Reference 49

Level I Good quality evidence Systematic review of RCTs with
consistent findings
High quality individual RCT
Level II Limited quality patient
orientated evidence
Systematic review of lower quality
studies or studies with inconsistent
findings
Low quality clinical trial
Cohort studies
Case-control studies
Level III Other Consensus guidelines, extrapolations
from bench research, usual practice,
opinion, disease-oriented evidence
(intermediate or physiologic outcomes
only), or case series

[50] Dextrose 50%, IV & high dose insulin: Graudins A, Lee HM, Druda D. Calcium channel antagonist and beta-blocker

overdose: antidotes and adjunct therapies. Br J Clin Pharmacol. 2016 Mar;81(3):453-61. https://www.ncbi.nlm.nih.gov/pubmed/26344579

Dextrose 50%, IV & high dose insulin: Greene SL, Gawarammana I, Wood DM, Jones AL, Dargan PI. Relative safety of hyperinsulinaemia/euglycaemia therapy in the management of calcium channel blocker overdose: a prospective observational study. Intensive Care Med. 2007 Nov;33(11):2019-24. Epub 2007 Jul 11. http://www.ncbi.nlm.nih.gov/pubmed/17622512

Dextrose 50%, IV & high dose insulin: Patel NP, Pugh ME, Goldberg S, Eiger G. Hyperinsulinemiceuglycemia therapy for verapamil poisoning: a review. Am J Crit Care. 2007 Sep;16(5):498-503.http://www.ncbi.nlm.nih.gov/pubmed/17724247

Dextrose 50%, IV & high dose insulin: Engebretsen KM, Kaczmarek KM, Morgan J, Holger JS. High-dose insulin therapy in beta-blocker and calcium channel-blocker poisoning. Clin Toxicol (Phila). 2011 Apr;49(4):277-83. https://www.ncbi.nlm.nih.gov/pubmed/21563902