Evidence map›Paper›PMID 34499005›Full record

Observational studyClinical toxicology (Philadelphia, Pa.)2022

Respiratory failure in confirmed synthetic cannabinoid overdose.

Alex F Manini, Alex J Krotulski, Jonathan Schimmel, Lisa Allen, Yasmin L Hurd, Lynne D Richardson, Kavey Vidal, Barry K Logan

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Clinical toxicology (Philadelphia, Pa.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Cannabinoid CBBritish journal of pharmacology · 2026
    Article
  2. Article
  3. In vitro CBArchives of toxicology · 2025
    Article
  4. Article
  5. CBPharmacological research · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

8 authors at 2 institutions in 1 country.

Alex F ManiniDivision of Medical Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0001-8276-9320
Alex J KrotulskiCenter for Forensic Science Research & Education, Fredric Rieders Family Foundation, Willow Grove, PA, USA.
Jonathan SchimmelDivision of Medical Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-6383-8308
Lisa AllenDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yasmin L HurdDepartments of Psychiatry, Neuroscience, and Pharmacological Sciences; Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-0808-2832
Lynne D RichardsonDepartments of Emergency Medicine and Population Health Science & Policy, and Institute for Health Equity Research, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Kavey VidalDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Barry K LoganCenter for Forensic Science Research & Education, Fredric Rieders Family Foundation, Willow Grove, PA, USA.ORCID 0000-0003-2400-4711
Icahn School of Medicine at Mount Sinai · USFredric Rieders Family Foundation · US

Funding

Predicting medical consequences of novel fentanyl analog overdose using the Toxicology Investigators Consortium (TOXIC) R01DA048009 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Alex Francis Manini · 2020 to 2026
$6.7M
Prevention of the cardiovascular medical consequences of drug overdoseR01DA037317 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MANINI, ALEX FRANCIS · 2014 to 2018
$3.6M
NIDA NIH HHS R01 DA037317NIDA NIH HHS R01 DA048009
6 · The paper itself

Abstract

contextSynthetic cannabinoids (SCs) are a structurally heterogenous synthetic class of drugs of abuse. The objective was to describe the incidence of acute respiratory failure in Emergency Department (ED) patients with confirmed SC exposure, and to investigate the association between SC overdose with respiratory failure compared to non-SC overdose.

methodsThis was an observational cohort of ED patients ≥18 years with suspected cannabinoid overdose between 2015 and 2020 at two tertiary-care hospitals. Patient serum was analyzed DISCUSSION: Of 83 patients with suspected cannabinoid overdose, there were 29 confirmed SC overdoses: 5 F-MDMB-PICA (

conclusionThis study demonstrates that SCs are associated with respiratory failure. Since respiratory depression is a potentially lethal adverse effect of SC overdose, future research is warranted.

Indexed as

CannabinoidsDrug OverdoseRespiratory InsufficiencyHumansMass SpectrometryCannabinoidsMDMB-4en-PINACAnaloxonerespiratory failureSCRAssynthetic cannabinoid receptor agonistsSynthetic cannabinoids

Identifiers

PMID34499005
PMCPMC9875316
OpenAlexW3196375172

What OpenQuestion holds

Textmetadata
LicenceTDM
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.