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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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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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Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

Keskinruzgar A, Cankal DA, Koparal M, Simsek A, Karadag AS

OBJECTIVE: Arthrocentesis is a minimally invasive surgical procedure that is used to alleviate the symptoms of temporomandibular joint (TMJ) disorders. The aim of this study was to investigate the effect...
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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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Role of peripheral vestibular receptors in the control of blood pressure following hypotension

Jin GS, Li XL, Jin YZ, Kim MS, Park BR

Hypotension is one of the potential causes of dizziness. In this review, we summarize the studies published in recent years about the electrophysiological and pharmacological mechanisms of hypotension-induced dizziness and...
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Epinephrine-Induced Acute Pulmonary Edema during Septoplasty

Koo BS, Park JW, Na HW, Lee MS, Cho AN, Chung YH, Lee JH

Epinephrine is used with lidocaine to provide bloodless surgical field and to prolong the action of local anesthetics. But epinephrine also has many adverse reactions, such as agitation, restlessness, headache,...
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Comparative evaluation of the efficacy, safety, and hemostatic effect of 2% lidocaine with various concentrations of epinephrine

Karm MH, Kim M, Park FD, Seo KS, Kim HJ

BACKGROUND: We evaluated the changes in mean arterial pressure (MAP) and heart rate (HR), and the anesthetic and hemostatic effects, after injection of 2% lidocaine containing various concentrations of epinephrine...
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The Efficacy and Safety of Continuous Intravenous Infusion of Low-dose Epinephrine in Patients with Severe Acute Urticaria Who Do Not Achieve Sufficient Responses to Conventional Treatments: An 8-year Retrospective Study

Jeong WS, Hwangbo H, Lee SK

  • KMID: 2436684
  • Korean J Dermatol.
  • 2018 May;56(4):242-250.
BACKGROUND: Acute urticaria sometimes accompanies severe systemic reactions that can be potentially life-threatening. Some patients do not achieve sufficient responses to conventional treatments. There has been no previous study on...
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Wide-Awake Hand Surgery

Kang SW, Kim YW, Park JK

Wide-awake hand surgery is a surgical procedure that does not use a tourniquet and sedation through lidocaine and epinephrine injections and does not perform regional anesthesia or general anesthesia. Therefore,...
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