Anatomic and anthropometric determinants of intramuscular versus subcutaneous administration in children with epinephrine autoinjectors Daniel C. Bewick,

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Presentation transcript:

Anatomic and anthropometric determinants of intramuscular versus subcutaneous administration in children with epinephrine autoinjectors Daniel C. Bewick, MD, Neville B. Wright, MD, Richard S. Pumphrey, MD, Peter D. Arkwright, MD, DPhil The Journal of Allergy and Clinical Immunology: In Practice Volume 1, Issue 6, Pages 692-694 (November 2013) DOI: 10.1016/j.jaip.2013.08.004 Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 1 Percentage of children whose skin surface–to-muscle depth was greater than the autoinjector needle length based level of obesity defined by age-corrected BMI (www.cdc.gov/obesity/childhood/basics.html). Healthy weight (BMI <85th percentile) n = 67 (72%), overweight (BMI 85th-94th percentile) n = 9 (10%), obese (BMI ≥95th percentile) n = 17 (18%). Differences within all groups were statistically significant, with a P < .001 (χ2 test). The Journal of Allergy and Clinical Immunology: In Practice 2013 1, 692-694DOI: (10.1016/j.jaip.2013.08.004) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions