Evidence map›Paper›PMID 37842428›Full record

ArticleCureus2023

Continuous Erector Spinae and Serratus-Intercostal Block With Ketamine-Dexmedetomidine Sedation for Quadrantectomy and Axillary Dissection in a Multimorbid Patient.

Massimiliano Luca D'Agostino, Paolo Scimia, Antonio De Cato, Marta Muscelli, Chiara Angeletti

Abstract readCase Reports
In one paragraph

Article in Cureus, 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
–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

3 citing papers in PubMed.

  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.

Massimiliano Luca D'AgostinoDepartment of Life, Health & Environmental Sciences (MeSVA), San Salvatore Teaching Hospital of L'Aquila, University of L'Aquila, L'Aquila, ITA.
Paolo ScimiaOperative Unit of Anaesthesiology, Intensive Care and Pain Medicine, Civil Hospital G. Mazzini, Teramo, ITA.
Antonio De CatoDepartment of Life, Health & Environmental Sciences (MeSVA), San Salvatore Teaching Hospital of L'Aquila, University of L'Aquila, L'Aquila, ITA.
Marta MuscelliDepartment of Life, Health & Environmental Sciences (MeSVA), San Salvatore Teaching Hospital of L'Aquila, University of L'Aquila, L'Aquila, ITA.
Chiara AngelettiOperative Unit of Anaesthesiology, Intensive Care and Pain Medicine, Civil Hospital G. Mazzini, Teramo, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multimorbidity is a clinical presentation that poses an increased risk of perioperative and postoperative complications. Tailored anaesthetic management could potentially minimise the risk of negative outcomes. Peripheral nerve and fasciae blocks are valid strategies for perioperative and postoperative pain management, which avoid complications related to general anaesthesia and reduce the risk of intensive care unit admission as well as the hospital length of stay. We describe the case of a 56-old patient with multimorbidity, including obesity with a BMI of 45.7, unstable angina, predicted difficult airway management and obstructive sleep apnoea syndrome (OSAS) scheduled for left mastectomy with sentinel lymph node biopsy, managed with a left continuous thoracic erector spinae plane (ESP) block plus serratus-intercostal plane block (BRanches of Intercostal nerves at the Level of Mid-Axillary line (BRILMA)), and sedation with combined ketamine-dexmedetomidine. Fascial blocks combined with opioid-free anaesthesia (OFA) proved to be effective for the multimorbid patient, ensuring successful perioperative management and a proper recovery after surgery.

Indexed as

dexmedetomidineerector spinae plane (esp) blockesp blockgeneral surgery and breast cancerketamine-dexmedetomidinemultimorbilityopioid-free analgesiaopioid free anesthesia dexdor in anesthesiaserratus anterior plane (sap) blockserratus plane block

Identifiers

PMID37842428
PMCPMC10568118

What OpenQuestion holds

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LicenceCC BY
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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.