Page last updated: 2024-10-22

acetaminophen and Critical Illness

acetaminophen has been researched along with Critical Illness in 64 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
"In adults with severe sepsis and detectable plasma cell-free hemoglobin, treatment with acetaminophen within 24 hours of ICU admission may reduce oxidative injury and improve renal function."9.20Randomized, placebo-controlled trial of acetaminophen for the reduction of oxidative injury in severe sepsis: the Acetaminophen for the Reduction of Oxidative Injury in Severe Sepsis trial. ( Bastarache, JA; Bernard, GR; Janz, DR; Oates, JA; Rice, TW; Roberts, LJ; Sills, G; Ware, LB; Warren, MA; Wickersham, N, 2015)
"Acetaminophen is a common therapy for fever in patients in the intensive care unit (ICU) who have probable infection, but its effects are unknown."9.20Acetaminophen for Fever in Critically Ill Patients with Suspected Infection. ( Beasley, R; Bellomo, R; Freebairn, R; Hammond, N; Henderson, S; Holliday, M; Mackle, D; McArthur, C; McGuinness, S; Myburgh, J; Saxena, M; van Haren, F; Weatherall, M; Webb, S; Young, P, 2015)
"Acetaminophen (APAP) has been shown to inhibit lipid peroxidation and, thus, may be renal protective in patients with sepsis."5.48Effect of Acetaminophen on the Prevention of Acute Kidney Injury in Patients With Sepsis. ( Aljuhani, O; Bakhsh, H; Erstad, BL; Patanwala, AE, 2018)
" IV and PO APAP doses administered with a predose pain score ≥4 within 1 h of dosing were compared."5.43Intravenous Versus Oral Acetaminophen for Pain Control in Neurocritical Care Patients. ( Brophy, GM; Nadpara, PA; Nichols, DC; Taylor, PD, 2016)
"In May and June 2020, an open-date literature search of English publications indexed in ProQuest, PubMed, and EBSCO was conducted with the search terms 'acetaminophen' and 'hypotension' and related search combinations ('paracetamol', 'propacetamol', 'low blood pressure', 'fever', 'sepsis', and 'shock') to identify peer-reviewed publications of blood pressure changes after paracetamol administration in humans."5.22A narrative review of paracetamol-induced hypotension: Keeping the patient safe. ( Young, TL, 2022)
"In adults with severe sepsis and detectable plasma cell-free hemoglobin, treatment with acetaminophen within 24 hours of ICU admission may reduce oxidative injury and improve renal function."5.20Randomized, placebo-controlled trial of acetaminophen for the reduction of oxidative injury in severe sepsis: the Acetaminophen for the Reduction of Oxidative Injury in Severe Sepsis trial. ( Bastarache, JA; Bernard, GR; Janz, DR; Oates, JA; Rice, TW; Roberts, LJ; Sills, G; Ware, LB; Warren, MA; Wickersham, N, 2015)
"Acetaminophen is a common therapy for fever in patients in the intensive care unit (ICU) who have probable infection, but its effects are unknown."5.20Acetaminophen for Fever in Critically Ill Patients with Suspected Infection. ( Beasley, R; Bellomo, R; Freebairn, R; Hammond, N; Henderson, S; Holliday, M; Mackle, D; McArthur, C; McGuinness, S; Myburgh, J; Saxena, M; van Haren, F; Weatherall, M; Webb, S; Young, P, 2015)
"To compare the antipyretic and hemodynamic effects of metamizol and propacetamol in critically ill patients with fever."5.10[Metamizol versus propacetamol: comparative study of the hemodynamic and antipyretic effects in critically ill patients]. ( Cruz, P; Díaz, S; Fernández-Quero, L; Garutti, I, 2002)
"Literature searches were performed using keywords: "paracetamol", "acetaminophen", "critical illness", "intensive care", "history", "pharmacology", "antipyre*", "analgesi*", "adverse effect*", "administration and dosage", "toxicity", "animals" and "humans"."4.88Paracetamol in critical illness: a review. ( Jefferies, S; Saxena, M; Young, P, 2012)
"All children who received acetaminophen or had a fever (temperature ≥ 38°C) while on the ICU over a 40-month period (September 2012 to December 2015)."3.88The Effect of Acetaminophen on Temperature in Critically Ill Children: A Retrospective Analysis of Over 50,000 Doses. ( Brown, KL; Peters, MJ; Ray, S; Rogers, L, 2018)
"We sought to assess the incidence of acetaminophen-induced hypotension."3.83Acetaminophen-Induced Changes in Systemic Blood Pressure in Critically Ill Patients: Results of a Multicenter Cohort Study. ( Abroug, F; Balichard, S; Bornstain, C; Cantais, A; Darmon, M; Hammouda, Z; Meziani, F; Perinel, S; Schnell, D; Vincent, F; Zeni, F, 2016)
"Admission M30 levels were significantly elevated in acetaminophen-induced acute liver failure and non-acetaminophen induced acute liver failure patients compared with multiple organ failure, chronic liver disease, and healthy controls."3.79Character and temporal evolution of apoptosis in acetaminophen-induced acute liver failure*. ( Abeles, RD; Antoniades, CG; Bernal, W; Dharwan, A; Heaton, ND; Hughes, RD; Jassem, W; Karvellas, CJ; Leslie, EM; Ma, Y; McPhail, MJ; Mitry, RR; Possamai, LA; Puthucheary, Z; Quaglia, A; Rawal, J; Shawcross, DL; Thursz, M; Tidswell, R; Wendon, JA; Zingarelli, V, 2013)
"To elucidate the mechanism of hypotension following intravenous administration of paracetamol (acetaminophen) to patients on the Intensive Care Unit."3.79Mechanism of paracetamol-induced hypotension in critically ill patients: a prospective observational cross-over study. ( Duška, F; Krajčová, A; Matoušek, V, 2013)
" Acetaminophen was administered for 88 of 166 fevers."3.76Acetaminophen has limited antipyretic activity in critically ill patients. ( Chen, H; Greenberg, RS; Hasday, JD, 2010)
"To investigate the effect of intravenous propacetamol, a parenteral bioprecursor of acetaminophen, on systemic blood pressure in critically ill patients with fever, and to establish the prevalence and clinical significance of this effect."3.74Effect of intravenous propacetamol on blood pressure in febrile critically ill patients. ( Hersch, M; Izbicki, G; Raveh, D, 2008)
" Laboratory evaluation revealed a high anion gap metabolic acidosis and modestly elevated acetaminophen level."3.74Profound metabolic acidosis and oxoprolinuria in an adult. ( Cantor, R; Carmel, PM; Hodgman, MJ; Holland, MG; Horn, JF; Marraffa, JM; Stork, CM, 2007)
" The mean age, weight and area under the concentration-time curve for the sampled dosing interval were 34."2.87Population pharmacokinetics of intravenous paracetamol in critically ill patients with traumatic brain injury. ( Gowardman, J; Lipman, J; Myburgh, J; Parker, SL; Roberts, JA; Saxena, M, 2018)
"The pharmacokinetic profile of intravenous acetaminophen administered to critically ill multiple-trauma patients was studied after 4 consecutive doses of 1 g every 6 hours."2.84Pharmacokinetic Study of Intravenous Acetaminophen Administered to Critically Ill Multiple-Trauma Patients at the Usual Dosage and a New Proposal for Administration. ( Fuster-Lluch, O; Gerónimo-Pardo, M; Zapater-Hernández, P, 2017)
"To assess the safety and feasibility of treating critically ill adults with different fever control strategies."2.78Assessment of the safety and feasibility of administering antipyretic therapy in critically ill adults: a pilot randomized clinical trial. ( Kubes, P; Laupland, KB; Léger, C; Niven, DJ; Stelfox, HT, 2013)
"Aggressively treating fever in critically ill patients may lead to a higher mortality rate."2.71The effect of antipyretic therapy upon outcomes in critically ill patients: a randomized, prospective study. ( Alhaddad, A; Amortegui, J; Baracco, G; Cohn, SM; Dlugasch, L; Doherty, J; Dy, CJ; Elhaddad, A; Lasko, D; Li, P; Manning, RJ; Namias, N; Schulman, CI, 2005)
"Although fever is a host defense response that may benefit some critically ill patients, others may not tolerate the cardiovascular demands associated with fever."2.70Comparison of fever treatments in the critically ill: a pilot study. ( Henker, R; Kelso, L; Kerr, M; Kramer, DJ; Rogers, S; Sereika, S, 2001)
"Induction of fever is mediated by the release of pyrogenic cytokines (tumor necrosis factor α, interleukin 1, interleukin 6, and interferons)."2.55Paracetamol in fever in critically ill patients-an update. ( Chiumello, D; Gotti, M; Vergani, G, 2017)
"Acetaminophen (paracetamol) is a ubiquitously administered drug in critically ill patients."1.91Population Pharmacokinetic Modeling and Dose Optimization of Acetaminophen and its Metabolites Following Intravenous Infusion in Critically ill Adults. ( Mulubwa, M; Qader, AM; Sridharan, K, 2023)
"• Acetaminophen dosing errors are common in pediatric outpatients."1.72Liver enzymes after short-term acetaminophen error in critically ill children: a cohort study. ( Parshuram, C; Pullenayegum, E; Rochon, P; Roumeliotis, N; Taddio, A, 2022)
" Dosing regimens of frusemide, and acetaminophen, and the sizes of ductus arteriosus following treatment, were evaluated."1.62Intravenous frusemide does not interact pharmacodynamically with acetaminophen in critically ill preterm neonates with patent ductus arteriosus. ( Al Ansari, E; Al Jufairi, M; Al Madhoob, A; Al Marzooq, R; Sridharan, K, 2021)
"8-20 mo) the mean enteral bioavailability was 72% (range, 11-91%)."1.51Enteral Acetaminophen Bioavailability in Pediatric Intensive Care Patients Determined With an Oral Microtracer and Pharmacokinetic Modeling to Optimize Dosing. ( Calvier, E; de Wildt, SN; Kleiber, N; Knibbe, CAJ; Krekels, EHJ; Mooij, MG; Tibboel, D; Vaes, WHJ, 2019)
"Acetaminophen (APAP) has been shown to inhibit lipid peroxidation and, thus, may be renal protective in patients with sepsis."1.48Effect of Acetaminophen on the Prevention of Acute Kidney Injury in Patients With Sepsis. ( Aljuhani, O; Bakhsh, H; Erstad, BL; Patanwala, AE, 2018)
"Routine oral dosing practices in a SSA hospital resulted in substantial underexposure to paracetamol."1.46Paracetamol clinical dosing routine leads to paracetamol underexposure in an adult severely ill sub-Saharan African hospital population: a drug concentration measurement study. ( Bos, JC; Mathôt, RAA; Mistício, MC; Nunguiane, G; Prins, JM; van Hest, RM, 2017)
" IV and PO APAP doses administered with a predose pain score ≥4 within 1 h of dosing were compared."1.43Intravenous Versus Oral Acetaminophen for Pain Control in Neurocritical Care Patients. ( Brophy, GM; Nadpara, PA; Nichols, DC; Taylor, PD, 2016)
"Fever is one of the most commonly observed abnormal signs in patients with critical illness."1.38Assessment of the safety and feasibility of administering anti-pyretic therapy in critically ill adults: study protocol of a randomized trial. ( Kubes, P; Laupland, KB; Léger, C; Niven, DJ; Stelfox, HT, 2012)
"Dexketoprofen was the most effective antipyretic agent at the doses tested."1.38[Hemodynamic and antipyretic effects of paracetamol, metamizol and dexketoprofen in critical patients]. ( Betbesé, AJ; Gich, I; Mancebo, J; Vera, P; Zapata, L, 2012)
"To develop a semi-mechanistic population pharmacokinetic model based on gastric emptying function for acetaminophen plasma concentration in critically ill patients tolerant and intolerant to enteral nutrition before and after prokinetic therapy."1.37A semi-mechanistic gastric emptying model for the population pharmacokinetic analysis of orally administered acetaminophen in critically ill patients. ( Aarons, L; Dukes, G; Maclaren, R; Ogungbenro, K; Vasist, L; Young, M, 2011)
"Most glucose meter comparisons to date have focused on performance specifications likely to impact subcutaneous dosing of insulin."1.35Evaluation of the impact of hematocrit and other interference on the accuracy of hospital-based glucose meters. ( Bryant, SC; Dubois, JA; Griesmann, L; Karon, BS; Presti, S; Santrach, PJ; Scott, R; Shirey, TL, 2008)

Research

Studies (64)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (9.38)18.2507
2000's11 (17.19)29.6817
2010's38 (59.38)24.3611
2020's9 (14.06)2.80

Authors

AuthorsStudies
Roumeliotis, N2
Frndova, H1
Pullenayegum, E2
Taddio, A2
Rochon, P2
Parshuram, CS1
Gillmann, HJ1
Reichart, J1
Leffler, A2
Stueber, T1
Parshuram, C1
Baldia, PH1
Wernly, B1
Flaatten, H1
Fjølner, J1
Artigas, A1
Pinto, BB1
Schefold, JC1
Kelm, M1
Beil, M1
Bruno, RR1
Binnebößel, S1
Wolff, G1
Erkens, R1
Sigal, S1
van Heerden, PV1
Szczeklik, W1
Elhadi, M1
Joannidis, M1
Oeyen, S1
Marsh, B1
Andersen, FH1
Moreno, R1
Leaver, S1
De Lange, DW1
Guidet, B1
Jung, C1
Belicard, F1
Pinceaux, K1
Le Pabic, E1
Coirier, V1
Delamaire, F1
Painvin, B1
Lesouhaitier, M1
Maamar, A1
Guillot, P1
Quelven, Q1
Houssel, P1
Boudjema, K1
Reizine, F1
Camus, C1
Sridharan, K2
Mulubwa, M1
Qader, AM1
Moffett, BS2
Gutierrez, K1
Davis, K1
Sigdel, B1
Strobel, N1
Kleiber, N1
Calvier, E1
Mooij, MG1
Krekels, EHJ1
Vaes, WHJ1
Tibboel, D2
Knibbe, CAJ1
de Wildt, SN1
Al Madhoob, A1
Al Jufairi, M1
Al Ansari, E1
Al Marzooq, R1
Southren, DL1
Nardone, AD1
Haastrup, AA1
Roberts, RJ1
Chang, MG1
Bittner, EA1
Young, TL1
Schell-Chaple, HM1
Liu, KD1
Matthay, MA1
Sessler, DI1
Puntillo, KA1
Simon, A1
Ray, S2
Brick, T1
Raman, S1
Birrell, PJ1
Klein, NJ1
Peters, MJ2
Fuster-Lluch, O1
Zapater-Hernández, P1
Gerónimo-Pardo, M1
Patanwala, AE1
Aljuhani, O1
Bakhsh, H1
Erstad, BL1
Mian, P1
Morlion, B1
Allegaert, K1
Bos, JC1
Mistício, MC1
Nunguiane, G1
Mathôt, RAA1
van Hest, RM1
Prins, JM1
Rogers, L1
Brown, KL1
Parker, SL1
Saxena, M4
Gowardman, J1
Lipman, J1
Myburgh, J3
Roberts, JA1
Achuff, BJ1
Acosta, S1
Lasa, JJ1
Checchia, PA1
Rusin, CG1
Wampole, CR1
Smith, KE1
Maxwell, EN1
Johnson, B1
Cammilleri, J1
Ferreira, JA1
Payen, JF1
Genty, C1
Mimoz, O1
Mantz, J1
Bosson, JL1
Chanques, G1
Possamai, LA1
McPhail, MJ1
Quaglia, A1
Zingarelli, V1
Abeles, RD1
Tidswell, R1
Puthucheary, Z1
Rawal, J1
Karvellas, CJ1
Leslie, EM1
Hughes, RD1
Ma, Y1
Jassem, W1
Shawcross, DL1
Bernal, W1
Dharwan, A1
Heaton, ND1
Thursz, M1
Wendon, JA1
Mitry, RR1
Antoniades, CG1
McGill, MR1
Jaeschke, H1
Janz, DR1
Bastarache, JA1
Rice, TW1
Bernard, GR1
Warren, MA1
Wickersham, N1
Sills, G1
Oates, JA1
Roberts, LJ1
Ware, LB1
Kar, P1
Jones, KL1
Horowitz, M1
Chapman, MJ1
Deane, AM1
Suzuki, S1
Eastwood, GM2
Bailey, M2
Gattas, D1
Kruger, P1
Santamaria, JD1
Bellomo, R4
Young, P3
Freebairn, R1
Hammond, N1
van Haren, F1
Holliday, M1
Henderson, S1
Mackle, D1
McArthur, C1
McGuinness, S1
Weatherall, M1
Webb, S1
Beasley, R1
Nichols, DC1
Nadpara, PA1
Taylor, PD1
Brophy, GM1
Cantais, A1
Schnell, D1
Vincent, F1
Hammouda, Z1
Perinel, S1
Balichard, S1
Abroug, F1
Zeni, F1
Meziani, F1
Bornstain, C1
Darmon, M1
Kelly, SJ1
Moran, JL1
Williams, PJ1
Burns, K1
Rowland, A1
Miners, JO1
Peake, SL1
Nair, A1
Chiumello, D1
Gotti, M1
Vergani, G1
Hersch, M1
Raveh, D1
Izbicki, G1
Greenberg, RS1
Chen, H1
Hasday, JD1
Memis, D1
Inal, MT1
Temizoz, O1
Genchallac, H1
Ozdemir, H1
Sut, N1
Ogungbenro, K1
Vasist, L1
Maclaren, R2
Dukes, G1
Young, M1
Aarons, L1
Lines, SW1
Wood, A1
Bellamy, MC1
Lewington, AJ1
Selladurai, S1
Saxena, MK1
Hammond, NE1
Taylor, C1
Reade, MC1
Jefferies, S1
Niven, DJ2
Léger, C2
Kubes, P2
Stelfox, HT2
Laupland, KB2
Krajčová, A1
Matoušek, V1
Duška, F1
Vera, P1
Zapata, L1
Gich, I1
Mancebo, J1
Betbesé, AJ1
Egi, M1
Cruz, P1
Garutti, I1
Díaz, S1
Fernández-Quero, L1
McGuire, BM1
Tamion, F1
Hamelin, K1
Duflo, A1
Girault, C1
Richard, JC1
Bonmarchand, G1
Schulman, CI1
Namias, N1
Doherty, J1
Manning, RJ1
Li, P2
Elhaddad, A1
Alhaddad, A1
Lasko, D1
Amortegui, J1
Dy, CJ1
Dlugasch, L1
Baracco, G1
Cohn, SM1
Hodgman, MJ1
Horn, JF1
Stork, CM1
Marraffa, JM1
Holland, MG1
Cantor, R1
Carmel, PM1
Karon, BS1
Griesmann, L1
Scott, R1
Bryant, SC1
Dubois, JA1
Shirey, TL1
Presti, S1
Santrach, PJ1
Dive, A1
Miesse, C1
Galanti, L1
Jamart, J1
Evrard, P1
Gonzalez, M1
Installé, E1
Heyland, DK2
Tougas, G2
Cook, DJ2
Guyatt, GH1
King, D1
Poblete, B1
Romand, JA1
Pichard, C1
König, P1
Suter, PM1
Frost, P1
Edwards, N1
Bihari, D1
Boyle, M1
Hundy, S1
Torda, TA1
Kuhl, DA1
Gervasio, JM1
Brown, RO1
Dickerson, RN1
Livingston, TN1
Swift, K1
Headley, S1
Kudsk, KA1
Lima, JJ1
Cohen, J1
Aharon, A1
Singer, P1
Mackenzie, I1
Forrest, K1
Thompson, F1
Marsh, R1
Henker, R1
Rogers, S1
Kramer, DJ1
Kelso, L1
Kerr, M1
Sereika, S1

Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Bromocriptine to Reduce Body Temperature in Febrile Critically-ill Adults With Acute Neurologic Disease: an Open-label, Blinded Endpoint, Randomized Controlled Trial[NCT03496545]Phase 1/Phase 247 participants (Actual)Interventional2018-11-30Completed
Haemodynamic Effects of Paracetamol (Acetaminophen) as Extended Intravenous Infusion Versus Intravenous Bolus in Septic Shock Patients[NCT06076980]Phase 461 participants (Actual)Interventional2020-11-01Completed
Adjuvant Continuous Infusion of Nefopam Versus Standard of Care in Mechanically Ventilated Critically Ill Patients: Randomized Double-blind Controlled Study[NCT05071352]Phase 360 participants (Anticipated)Interventional2021-10-01Recruiting
Control of Fever in Septic Patients[NCT04227652]140 participants (Actual)Interventional2013-09-03Completed
Safety and Antipyretic Efficacy of Acetaminophen in the Febrile Intensive Care Unit Patient.[NCT02280239]Phase 410 participants (Actual)Interventional2015-05-31Terminated (stopped due to Only enrolled 10 participants over 9 months which is less then anticipated (75).)
Effects of Intravenous Acetaminophen on Body Temperature and Hemodynamic Responses in Febrile Critically Ill Adults: a Randomized Controlled Trial[NCT01869699]Phase 441 participants (Actual)Interventional2013-09-30Completed
Effect of Celiac Plexus Block on Gastric Emptying and Symptoms Caused by Gastroparesis[NCT02420925]0 participants (Actual)Interventional2014-10-31Withdrawn (stopped due to "enrollment 0")
Comparison of the Efficacy of Paracetamol and Ibuprofen in the Management of Fever in Sepsis Patients: A Randomized Double-Blind Controlled Study[NCT06061575]Phase 484 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Assessment of the Safety of Anti-pyretic Therapy in Critically Ill Adults[NCT01173367]Phase 226 participants (Actual)Interventional2010-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Temperature Burden

Mean total body temperature burden above 37°C over 48 hours during which patient receives either control or intervention medication. (NCT03496545)
Timeframe: over 48 hours

InterventionTemperature in degrees Celsius (Mean)
Acetaminophen37.8
Bromocriptine and Acetaminophen37.7

Total Time That Temperature is ≥ 38.3ºC

Time in minutes where the temperature is ≥ 38.3ºC during the 48 hours of control versus intervention administration. (NCT03496545)
Timeframe: 48 hours

InterventionMinutes (Mean)
Acetaminophen216
Bromocriptine and Acetaminophen300

Total Time to First Temperature < 37.5ºC

Time in minutes it took after medication administration for the temperature to reach < 37.5ºC. (NCT03496545)
Timeframe: 48 hours

InterventionMinutes (Mean)
Acetaminophen253.5
Bromocriptine and Acetaminophen556

Incidence of Adverse Events - Symptomatic Hypotension, Nausea and Headache

Episodes of symptomatic hypotension, including decrease in supine systolic and diastolic pressures of greater than 20mm and 10mm Hg respectively with patient reported accompanying symptoms of light headedness or dizziness and incidence of nausea and headache. (NCT03496545)
Timeframe: Nursing assessment at every shift during 48 hour study period after first drug administration

,
InterventionParticipants (Count of Participants)
Decrease in blood pressureNauseaHeadache
Acetaminophen1228
Bromocriptine and Acetaminophen17312

Clinically Significant Hypotension

Clinically significant hypotension is defined as an acute drop in mean arterial pressure requiring treatment. Treatment is defined as either a 500 cc (or greater) fluid bolus and/or an increase in inotrope support of greater than 5 mcg/min over baseline. (NCT02280239)
Timeframe: 4 hours post acetaminophen administration

InterventionParticipants (Count of Participants)
Control Group0
Acetaminophen Group0

Blood Pressure

systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressures (MAP) will be monitored for 4 hours post intervention (NCT02280239)
Timeframe: 4 hours post intervention

,
InterventionmmHg (Mean)
SBP: Pre-Intervention (2 hours)SBP: Post-Intervention (4 hours)DBP: Pre-Intervention (2 hours)DBP: Post-Intervention (4 hours)MAP: Pre-Intervention (2 hours)MAP: Post-Intervention (4 hours)
Acetaminophen Group122.6119.566.265.484.182.4
Control Group141.6141.557.451.080.875.5

Equivalent-dose of Vasoactive Medication Post Intervention

"Total dose of all vasoactive medications will be converted to total Equidose value (with the formula 10 mcg/min norepinephrine ≈ 5 mcg/kg/min dopamine ≈ 10 mcg/min epinephrine ≈ 1 mcg/min phenylephrine ≈ 0.02 u/min vasopressin as per Russell et al. (2008)) before comparing the treatment and control groups~Only 2 of the 6 participants were on low-dose vasoactive medications, (i.e., one was on norepinephrine and the other was on milrinone) therefore the pre-planned conversion calculation was not done." (NCT02280239)
Timeframe: 4 hours post intervention

,
Interventionmcg (Number)
Pre-Intervention (2 hours) TOTAL NorepinephrinePre-Intervention (2 hours) TOTAL MilrinonePost-Intervention (4 hours) TOTAL NorepinephrinePost-Intervention (4 hours) TOTAL Milrinone
Acetaminophen GroupNA6000.0NA7000.0
Control Group167.0NA576.0NA

Equivalent-volume Fluid Administered Post Intervention

Total crystalloid and colloid fluid will be converted the the equi-volume dose (with the ratio 1.4:1 (as per Finfer et al.(2004) & Vincent and Weil (2006) before making comparisons between the treatment and control groups. (NCT02280239)
Timeframe: 4 hours post intervention

,
InterventionmL (Mean)
Pre-Intervention (2 hours) Total fluid INTAKEPre-Intervention (2 hours) Total fluid OUTPUTPost-Intervention (4 hours) Total Fluid INTAKEPost-Intervention (4 hours) Total Fluid OUTPUT
Acetaminophen Group298370612852
Control Group23580734245

Fever Burden

"Continuous measurements of core body temperature will be recorded for 6 hours. Fever burden (FB) is defined as area between the 6 hour temperature curve and 38.3°C cut-off and it is reported in °C-hour.~PRE-INTERVENTION FB: is reported for a 2 hour period. POST-INTERVENTION FB: post-intervention fever burden is reported for a 6 hour period and average hourly fever burden.~Peak Temperature: is the highest recorded temperature for the study period in °C Minimum Temperature: is the lowest recorded temperature for the study period in °C" (NCT02280239)
Timeframe: 6 hours post intervention

,
Intervention°C*hours (Mean)
Pre-Intervention FB (2 hours)Post-Intervention FB (6 hours)
Acetaminophen Group2.165.65
Control Group0.970.74

2-hour Change Over Time Core Temperature

change over time core temperature after study drug administration (adjusted to baseline core temperature) (NCT01869699)
Timeframe: 2 hours

Interventiondegrees Celsius (Mean)
Normal Saline Placebo-0.01
Acetaminophen-0.8

2-hour Change Over Time Heart Rate

2-hour change over time heart rate from time of study drug administration (means adjusted to baseline HR) (NCT01869699)
Timeframe: Baseline to 2 hours

InterventionBPM (Mean)
Normal Saline Placebo2
Acetaminophen-6

2-hour Change Over Time Systolic Blood Pressure

2-hour change over time SBP from study drug administration (means adjusted to baseline SBP) (NCT01869699)
Timeframe: Baseline to 2 hours

Interventionmm Hg (Mean)
Normal Saline Placebo-0.1
Acetaminophen-24

Core Body Temperature

time-weighted average core body temperature over 4 hours. Core temperature was measured every 5 minutes times 4, and then every 15 minutes over the following 4 hours from the time of study drug administration. The sum of the core temperature values was divided by time in minutes. (NCT01869699)
Timeframe: Baseline to 4 hours post study drug administration

Interventiondegrees Celsius (Mean)
Normal Saline Placebo38.4
Acetaminophen37.9

Heart Rate

time-weighted average heart rate over 4 hours. Heart rate was measured every 5 minutes times 4, and then every 15 minutes over the following 4 hours from the time of study drug administration. The sum of the heart rate values was divided by time in minutes. (NCT01869699)
Timeframe: Baseline to 4 hours post study drug administration

Interventionbeats per minute (Mean)
Normal Saline Placebo92
Acetaminophen87

Respiratory Rate

time weighted average for respiratory rate over 4 hours. Respiratory rate was measured every 5 minutes times 4, and then every 15 minutes over the following 4 hours from the time of study drug administration. The sum of the respiratory rate values was divided by time in minutes. (NCT01869699)
Timeframe: Baseline to 4 hours post study drug administration

Interventionbreaths per minute (Mean)
Normal Saline Placebo22
Acetaminophen21

Systolic Blood Pressure

time-weighted average systolic blood pressure over 4 hours. Systolic blood pressure was measured every 5 minutes times 4, and then every 15 minutes over the following 4 hours from the time of study drug administration. The sum of the systolic blood pressure values was divided by time in minutes. (NCT01869699)
Timeframe: Baseline to 4 hours post study drug administration

Interventionmm Hg (Mean)
Normal Saline Placebo143
Acetaminophen127

Reviews

8 reviews available for acetaminophen and Critical Illness

ArticleYear
A narrative review of paracetamol-induced hypotension: Keeping the patient safe.
    Nursing open, 2022, Volume: 9, Issue:3

    Topics: Acetaminophen; Critical Illness; Fever; Humans; Hypotension; Hypotension, Controlled

2022
[Antipyretics in intensive care patients].
    Der Anaesthesist, 2017, Volume: 66, Issue:7

    Topics: Acetaminophen; Antipyretics; Critical Care; Critical Illness; Fever; Humans; Sepsis

2017
Intravenous Acetaminophen-Induced Hypotension: A Review of the Current Literature.
    The Annals of pharmacotherapy, 2019, Volume: 53, Issue:10

    Topics: Acetaminophen; Administration, Intravenous; Analgesics, Non-Narcotic; Blood Pressure; Critical Illne

2019
Measurement of gastric emptying in the critically ill.
    Clinical nutrition (Edinburgh, Scotland), 2015, Volume: 34, Issue:4

    Topics: 3-O-Methylglucose; Acetaminophen; Breath Tests; Critical Illness; Databases, Factual; Enteral Nutrit

2015
Paracetamol in fever in critically ill patients-an update.
    Journal of critical care, 2017, Volume: 38

    Topics: Acetaminophen; Analgesics; Analgesics, Non-Narcotic; Antipyretics; Critical Illness; Cyclooxygenase

2017
Paracetamol in critical illness: a review.
    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2012, Volume: 14, Issue:1

    Topics: Acetaminophen; Analgesics; Antipyretics; Critical Illness; Drug-Related Side Effects and Adverse Rea

2012
[Fever in non-neurological critically ill patients; friends or foe?].
    Masui. The Japanese journal of anesthesiology, 2011, Volume: 60 Suppl

    Topics: Acetaminophen; Aged; Anti-Inflammatory Agents, Non-Steroidal; Body Temperature; Clinical Trials as T

2011
The critically ill liver patient: fulminant hepatic failure.
    Seminars in gastrointestinal disease, 2003, Volume: 14, Issue:1

    Topics: Acetaminophen; Acetylcysteine; Analgesics, Non-Narcotic; Brain Edema; Critical Illness; Diagnosis, D

2003

Trials

16 trials available for acetaminophen and Critical Illness

ArticleYear
Effects of IV Acetaminophen on Core Body Temperature and Hemodynamic Responses in Febrile Critically Ill Adults: A Randomized Controlled Trial.
    Critical care medicine, 2017, Volume: 45, Issue:7

    Topics: Acetaminophen; Adult; Aged; Blood Pressure; Body Temperature; Critical Illness; Double-Blind Method;

2017
Pharmacokinetic Study of Intravenous Acetaminophen Administered to Critically Ill Multiple-Trauma Patients at the Usual Dosage and a New Proposal for Administration.
    Journal of clinical pharmacology, 2017, Volume: 57, Issue:10

    Topics: Acetaminophen; Administration, Intravenous; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic

2017
Population pharmacokinetics of intravenous paracetamol in critically ill patients with traumatic brain injury.
    Journal of critical care, 2018, Volume: 47

    Topics: Acetaminophen; Adult; Antipyretics; Area Under Curve; Brain Injuries, Traumatic; Critical Illness; D

2018
Randomized, placebo-controlled trial of acetaminophen for the reduction of oxidative injury in severe sepsis: the Acetaminophen for the Reduction of Oxidative Injury in Severe Sepsis trial.
    Critical care medicine, 2015, Volume: 43, Issue:3

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Cell-Free System; Creatinine; Critical Illness; Doub

2015
Acetaminophen for Fever in Critically Ill Patients with Suspected Infection.
    The New England journal of medicine, 2015, Dec-03, Volume: 373, Issue:23

    Topics: Acetaminophen; Aged; Body Temperature; Critical Illness; Double-Blind Method; Female; Fever; Humans;

2015
Acetaminophen for Fever in Critically Ill Patients with Suspected Infection.
    The New England journal of medicine, 2015, Dec-03, Volume: 373, Issue:23

    Topics: Acetaminophen; Aged; Body Temperature; Critical Illness; Double-Blind Method; Female; Fever; Humans;

2015
Acetaminophen for Fever in Critically Ill Patients with Suspected Infection.
    The New England journal of medicine, 2015, Dec-03, Volume: 373, Issue:23

    Topics: Acetaminophen; Aged; Body Temperature; Critical Illness; Double-Blind Method; Female; Fever; Humans;

2015
Acetaminophen for Fever in Critically Ill Patients with Suspected Infection.
    The New England journal of medicine, 2015, Dec-03, Volume: 373, Issue:23

    Topics: Acetaminophen; Aged; Body Temperature; Critical Illness; Double-Blind Method; Female; Fever; Humans;

2015
Haemodynamic effects of parenteral vs. enteral paracetamol in critically ill patients: a randomised controlled trial.
    Anaesthesia, 2016, Volume: 71, Issue:10

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Drug Administration

2016
The effect of celiac plexus block in critically ill patients intolerant of enteral nutrition: a randomized, placebo-controlled study.
    Anesthesia and analgesia, 2010, Apr-01, Volume: 110, Issue:4

    Topics: Acetaminophen; Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Anesthesia; APACHE; Blood Glucose;

2010
Assessment of the safety and feasibility of administering antipyretic therapy in critically ill adults: a pilot randomized clinical trial.
    Journal of critical care, 2013, Volume: 28, Issue:3

    Topics: Acetaminophen; Aged; Antipyretics; Chi-Square Distribution; Critical Illness; Feasibility Studies; F

2013
[Metamizol versus propacetamol: comparative study of the hemodynamic and antipyretic effects in critically ill patients].
    Revista espanola de anestesiologia y reanimacion, 2002, Volume: 49, Issue:8

    Topics: Acetaminophen; Anti-Inflammatory Agents, Non-Steroidal; Critical Illness; Dipyrone; Female; Fever; H

2002
Gastric emptying in mechanically ventilated critically ill patients: effect of neuromuscular blocking agent.
    Intensive care medicine, 2003, Volume: 29, Issue:10

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; Atracurium; Conscious Sedation; Critical Illne

2003
The effect of antipyretic therapy upon outcomes in critically ill patients: a randomized, prospective study.
    Surgical infections, 2005,Winter, Volume: 6, Issue:4

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; Body Temperature; Body Temperature Regulation;

2005
Effect of erythromycin on gastric motility in mechanically ventilated critically ill patients: a double-blind, randomized, placebo-controlled study.
    Critical care medicine, 1995, Volume: 23, Issue:8

    Topics: Acetaminophen; Adult; Aged; Critical Illness; Cross-Over Studies; Double-Blind Method; Erythromycin;

1995
Cisapride improves gastric emptying in mechanically ventilated, critically ill patients. A randomized, double-blind trial.
    American journal of respiratory and critical care medicine, 1996, Volume: 154, Issue:6 Pt 1

    Topics: Acetaminophen; Anti-Ulcer Agents; Cisapride; Critical Illness; Double-Blind Method; Female; Gastric

1996
Metabolic effects of i.v. propacetamol, metamizol or external cooling in critically ill febrile sedated patients.
    British journal of anaesthesia, 1997, Volume: 78, Issue:2

    Topics: Acetaminophen; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Critical Illness; Cross-Over St

1997
Sequential single doses of cisapride, erythromycin, and metoclopramide in critically ill patients intolerant to enteral nutrition: a randomized, placebo-controlled, crossover study.
    Critical care medicine, 2000, Volume: 28, Issue:2

    Topics: Acetaminophen; Administration, Oral; Adult; Aged; Antiemetics; Cisapride; Critical Illness; Cross-Ov

2000
Comparison of fever treatments in the critically ill: a pilot study.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2001, Volume: 10, Issue:4

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Combined Modality Therapy; Critical Care; Critical Illness;

2001

Other Studies

40 other studies available for acetaminophen and Critical Illness

ArticleYear
Dosing of enteral acetaminophen in critically ill children: a cohort study.
    Archives of disease in childhood, 2022, Volume: 107, Issue:4

    Topics: Acetaminophen; Child; Cohort Studies; Critical Illness; Drug Overdose; Humans; Intensive Care Units,

2022
The antipyretic effectiveness of dipyrone in the intensive care unit: A retrospective cohort study.
    PloS one, 2022, Volume: 17, Issue:3

    Topics: Acetaminophen; Antipyretics; Critical Illness; Dipyrone; Humans; Intensive Care Units; Retrospective

2022
Liver enzymes after short-term acetaminophen error in critically ill children: a cohort study.
    European journal of pediatrics, 2022, Volume: 181, Issue:8

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Child; Cohort Studies; Critical Illness; Humans; Liver; Ret

2022
The association of prior paracetamol intake with outcome of very old intensive care patients with COVID-19: results from an international prospective multicentre trial.
    BMC geriatrics, 2022, 12-27, Volume: 22, Issue:1

    Topics: Acetaminophen; COVID-19; Critical Care; Critical Illness; Humans; Pandemics; Prospective Studies

2022
Bacterial and fungal infections: a frequent and deadly complication among critically ill acute liver failure patients.
    Infectious diseases (London, England), 2023, Volume: 55, Issue:7

    Topics: Acetaminophen; Critical Illness; Humans; Intensive Care Units; Mycoses; Respiration, Artificial; Ret

2023
Population Pharmacokinetic Modeling and Dose Optimization of Acetaminophen and its Metabolites Following Intravenous Infusion in Critically ill Adults.
    European journal of drug metabolism and pharmacokinetics, 2023, Volume: 48, Issue:5

    Topics: Acetaminophen; Administration, Intravenous; Adult; Critical Illness; Glucuronides; Humans; Infusions

2023
Antipyretic Efficacy of Acetaminophen and Ibuprofen in Critically Ill Pediatric Patients.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2019, Volume: 20, Issue:8

    Topics: Acetaminophen; Antipyretics; Body Temperature; Child; Child, Preschool; Critical Illness; Female; Fe

2019
Enteral Acetaminophen Bioavailability in Pediatric Intensive Care Patients Determined With an Oral Microtracer and Pharmacokinetic Modeling to Optimize Dosing.
    Critical care medicine, 2019, Volume: 47, Issue:12

    Topics: Acetaminophen; Administration, Intravenous; Administration, Oral; Biological Availability; Child; Ch

2019
Intravenous frusemide does not interact pharmacodynamically with acetaminophen in critically ill preterm neonates with patent ductus arteriosus.
    European review for medical and pharmacological sciences, 2021, Volume: 25, Issue:3

    Topics: Acetaminophen; Administration, Intravenous; Critical Illness; Ductus Arteriosus, Patent; Female; Fur

2021
An examination of gastrointestinal absorption using the acetaminophen absorption test in critically ill patients with COVID-19: A retrospective cohort study.
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2021, Volume: 36, Issue:4

    Topics: Acetaminophen; COVID-19; Critical Illness; Humans; Intestinal Absorption; Retrospective Studies; SAR

2021
Haemodynamic changes with paracetamol in critically-ill children.
    Journal of critical care, 2017, Volume: 40

    Topics: Acetaminophen; Adolescent; Adult; Analgesics, Non-Narcotic; Blood Pressure; Child; Child, Hospitaliz

2017
Effect of Acetaminophen on the Prevention of Acute Kidney Injury in Patients With Sepsis.
    The Annals of pharmacotherapy, 2018, Volume: 52, Issue:1

    Topics: Acetaminophen; Acute Kidney Injury; Adult; Aged; Critical Illness; Female; Humans; Intensive Care Un

2018
Continuous Intravenous Acetaminophen for Analgesia: First, Back to the Drawing Table?
    Journal of clinical pharmacology, 2017, Volume: 57, Issue:10

    Topics: Acetaminophen; Administration, Intravenous; Analgesia; Critical Illness; Humans; Pain Management

2017
Paracetamol clinical dosing routine leads to paracetamol underexposure in an adult severely ill sub-Saharan African hospital population: a drug concentration measurement study.
    BMC research notes, 2017, Dec-04, Volume: 10, Issue:1

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; Biological Availability; Critical Illness; Cro

2017
The Effect of Acetaminophen on Temperature in Critically Ill Children: A Retrospective Analysis of Over 50,000 Doses.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2018, Volume: 19, Issue:3

    Topics: Acetaminophen; Antipyretics; Body Temperature; Child; Cohort Studies; Critical Illness; Fever; Human

2018
Hypotensive Response to IV Acetaminophen in Pediatric Cardiac Patients.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2019, Volume: 20, Issue:6

    Topics: Acetaminophen; Administration, Intravenous; Age Factors; Analgesics, Non-Narcotic; Blood Pressure; C

2019
Beyond Opioids for Pain Management in Adult Critically Ill Patients.
    Journal of pharmacy practice, 2019, Volume: 32, Issue:3

    Topics: Acetaminophen; Adrenergic alpha-2 Receptor Agonists; Adult; Analgesia; Analgesics; Analgesics, Non-N

2019
Prescribing nonopioids in mechanically ventilated critically ill patients.
    Journal of critical care, 2013, Volume: 28, Issue:4

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; Analgesics, Opioid; Chi-Square Distribution; C

2013
Character and temporal evolution of apoptosis in acetaminophen-induced acute liver failure*.
    Critical care medicine, 2013, Volume: 41, Issue:11

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; APACHE; Apoptosis; Chemical and Drug Induced L

2013
Apoptosis or necrosis in acetaminophen-induced acute liver failure? New insights from mechanistic biomarkers*.
    Critical care medicine, 2013, Volume: 41, Issue:11

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Apoptosis; Chemical and Drug Induced Liver Injury; Critical

2013
Paracetamol therapy and outcome of critically ill patients: a multicenter retrospective observational study.
    Critical care (London, England), 2015, Apr-13, Volume: 19

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Critical Illness; Hospital Mortality; Humans; Intensive Car

2015
Intravenous Versus Oral Acetaminophen for Pain Control in Neurocritical Care Patients.
    Neurocritical care, 2016, Volume: 25, Issue:3

    Topics: Acetaminophen; Administration, Intravenous; Administration, Oral; Adolescent; Adult; Aged; Aged, 80

2016
Acetaminophen-Induced Changes in Systemic Blood Pressure in Critically Ill Patients: Results of a Multicenter Cohort Study.
    Critical care medicine, 2016, Volume: 44, Issue:12

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Blood Pressure; Critical Illness; Female; Humans; Hyp

2016
Does mannitol contribute to hypotension after parenteral paracetamol administration in critical care?
    Anaesthesia, 2017, Volume: 72, Issue:1

    Topics: Acetaminophen; Critical Care; Critical Illness; Hemodynamics; Humans; Hypotension; Mannitol

2017
Effect of intravenous propacetamol on blood pressure in febrile critically ill patients.
    Pharmacotherapy, 2008, Volume: 28, Issue:10

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Blood Pressure;

2008
Effect of intravenous propacetamol on blood pressure in febrile critically ill patients.
    Pharmacotherapy, 2008, Volume: 28, Issue:10

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Blood Pressure;

2008
Effect of intravenous propacetamol on blood pressure in febrile critically ill patients.
    Pharmacotherapy, 2008, Volume: 28, Issue:10

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Blood Pressure;

2008
Effect of intravenous propacetamol on blood pressure in febrile critically ill patients.
    Pharmacotherapy, 2008, Volume: 28, Issue:10

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Blood Pressure;

2008
Acetaminophen has limited antipyretic activity in critically ill patients.
    Journal of critical care, 2010, Volume: 25, Issue:2

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Critical Care; Critical Illness; Female;

2010
A semi-mechanistic gastric emptying model for the population pharmacokinetic analysis of orally administered acetaminophen in critically ill patients.
    Pharmaceutical research, 2011, Volume: 28, Issue:2

    Topics: Acetaminophen; Administration, Oral; Algorithms; Analgesics, Non-Narcotic; Antiemetics; Critical Ill

2011
The outcomes of critically ill patients with combined severe acute liver and kidney injury secondary to paracetamol toxicity requiring renal replacement therapy.
    Renal failure, 2011, Volume: 33, Issue:8

    Topics: Acetaminophen; Acute Kidney Injury; Adult; Chemical and Drug Induced Liver Injury; Critical Illness;

2011
Paracetamol therapy for septic critically ill patients: a retrospective observational study.
    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2011, Volume: 13, Issue:3

    Topics: Acetaminophen; Antipyretics; Critical Illness; Female; Humans; Intensive Care Units; Male; Middle Ag

2011
A survey of fever management for febrile intensive care patients without neurological injury.
    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2011, Volume: 13, Issue:4

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Attitude of Health Personnel; Critical Illness; Fever; Heal

2011
Assessment of the safety and feasibility of administering anti-pyretic therapy in critically ill adults: study protocol of a randomized trial.
    BMC research notes, 2012, Mar-16, Volume: 5

    Topics: Acetaminophen; Adolescent; Adult; Aged; Alberta; Antipyretics; Body Temperature; Critical Illness; D

2012
Mechanism of paracetamol-induced hypotension in critically ill patients: a prospective observational cross-over study.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2013, Volume: 26, Issue:3

    Topics: Acetaminophen; Aged; Antipyretics; Body Temperature; Critical Illness; Cross-Over Studies; Female; H

2013
[Hemodynamic and antipyretic effects of paracetamol, metamizol and dexketoprofen in critical patients].
    Medicina intensiva, 2012, Volume: 36, Issue:9

    Topics: Acetaminophen; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antipyretics

2012
Profound metabolic acidosis and oxoprolinuria in an adult.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2007, Volume: 3, Issue:3

    Topics: Acetaminophen; Acidosis; Analgesics, Non-Narcotic; Critical Illness; Female; Humans; Metabolic Disea

2007
Evaluation of the impact of hematocrit and other interference on the accuracy of hospital-based glucose meters.
    Diabetes technology & therapeutics, 2008, Volume: 10, Issue:2

    Topics: Acetaminophen; Anti-Inflammatory Agents, Non-Steroidal; Ascorbic Acid; Blood Chemical Analysis; Bloo

2008
Impaired gastric emptying in mechanically ventilated, critically ill patients.
    Intensive care medicine, 1996, Volume: 22, Issue:12

    Topics: Acetaminophen; Adult; Aged; Analgesics, Opioid; Analysis of Variance; Case-Control Studies; Critical

1996
Gastric emptying in the critically ill--the way forward?
    Intensive care medicine, 1997, Volume: 23, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Enteral Nutrition; Gastric

1997
Paracetamol administration is associated with hypotension in the critically ill.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 1997, Volume: 10, Issue:4

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Drug Monitoring; Fem

1997
Paracetamol administration is associated with hypotension in the critically ill.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 1997, Volume: 10, Issue:4

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Drug Monitoring; Fem

1997
Paracetamol administration is associated with hypotension in the critically ill.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 1997, Volume: 10, Issue:4

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Drug Monitoring; Fem

1997
Paracetamol administration is associated with hypotension in the critically ill.
    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 1997, Volume: 10, Issue:4

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Critical Care; Critical Illness; Drug Monitoring; Fem

1997
The paracetamol absorption test: a useful addition to the enteral nutrition algorithm?
    Clinical nutrition (Edinburgh, Scotland), 2000, Volume: 19, Issue:4

    Topics: Acetaminophen; Adult; Aged; Aged, 80 and over; Algorithms; Critical Illness; Enteral Nutrition; Fema

2000
Effects of acetaminophen administration to patients in intensive care.
    Intensive care medicine, 2000, Volume: 26, Issue:9

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Critical Illness; Female; Heart Rate; Hum

2000
Effects of acetaminophen administration to patients in intensive care.
    Intensive care medicine, 2000, Volume: 26, Issue:9

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Critical Illness; Female; Heart Rate; Hum

2000
Effects of acetaminophen administration to patients in intensive care.
    Intensive care medicine, 2000, Volume: 26, Issue:9

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Critical Illness; Female; Heart Rate; Hum

2000
Effects of acetaminophen administration to patients in intensive care.
    Intensive care medicine, 2000, Volume: 26, Issue:9

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Body Temperature; Critical Illness; Female; Heart Rate; Hum

2000