Evidence map›Paper›PMID 38022263›Full record

ArticleCureus2023

Fluid Leak From the Spinal-Epidural Puncture Site: Is That Cerebrospinal Fluid?

Rui Torres, Rita P Sa, Ana S Cruz, Juliana L Cruz, Lúcia V Maria

Open access · diamondAbstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% 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, 1 citations in OpenAlex.

  1. 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.

Rui TorresAnesthesiology, Hospital de Braga, Braga, PRT.
Rita P SaAnesthesiology, Hospital de Braga, Braga, PRT.
Ana S CruzAnesthesiology, Hospital de Braga, Braga, PRT.
Juliana L CruzAnesthesiology, Hospital de Braga, Braga, PRT.
Lúcia V MariaAnesthesiology, Hospital de Braga, Braga, PRT.
Hospital Braga · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 30-year-old parturient who underwent a combined spinal-epidural for an elective cesarean section and subsequently experienced fluid leakage at the puncture site. The fluid analysis indicated a glucose level of 57 mg/dL, which initially raised suspicion of a cerebrospinal fluid fistula. However, an MRI revealed no significant abnormalities, and the patient remained asymptomatic. We aim to highlight that various fluids can emerge from a neuraxial puncture site, including cerebrospinal fluid, interstitial fluid due to edema, or residual local anesthetic. While glucose measurement has been used for diagnosing cerebrospinal fluid leakage, its reliability is questionable. More dependable diagnostic tests can be used such as the measurement of beta-trace protein or beta-2-transferrin or MRI.

Indexed as

anesthesia and painc-sectioncutaneous cerebrospinal fluid fistulaneuraxial anesthesia complicationsspinal-epidural anesthesia

Identifiers

PMID38022263
PMCPMC10653115
OpenAlexW4387707597

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.