Evidence map›Paper›PMID 37496983›Full record

ArticlePlastic and reconstructive surgery. Global open2023

Below-knee Amputation with Minimally Painful Injection of Tumescent Local Anesthesia.

Asif Admani, Imraan Sherman, Pankaj Jani, Arnold Mwamuye, Sarvnaz Sepehripour, Donald Lalonde

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2023. 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
1.7field-weighted citation impact, top 14% 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, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. The history of tourniquet use in limb surgery.International orthopaedics · 2024
    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

6 authors at 3 institutions in 3 countries.

Asif AdmaniFrom the Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, Kenya.
Imraan ShermanFrom the Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, Kenya.
Pankaj JaniDepartment of Surgery, University of Nairobi, Nairobi, Kenya.
Arnold MwamuyeFrom the Coast General Teaching and Referral Hospital, Department of Surgery, Mombasa, Kenya.
Sarvnaz SepehripourBirmingham Women's and Children's National Health Service Foundation Trust, Birmingham, England.
Donald LalondeDivision of Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada.
Birmingham Women’s and Children’s NHS Foundation Trust · GBSaint John Regional Hospital · CAUniversity of Nairobi · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We successfully performed minimally painful injection of tumescent local anesthesia to eliminate the need for the tourniquet and sedation for a below-knee amputation in a frail patient with multiple medical comorbidities in Mombasa, Kenya. Minimal pain injection of WALANT (wide awake local anesthesia no tourniquet) pure local anesthesia can be a good alternative for lower limb amputation in frail patients when safe sedation services are unavailable or unaffordable in many countries.

Identifiers

PMID37496983
PMCPMC10368383
OpenAlexW4385242236

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.