Evidence map›Paper›PMID 26442759›Full record

ArticleJournal of pain research2015

Regional anesthesia for an upper extremity amputation for palliative care in a patient with end-stage osteosarcoma complicated by a large anterior mediastinal mass.

Mumin Hakim, Candice Burrier, Tarun Bhalla, Vidya T Raman, David P Martin, Olamide Dairo, Joel L Mayerson, Joseph D Tobias

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain research, 2015. 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
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
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.

Mumin HakimDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Candice BurrierDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Tarun BhallaDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Vidya T RamanDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
David P MartinDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA ; Department of Anesthesiology and Pain Medicine, The Ohio State University, Columbus, OH, USA.
Olamide DairoDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Joel L MayersonDepartment of Orthopedic Surgery, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA ; Department of Orthopedic Surgery, The Ohio State University, Columbus, OH, USA.
Joseph D TobiasDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA ; Department of Anesthesiology and Pain Medicine, The Ohio State University, Columbus, OH, USA.
The Ohio State University · USNationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor progression during end-of-life care can lead to significant pain, which at times may be refractory to routine analgesic techniques. Although regional anesthesia is commonly used for postoperative pain care, there is limited experience with its use during home hospice care. We present a 24-year-old male with end-stage metastatic osteosarcoma who required anesthetic care for a right-sided above-the-elbow amputation. The anesthetic management was complicated by the presence of a large mediastinal mass, limited pulmonary reserve, and severe chronic pain with a high preoperative opioid requirement. Intraoperative anesthesia and postoperative pain management were provided by regional anesthesia using an interscalene catheter. He was discharged home with the interscalene catheter in place with a continuous local anesthetic infusion that allowed weaning of his chronic opioid medications and the provision of effective pain control. The perioperative applications of regional anesthesia in palliative and home hospice care are discussed.

Indexed as

osteosarcomapalliative careperipheral nerve block

Identifiers

PMID26442759
PMCPMC4590571
OpenAlexW1771264283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.