Evidence map›Paper›PMID 34306886›Full record

ArticleCureus2021

Thoracic Epidural Anesthesia for Modified Radical Mastectomy in a High-Risk Patient: A Case Report With Literature Review.

Aarti Srivastava, Shaista Jamil, Ankur Khandelwal, Manish Raj, Shalley Singh

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2021. 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
2.7field-weighted citation impact, top 9% 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, 14 citations in OpenAlex.

  1. Trial
  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

5 authors at 1 institution in 1 country.

Aarti SrivastavaAnaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, IND.
Shaista JamilAnaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, IND.
Ankur KhandelwalAnaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, IND.
Manish RajAnaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, IND.
Shalley SinghAnaesthesiology and Critical Care, Sharda University School of Medical Sciences and Research, Greater Noida, IND.
Sharda University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgery is one of the mainstays of treatment in breast cancers. Typically, modified radical mastectomy (MRM) is done under general anesthesia (GA). However, GA is not a reasonable choice in patients with multiple comorbidities and difficult airways. Thoracic epidural anesthesia (TEA) is a reasonable and safe alternative to GA as it involves blunting of stress response and avoidance of airway handling apart from hemodynamic stability, lower analgesic consumption, superior postoperative analgesia, reduced postoperative nausea and vomiting, earlier resumption of feeding, and shorter duration of hospitalization. We report a case of advanced breast cancer in a 57-year-old female with a co-existing difficult airway, bronchial asthma, and hypertension in whom MRM was conducted successfully under TEA. We also present a comprehensive review of literature on the use of TEA for MRM.

Indexed as

analgesiabreast cancergeneral anesthesiamodified radical mastectomythoracic epidural anesthesia

Identifiers

PMID34306886
PMCPMC8295951
OpenAlexW3174881538

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.