Evidence map›Paper›PMID 39650168›Full record

ArticleSAGE open medical case reports2024

Thoracic combined spinal epidural anaesthesia for exploratory laparoscopy and laparotomy (sigmoidectomy, colostomy): The first case in Palestine for the ASA5 patient.

Samah A Maree, Anoud Jadou, Mahmoud R Manasra, Khaled Temezeh, Falah Ibedo

Abstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2024. 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
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. 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.

Samah A MareeCollege of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, Palestine.ORCID https://orcid.org/0009-0007-6773-0402
Anoud JadouCollege of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, Palestine.
Mahmoud R ManasraCollege of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, Palestine.ORCID https://orcid.org/0000-0002-2849-3500
Khaled TemezehDeparment of Anesthesia, Al-Ahli Hospital, Hebron, Palestine.
Falah IbedoDeparment of Anesthesia, Al-Ahli Hospital, Hebron, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thoracic combined spinal epidural anaesthesia offers the ideal perioperative anaesthesia and analgesia. A 78-year-old female presented to our hospital with a hypertensive emergency, non-ST elevation myocardial infarction and pulmonary effusion. Then the patient had abdominal pain, constipation and vomiting. When examined, there was significant abdominal distention. During a colonoscopy, there was a fungating mass lesion 20 cm from the anal verge. A biopsy was taken and showed intramucosal adenoma within tubulovillous adenoma with high-grade dysplasia. The patient underwent exploratory laparoscopy and laparotomy (sigmoidectomy, colostomy) under thoracic combined spinal epidural anaesthesia at T9-T10 interspinous space. The patient was classified as ASA5 according to the American Society of Anesthesiologists physical status. The guidelines recommend utilizing regional anaesthesia instead of general anaesthesia for compromised elderly patients. In our case, we report the first case in Palestine of an ASA5 patient who successfully underwent abdominal surgery under thoracic combined spinal epidural anaesthesia.

Indexed as

ASA5combined thoracic spinal epidural anaesthesiaexploratory laparoscopylaparotomyRegional anaesthesia

Identifiers

PMID39650168
PMCPMC11624568

What OpenQuestion holds

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Registered trials

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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.