Evidence map›Paper›PMID 33138830›Full record

ArticleCardiovascular ultrasound2020

Vaginal delivery in a patient with severe aortic stenosis under epidural analgesia, a case report.

Lorenza Driul, Francesco Meroi, Alessia Sala, Silvia Delrio, Daisy Pavoni, Federico Barbariol, Ambrogio Londero, Teresa Dogareschi, Alessandra Spasiano, Luigi Vetrugno and 1 more

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In one paragraph

Article in Cardiovascular ultrasound, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 1 institution in 1 country.

Lorenza DriulDepartment of Medicine, Gynecology and Obstetrics Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy.
Francesco MeroiDepartment of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy. franzcesco@hotmail.it.ORCID http://orcid.org/0000-0002-7989-1605
Alessia SalaDepartment of Medicine, Gynecology and Obstetrics Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy.
Silvia DelrioDepartment of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy.
Daisy PavoniDepartment of Cardiothoracic Sciences, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine, Italy.
Federico BarbariolDepartment of Anesthesia and Intensive Care, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine, Italy.
Ambrogio LonderoDepartment of Maternal and Child Health, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine, Italy.
Teresa DogareschiDepartment of Anesthesia and Intensive Care, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine, Italy.
Alessandra SpasianoDepartment of Anesthesia and Intensive Care, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine, Italy.
Luigi VetrugnoDepartment of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy.
Tiziana BoveDepartment of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Via Colugna n° 50, 33100, Udine, Italy.
University of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA history of previous cardiac disease increases the maternal mortality risk by as much as 100%. There is no consensus on the absolute contraindications to vaginal delivery in valvular heart disease, but central regional anesthesia is traditionally considered contraindicated in patients with severe aortic stenosis. CASE PRESENTATION: A 29-year-old primigravid woman with severe aortic stenosis was admitted to the obstetrics department for programmed labor induction. With epidural anesthesia and mini-invasive hemodynamic monitoring labor and operative vaginal delivery were well tolerated, and hemodynamic stability was always maintained.

conclusionsEpidural analgesia and oxytocin induction are possible for the labor management of parturients with severe aortic stenosis given that continuous non-invasive followed by invasive hemodynamic monitoring can be provided and given the absence of any obstetric or cardiologic contraindications and the strong will of the patient.

Indexed as

Pregnancy Complications, CardiovascularAdultAnalgesia, EpiduralAortic Valve StenosisDelivery, ObstetricEchocardiographyElectrocardiographyFemaleHumansInfant, NewbornPregnancySeverity of Illness IndexEpidural anesthesiaLabor inductionSevere aortic stenosis

Identifiers

PMID33138830
PMCPMC7607616
OpenAlexW3095959670

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.