Evidence map›Paper›PMID 32612433›Full record

ReviewThe Eurasian journal of medicine2020

Neuraxial and Perineural Bleeding after Neuraxial Techniques: An Overview of the Last Year.

Alessandro De Cassai, Christelle Correale, Ludovica Sandei

Abstract readReview
In one paragraph

Review in The Eurasian journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Alessandro De CassaiDepartment of Medicine - DIMED, University of Padova Section of Anesthesiology and Intensive Care, Padova, Italy.ORCID https://orcid.org/0000-0002-9773-1832
Christelle CorrealeDepartment of Medicine - DIMED, University of Padova Section of Anesthesiology and Intensive Care, Padova, Italy.ORCID https://orcid.org/0000-0003-4222-3977
Ludovica SandeiDepartment of Medicine - DIMED, University of Padova Section of Anesthesiology and Intensive Care, Padova, Italy.ORCID https://orcid.org/0000-0002-3288-1696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal hematoma following neuraxial or perineural techniques is a rare but severe complication that can potentially lead to catastrophic consequences. The aim of this review is to analyze all reported cases of neuraxial or perineural bleeding after performance of a locoregional technique since the last guidelines update in 2018. We included articles indexed by MEDLINE, Scopus, and Google Scholar. We analyzed the patient's age, surgical procedure, pre-operative anticoagulant and antiplatelet therapy, type of anesthetic procedure, vertebra level of the procedure, diameter and point type of the needle, hematoma type (spinal, subdural, epidural), signs and symptoms, time to imaging, and time to treatment and outcome. During our bibliographic research, we identified 5637 unique articles that were eligible according to our protocol criteria, identifying 18 separate cases of neuraxial bleeding. Although clinicians are usually aware of antiplatelet and anticoagulant perioperative management, a careful post-procedural observation and a detailed patient education are also imperative for the early detection of the symptoms of spinal cord ischemia.

Indexed as

Epidural anesthesiahemorrhagepatient safetyreviewspinal anesthesia

Identifiers

PMID32612433
PMCPMC7311137

What OpenQuestion holds

Textmetadata
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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.