Evidence map›Paper›PMID 40519479›Full record

ReviewCureus2025

Indications and Technique for Thoracic Segmental Spinal Anesthesia in Clinical Practice: A Narrative Review.

Imran Ahmed Khan, Nurul Haque Siddiqui, Srikrishna S Ramachandra, Abhijit Nair

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. A bundle for thoracic segmental spinal anaesthesia: it is time to move forward!Journal of anesthesia, analgesia and critical care · 2025
    Article
  9. 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.

Imran Ahmed KhanCommunity Medicine, KMC Medical College and Hospital, Maharajganj, IND.
Nurul Haque SiddiquiAnesthesiology, Balrampur Hospital, Lucknow, IND.
Srikrishna S RamachandraCommunity Medicine, KMC Medical College and Hospital, Maharajganj, IND.
Abhijit NairAnesthesiology, Ibra Hospital, Ibra, OMN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thoracic segmental spinal anesthesia (TSSA) represents an advanced technique in present clinical anesthetic practice. By lowering the systemic effects of anesthesia, preserving improved hemodynamic stability, and accelerating postoperative recovery, its targeted approach provides significant benefits in certain upper abdominal and thoracic procedures, particularly in high-risk patients. However, careful patient selection, exact technical execution, and in-depth understanding of thoracic anatomy are necessary for its successful implementation. Despite its advantages, TSSA is not yet widely adopted. The major concerns remain related to its technical complexity, principally the risk of spinal cord injury, and the necessity for specialized training and imaging guidance during needle placement. In recent years, there has been a surge in the number of articles describing the safety of TSSA for varying surgeries. This review aims to summarize various indications and the techniques described in the literature related to TSSA.

Indexed as

acute postoperative pain`anesthesiaregional anesthesiasubarachnoid blockthoracic segmental spinal anesthesia

Identifiers

PMID40519479
PMCPMC12165600

What OpenQuestion holds

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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.