Evidence map›Paper›PMID 22829250›Full record

ArticleIndian journal of pediatrics2013

Near fatal case of amlodipine poisoning in an infant.

Somashekhar M Nimbalkar, Dipen Vasudev Patel

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Indian journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Treatment for calcium channel blocker poisoning: a systematic review.Clinical toxicology (Philadelphia, Pa.) · 2014
    Pooled it
  2. Management of Calcium Channel Blocker Toxicity in the Pediatric Patient.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
    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

2 authors at 2 institutions in 1 country.

Somashekhar M NimbalkarDepartment of Pediatrics, Shree Krishna Hospital, Pramukhswami Medical College, Karamsad, District, Anand, Gujarat 388325, India. somu_somu@yahoo.com
Dipen Vasudev Patel
Pramukhswami Medical College · INShree Krishna Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 11-mo-old infant received 12.5 times the maximum therapeutic dose of amlodipine as a result of a medication error in lieu of amoxicillin. He presented with vomiting, lethargy, breathlessness, muffled heart sounds and progressed to hypotensive shock within three hours of admission. He received mechanical ventilation, fluid therapy with normal saline and inotropes. But his parameters improved rapidly only after initiating him on insulin and dextrose infusion therapy (for 15 h) along with glucagon and calcium gluconate infusion (for 72 h). Calcium channel blockers (CCB) cause impaired insulin secretion causing hyperglycemia. High levels of blood sugar are of prognostic value rather than hemodynamic variables in CCB poisoning. A continuous infusion of 0.5 to 1 unit per kg body weight per hour of insulin along with supportive therapy including peritoneal dialysis (for deranged renal function) was used with success in managing amlodipine poisoning.

Indexed as

Medication ErrorsAmlodipineCalcium Channel BlockersDrug OverdoseGlucoseHumansHypotensionInfantInfusions, IntravenousInsulinAmlodipineCalcium Channel BlockersGlucoseInsulin

Identifiers

PMID22829250
OpenAlexW1973799046

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.