Evidence map›Paper›PMID 36523377›Full record

ArticleClinical case reports2022

Successful management of delayed presentation of massive paracetamol overdose in a resource-limited setting: A case report from Nepal.

Pratik Lamichhane, Kailash Mani Pokhrel, Bijay Bhandari, Anushka Agrawal, Bhumika Ghimire, Olita Shilpakar

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Pratik LamichhaneMaharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.ORCID https://orcid.org/0000-0002-3460-9899
Kailash Mani PokhrelMaharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.ORCID https://orcid.org/0000-0002-4645-5321
Bijay BhandariDrug and Patient Safety Unit Lumbini Provincial Hospital Rupandehi Nepal.
Anushka AgrawalMaharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.
Bhumika GhimireMaharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.
Olita ShilpakarDepartment of Emergency Medicine, TUTH Kathmandu Nepal.ORCID https://orcid.org/0000-0002-4437-531X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of self-poisoning with a massive dose of paracetamol by a young Nepalese female patient who presented late to our emergency department. This report highlights the successful management of the patient with the extended use of N-acetylcysteine over 4 days and continuous supportive therapy as required. The case is an example of the management of delayed presentation of a massive paracetamol poisoning in a resource-limited setting, where intensive care units and hemodialysis facilities are not easily available. However, when available, massive poisoning should always be managed in continuous monitoring units under the expertise of a toxicologist.

Indexed as

acetaminophenacetylcysteinecase reportNepalpoisoning

Identifiers

PMID36523377
PMCPMC9744716

What OpenQuestion holds

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Registered trials

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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.