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Augmented-Medication CardioPulmonary Resuscitation (AMCPR) trial: a study protocol for a randomized controlled trial

Oh DK, Kim Js, Ryoo SM, Kim YJ, Kim SM, Hong SI, Chae B, Kim WY

Objective Clinical trials on demodynamic-directed cardiopulmonary resuscitation have been limited. The aim of this study is to investigate whether Augmented-Medication CardioPulmonary Resuscitation (AMCPR) would improve the odds of return of...
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Assessment for Macular Thickness after Uncomplicated Phacoemulsification Using Optical Coherence Tomography

Kim BJ, Ahn YJ, Oh HY, Choi SI, Yoo YS, Whang WJ, Byun YS, Lee My, Joo CK

Purpose: Macular edema including cystoid macular edema is one of the main causes of unfavorable visual outcomes after cataract surgery. The macular thickness and the occurrence of macular edema after...
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Effect of Intracameral Epinephrine and Indocyanine Green Use on Corneal Endothelium during Cataract Surgery

Kim MA, Jo YH, Lee H, Shin KC

Purpose: To investigate the safety of single and combined use of epinephrine and indocyanine green during cataract surgery by evaluating the effects on corneal endothelial cells. Methods: From January 2017 to...
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Does the presence and amount of epinephrine in 2% lidocaine affect its anesthetic efficacy in the management of symptomatic maxillary molars with irreversible pulpitis?

Singla M, Gugnani M, Grewal MS, Kumar U, Aggarwal V

Background: This was a randomized controlled clinical trial that aimed to evaluate the anesthetic efficacy of 2% lidocaine combined with different concentrations of epinephrine (plain, 1:200,000 and 1:80,000) during endodontic...
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Effect of Prehospital Epinephrine on Out-of-Hospital Cardiac Arrest Outcomes: A Propensity Score-Matched Analysis

Han E, Kong T, You JS, Park I, Park G, Lee S, Chung SP, KCARC(I

Purpose: A pilot project using epinephrine at the scene under medical control is currently underway in Korea. This study aimed to determine whether prehospital epinephrine administration is associated with improved...
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Recent update on the management of anaphylaxis

Quoc QL, Bich TCT, Jang JH, Park HS

Anaphylaxis is a life-threatening systemic allergic reaction presenting various clinical manifestations. Its prevalence has increased in almost all age groups and both sexes. Food, venom, and drugs are major causes...
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Pharmacological treatment of the patients with croup

Jang YY, Chung HL

Background: Croup is a respiratory illness usually caused by acute viral infection of the larynx, trachea, and bronchi, and characterized by the abrupt onset of a barking cough, inspiratory stridor,...
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Efficacy of phentolamine mesylate in reducing the duration of various local anesthetics

Gago-García A, Barrilero-Martin C, Alobera-Gracia M, Canto-Pingarrón Md, Seco-Calvo J

Background: To evaluate changes in the effectiveness of phentolamine mesylate in combination with different local anesthetics (LAs) and vasoconstrictors. A prospective randomized double-blind study was conducted with 90 patients divided...
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Awareness of anaphylaxis among community and emergency responders in Korea

Cho H, Kim SH, Lee JH, Kim BS, Lee J, Kim JK, Park JS, Kwon JW

Purpose: Anaphylaxis is life-threatening, so early recognition and proper response are critical. This study evaluated the awareness of anaphylaxis in Korean community including teachers, 119 rescue team, and doctors in...
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Junctional rhythm with severe hypotension followinginfiltration of lidocaine containing epinephrineduring dental surgery

Jeon Y, Shim J, Kim H

We experienced an unusual case of accelerated junctional rhythm with severe hypotension after infiltration of lidocaine containing epinephrine during dental surgery under general anesthesia. The patient’s electrocardiogram exhibited retrograde P-waves following the...
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Anaphylaxis diagnosis and management in the Emergency Department of a tertiary hospital in the Philippines

De Vera MJ, Tagaro IC

BACKGROUND: In the Emergency Department (ED), diagnosis and management of anaphylaxis are challenging with at least 50% of anaphylaxis episodes misdiagnosed when the diagnostic criteria of current guidelines are not...
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Age group characteristics of clinical features and use of epinephrine in children with anaphylaxis who visited the emergency department

Baek N, Lee JS, Ryu JM

PURPOSE: Diagnosis of anaphylaxis depends on clinical manifestations and a high index of suspicion, and a misdiagnosis can lead to a preventable death. We aimed to investigate age group characteristics...
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Epinephrine-Induced Digital Vasospasm Reversed by a Phentolamine-Papaverine-Alprostadil Complex: A Case Report

Koh SH, You Y, Kim JS, Lee DC, Roh SY, Lee KJ, Hong MK

Epinephrine is widely used to treat severe anaphylaxis. However, the accidental injection of epinephrine into regions containing terminal arteries, such as digits, may cause severe vasospasm, leading to digital ischemia,...
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Anaphylactic shock after sugammadex administration, induced by formation of a sugammadex-rocuronium complex: a case report

Kim GH, Choi WS, Kim JE, Yun MJ, Koo MS, Kwon M, Seo H

BACKGROUND: Sugammadex is a reversal agent for non-depolarizing neuromuscular blockers and widely used worldwide on account of its rapid and effective reversal from neuromuscular blockade, despite its advantages, multiple cases...
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Epinephrine Infiltration and the Incidence of Bleeding Complications after Surgical Debridement of Pressure Ulcers with Negative Pressure Wound Therapy

Kim YH, Kim H, Cheon JH, Kang DH

BACKGROUND: For reducing intraoperative bleeding, epinephrine is commonly used as a vasoconstrictor with infiltration anesthesia. However, the effects of epinephrine on postoperative bleeding complications are still a matter of debate....
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Emergency room visits for severe complications after cosmetic surgery

Lee WS, Park SH, Kang SG, Tak MS, Kim CH, Lee SW

BACKGROUND: Because many cosmetic surgery clinics are not adequately equipped to handle emergent conditions, patients often come to a university hospital when problems occur during or after cosmetic surgery. However,...
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Underuse of Epinephrine for Pediatric Anaphylaxis Victims in the Emergency Department: A Population-based Study

Choi YJ, Kim J, Jung JY, Kwon H, Park JW

PURPOSE: Epinephrine is a key drug for treating anaphylaxis; however, its underuse is still a significant issue worldwide. The objective of this study was to compare epinephrine use between pediatric...
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Carrying rates of epinephrine devices in children with food-induced anaphylaxis

Ratanaprug C, Srisuwatchari W, Jirapongsananuruk O, Visitsunthorn N, Pacharn P

BACKGROUND: Carrying epinephrine can save lives in patients with anaphylaxis. The feature of epinephrine in prefilled syringe that commonly prescribed in Thailand may influence the willingness to carry. However, the...
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Infantile Anaphylaxis in Korea: a Multicenter Retrospective Case Study

Jeon YH, Lee S, Ahn K, Lee SY, Kim KW, Kim HH, Kim JH, Yum HY, Kim WK, Park YM, Song TW, Kim J, Lee YJ, Jang GC, Jeong K, Kim YH, Min TK, Pyun BY, on behalf of the Food Allergy and Atopic Dermatitis (FAAD) Study Group in the Korean Academy of Pediatric Allergy and Respiratory Disease

BACKGROUND: Anaphylaxis is increasing in young children. The aim of the present study was to analyze the clinical characteristics of anaphylaxis in Korean infants, with a focus on food triggers. METHODS:...
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The safety of one-per-mil tumescent infiltration into tissue that has survived ischemia

Prasetyono TOH, Nindita E

BACKGROUND: The aim of this study was to assess the safety of one-per-mil tumescent injections into viable skin flaps that had survived an ischemic insult, in order to assess the...
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