Evidence map›Paper›PMID 33123386›Full record

ArticleCase reports in anesthesiology2020

Ultrasound-Guided Interscalene Brachial Plexus Block for Pathological Humerus Fracture due to Multiple Myeloma with Systemic Manifestation: Useful Option for Management in Low-Income Countries.

Pawan Kumar Hamal, Bibena Lamichhane, Nabin Pokhrel, Janith Singh, Rupesh Kumar Yadav

Abstract readCase Reports
In one paragraph

Article in Case reports in anesthesiology, 2020. 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
–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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Pawan Kumar HamalNational Academy of Medical Science, National Trauma Center, Kathmandu, Nepal.ORCID https://orcid.org/0000-0003-4887-3487
Bibena LamichhaneNational Academy of Medical Science, National Trauma Center, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-0705-2597
Nabin PokhrelNational Academy of Medical Science, National Trauma Center, Kathmandu, Nepal.
Janith SinghNational Academy of Medical Science, National Trauma Center, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-6170-6694
Rupesh Kumar YadavNational Academy of Medical Science, National Trauma Center, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-0607-6677

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anesthetic management of pathological fracture due to multiple myeloma with systemic manifestation poses a perioperative challenge especially in low-resource setups like Nepal. Regional anesthesia using ultrasound-guided block can improve the accuracy, reduce complications, and improve overall perioperative management of pathological fractures due to malignancy with systemic spread in resource-deprived setups. We present a case of a 53-year-old lady with pathological fracture of left humerus shaft, a diagnosed case of multiple myeloma with compression fracture of multiple lumbar spine with chest wall metastasis with resolving acute kidney injury with chest infections. Ultrasound-guided interscalene brachial plexus block with sedation was done for open reduction internal fixation of humerus shaft fracture taking in consideration the overall high perioperative risk of patient. Intraoperative hemodynamic was uneventful, with no neurological sequelae and good recovery status perioperatively. Ultrasound-guided interscalene brachial plexus block if done cautiously can be a very useful alternative technique for better perioperative outcome in patients with malignancy with systemic spread in areas where expertise is scarce and resource is limited.

Identifiers

PMID33123386
PMCPMC7586149

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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.