Evidence map›Paper›PMID 34456499›Full record

ArticleProceedings (Baylor University. Medical Center)2021

Usefulness of low-dose combined spinal epidural anesthesia for a woman with systemic lupus erythematosus, mechanical prosthesis in the mitral valve position, and worsening heart failure presenting for cesarean delivery.

Devon Weidner, David Hepburn, Blake Harris, Jennifer Chae-Kim, Jessica Ehrig, Michael P Hofkamp

Open access · greenAbstract readCase Reports
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2021. 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, top 89% 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, 0 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

6 authors at 2 institutions in 1 country.

Devon WeidnerCollege of Medicine, Texas A&M University Health Science Center, Bryan, Texas.
David HepburnDepartment of Anesthesiology, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Blake HarrisDepartment of Anesthesiology, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Jennifer Chae-KimDepartment of Obstetrics and Gynecology, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Jessica EhrigDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Michael P HofkampDepartment of Anesthesiology, Baylor Scott & White Medical Center - Temple, Temple, Texas.ORCID https://orcid.org/0000-0002-5749-2849
Baylor Scott & White Medical Center - Temple · USTexas A&M Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 31-year-old woman, gravida one, para zero, at 32 weeks, 4 days gestation, with a history of antiphospholipid antibody syndrome, mitral valve replacement requiring anticoagulation, chronic diastolic heart failure, and systemic lupus erythematous was admitted to the hospital for worsening cardiac decompensation with superimposed pneumonia. She was on warfarin for anticoagulation at the time of hospital admission and eventually started on an intravenous heparin infusion. Cesarean delivery was planned due to comorbidities and anticoagulation status. After administration of betamethasone for fetal lung maturity, the patient's heparin infusion was discontinued approximately 16 hours prior to cesarean delivery. Upon obtaining laboratory testing that confirmed appropriate coagulation status, a low-dose combined spinal epidural anesthetic technique was used for cesarean delivery and the expected hemodynamic shifts due to spinal anesthesia were mitigated with a prophylactic norepinephrine infusion.

Indexed as

Analgesiaanesthesiacesarean sectionconductionobstetrical

Identifiers

PMID34456499
PMCPMC8366950
OpenAlexW3169346999

What OpenQuestion holds

Textmetadata
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.