Evidence map›Paper›PMID 30362143›Full record

ArticleBritish journal of clinical pharmacology2019

An evaluation of the role of mixing techniques in the observed variation in acetylcysteine infusion concentrations.

Kerry Layne, Louise Hope, Edmund Rab, John Archer, David M Wood, Paul I Dargan

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

6 authors at 3 institutions in 1 country.

Kerry LayneGeneral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-4740-0664
Louise HopeClinical Toxicology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Edmund RabSpecialised Clinical Chemistry, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
John ArcherGeneral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
David M WoodGeneral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Paul I DarganGeneral Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
King's College London · GBGuy's and St Thomas' NHS Foundation Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous acetylcysteine is commonly prescribed as a course of three infusions for the management of paracetamol poisoning. Previous studies have demonstrated large variation in administered doses of intravenous acetylcysteine, which has been attributed to numerous factors, including inadequate mixing of infusion bags. The aim of this study was to determine whether the amount of mixing of infusion bags contributes significantly to this variation. Using acetylcysteine doses for a 60-69 kg patient, we added the appropriate volume of acetylcysteine to 5% glucose and subsequently inverted the infusion bags 0-5 times to mix the solutions. Infusion bags were then run through using an infusion pump and acetylcysteine concentrations measured at the beginning and end of the infusions. We found no significant difference between the beginning and end concentrations of acetylcysteine regardless of whether bags were mixed or not; infusion 1 (150 mg kg

Indexed as

AcetaminophenAcetylcysteineDose-Response Relationship, DrugDrug CompoundingDrug Dosage CalculationsDrug OverdoseHumansInfusion PumpsInfusions, IntravenousAcetaminophenAcetylcysteineacetylcysteineadministrationconcentrationdrug errorsparacetamol

Identifiers

PMID30362143
PMCPMC6303214
OpenAlexW2899376226

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.