Evidence map›Paper›PMID 38188475›Full record

ArticleJournal of hematology2023

Successful Ultrasound-Guided Spinal Anesthesia in a Patient With Severe Hemophilia A Undergoing Total Hip Arthroplasty.

Ferrante S Gragasin, Neel Phaterpekar, Donald Glasgow, Haowei Linda Sun

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

Article in Journal of hematology, 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
–field-weighted citation impact, top 52% 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. 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

4 authors at 1 institution in 1 country.

Ferrante S GragasinDepartment of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0003-0037-3803
Neel PhaterpekarDepartment of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, Canada.
Donald GlasgowDivision of Orthopedic Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
Haowei Linda SunDivision of Hematology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-0205-9722
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuraxial anesthesia is the preferred technique for total joint arthroplasties. However, the absolute safety of neuraxial anesthesia in hemophilia patients has not been established. We describe a case of an adult male with severe hemophilia A, who presented for primary hip replacement due to severe hemophilic arthropathy and was managed with ultrasound-facilitated neuraxial anesthesia. Due to bleeding risks, additional considerations were necessary to minimize development of postoperative spinal hematoma. There were no perioperative adverse events. Careful preoperative multidisciplinary planning, perioperative management of neuraxial anesthesia (including the use of spinal ultrasound), and hemostasis were instrumental to successfully accomplish this. Following these principles, we demonstrate that neuraxial techniques may be a safe option for managing patients with severe hemophilia A.

Indexed as

AnesthesiaArthroplastyHemophiliaNeuraxialSpinalUltrasound

Identifiers

PMID38188475
PMCPMC10769643
OpenAlexW4390340542

What OpenQuestion holds

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LicenceCC BY-NC
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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.