allergy and Immunology, Department of Dermatology, Venerology, and Allergy, Campus Charité Mitte, Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-3449-1245
Constance H KatelarisImmunology and Allergy Unit, Department of Medicine, Campbelltown Hospital and Western Sydney University, Sydney, New South Wales, Australia.
Guillaume PouesselCHU Lille, Pediatric Pulmonology and Allergy Department, Hôpital Jeanne de Flandre, Lille, France.
Johannes RingDepartment of Dermatology Allergology Biederstein, Technical University Munich (TUM), Munich, Germany.
George Du ToitKing's College London, School of Life Course Sciences and School of Immunology & Microbial Sciences, London, UK.
Adam T FoxKing's College London, School of Life Course Sciences and School of Immunology & Microbial Sciences, London, UK.

Funding

Viatris Inc
6 · The paper itself

Abstract

backgroundAnaphylaxis is an acute, severe, and potentially fatal reaction marked by the fast onset of symptoms and organ involvement that may lead to death from vascular collapse or airway obstruction. Despite adrenaline (epinephrine) being the first-line medication for reversing anaphylactic symptoms, misconceptions about its safe and correct use persist and lead to improper administration.

methodsThis review provides a comprehensive overview of clinical use of adrenaline autoinjectors (AAIs) in the management of anaphylaxis, key safety considerations, and pharmacokinetic/pharmacodynamic profile of three of the currently marketed AAIs.

resultsWhen administered intramuscularly (IM) at the recommended dose for anaphylaxis, adrenaline is considered safe; however, adequate training in emergency care is essential to minimize dosage errors and mitigate safety risks. In specific situations, such as refractory anaphylaxis, intravenous (IV) administration is advised under specialized settings due to the potential risk of severe cardiovascular complications that can result from dosing errors.

conclusionAlthough adrenaline can cause mild and transient side effects even when administered correctly at the recommended dosage, the potential side effects should not deter its use in critical situations such as anaphylaxis. This review aims to highlight the role of AAIs in improving patient outcomes during anaphylactic emergencies.

Indexed as

adrenalineanaphylaxisautoinjectorlife‐threateningsafety

Identifiers

PMID40769873
PMCPMC12328063

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.