Evidence map›Paper›PMID 28979499›Full record

ArticleJournal of the Intensive Care Society2016

Manganese toxicity in critical care: Case report, literature review and recommendations for practice.

Edward Walter, Sinan Alsaffar, Callum Livingstone, Sarah L Ashley

Abstract readCase Reports
In one paragraph

Article in Journal of the Intensive Care Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Trace elements: Clinical perspectives in the critically ill.Journal of the Intensive Care Society · 2025
    Review
  3. Review
  4. Manganese Toxicity Associated With Total Parenteral Nutrition: A Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021
    Review
  5. Chronic Manganese Exposure and the Enteric Nervous System: AnEnvironmental health perspectives · 2021
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Manganese elimination in hepatobiliary failure.Journal of the Intensive Care Society · 2016
    Article
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

4 authors.

Edward WalterDepartment of Intensive Care, Royal Surrey County Hospital, Surrey, UK.
Sinan AlsaffarDepartment of Intensive Care, Royal Surrey County Hospital, Surrey, UK.
Callum LivingstoneClinical Biochemistry Department, Royal Surrey County Hospital, Surrey, UK.
Sarah L AshleyDepartment of Nutrition and Dietetics, Royal Surrey County Hospital, Surrey, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 62-year-old man on the intensive care unit with pancreatitis. Since early in his admission, and for the remainder of his prolonged stay in intensive care, he has received parenteral nutrition for intestinal failure. The whole blood manganese concentration was significantly increased after 2½ months of parenteral nutrition (PN). Three months into his stay, he developed a resting tremor and extra-pyramidal dyskinesia. In the absence of other neurological symptoms, and with no history of essential tremor, Parkinsonism or cerebral signs, hypermanganesaemia was presumed to be the cause. We review manganese metabolism and toxicity in patients who are fed with parenteral nutrition and review the current recommendations and guidelines.

Indexed as

critical caremanganese toxicitymonitoringParenteral nutrition

Identifiers

PMID28979499
PMCPMC5606512

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.