Evidence map›Paper›PMID 33451341›Full record

ArticleJournal of medical case reports2021

Suicidal attempt with caffeine overdose treated with dexmedetomidine: a case report.

Teppei Kitano, Masaki Okajima, Koji Sato, Toru Noda, Takumi Taniguchi

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

5 authors.

Teppei KitanoIntensive Care Unit, Kanazawa University Hospital, Kanazawa, 920-8641, Japan.
Masaki OkajimaIntensive Care Unit, Kanazawa University Hospital, Kanazawa, 920-8641, Japan. mmokaji@gmail.com.ORCID http://orcid.org/0000-0003-0184-3483
Koji SatoIntensive Care Unit, Kanazawa University Hospital, Kanazawa, 920-8641, Japan.
Toru NodaIntensive Care Unit, Kanazawa University Hospital, Kanazawa, 920-8641, Japan.
Takumi TaniguchiIntensive Care Unit, Kanazawa University Hospital, Kanazawa, 920-8641, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaffeine is a widely used dietary stimulant, and cases of caffeine overdoses, sometimes leading to death, are increasing. We encountered a case of caffeine intoxication resolved with administration of the sedative agent dexmedetomidine. CASE PRESENTATION: We administered dexmedetomidine for sedation and to suppress sympathetic nerve stimulation in the case of an 18-year-old Japanese male who ingested a massive dose of caffeine with the intention of committing suicide. The patient was in an excited state and had hypertension, sinus tachycardia, and hypokalemia with prominent QT prolongation. After dexmedetomidine administration, the patient's mental state, hemodynamics, and electrolyte levels were improved immediately. He was discharged without any sequelae 3 days later.

conclusionCases of acute caffeine intoxication with agitation, sympathetic overactivity and adverse cardiac events would benefit with dexmedetomidine treatment.

Indexed as

Suicide, AttemptedAcidosis, LacticAdolescentAntidotesCaffeineCentral Nervous System StimulantsCharcoalDexmedetomidineDrug OverdoseElectrocardiographyGastric LavageHumansHypertensionHypnotics and SedativesHypokalemiaLong QT SyndromeAntidotesCaffeineCentral Nervous System StimulantsCharcoalDexmedetomidineHypnotics and SedativesPotassiumCaffeineDexmedetomidineOverdosePoisoningSuicide

Identifiers

PMID33451341
PMCPMC7811210

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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.