Study |
Country |
Patients (n) |
Males (%) |
Age (mean ± SD) |
Intervention (I) and comparison (C) |
Outcomes (I/C) |
Disposition |
Cherian et al. [16] |
India |
110 I: 55, C: 55 |
I: 41 (75), C: 34 (62) |
I: 28 ±10.1, C: 26.5 ± 10.3 |
I: PAM infusion of 12 grams over 3 days C: Normal saline infusion for 3 days |
M: 16/3, V: 37/22, IMS: 36/19 |
ICU only |
Cherian et al. [14] |
India |
21, I:10, C: 11 |
NA |
NA |
I: PAM infusion of 12 g/day for 3 days in severe cases and 4 g/day for 3 days in moderate cases C: Normal saline infusion |
M: 1/1, V: 7/4, |
ICU only |
Eddleston et al. [17] |
Sri Lanka |
235, I: 121, C: 114 |
I: 96 (79.3), C: 92 (80.7) |
I: 31 ± 4.3, C: 29.5 ± 3.2 |
I: 2g loading dose over 20 min, then a constant infusion of 0.5g/h until 7 days, atropine had not been required for 12-24 h or death C: Normal saline infusion |
M: 30/18, V: 26/24, |
ICU and general wards |
Banerjee et al. [18] |
India |
60, I: 30, C: 30 |
I: 14 (47), C: 11 (37) |
I: 34.6 ± 9.8, C: 34.3 ± 8.8 |
I: PAM in a dose of 0.5-1 g 6 hourly, C: Atropine only |
M: 2/1, V: 6/2 |
ICU and general wards |
Banerjee et al. [19] |
India |
120, I: 60, C: 60 |
I: 23 (38), C: 26 (43) |
I: 34.6 ± 9.8, C: 34.3 ± 8.8 |
I: PAM in a dose of 1 g every 6 hours for a period of 5 days, C: Atropine alone |
M: 11/8, V: 3/5 |
ICU and general wards |
Syed et al. [20] |
India |
100, I: 50, C: 50 |
I: 19 (38), C: 20 (40) |
I: 29.1 ± 10.9, C: 28.2 ± 9.9 |
I: PAM at 30 mg/kg loading dose over 30 min followed by 8 mg/kg/h continuous infusion for a maximum of 7 days, C: Normal saline |
I: 13/14, V: 31/29, IMS: 10/9 |
ICU only |