Evidence map›Paper›PMID 40589676›Full record

ArticleCureus2025

Tailored Anesthetic Management in a Patient With Birt-Hogg-Dubé Syndrome: Navigating the Risk of Pneumothorax and Renal Dysfunction in a Case Report.

Nodoka Hatashima, Kan Takahashi, Junko Dozono, Hiromasa Kida, Sho Matsuba

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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. Review
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.

Nodoka HatashimaDepartment of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.
Kan TakahashiDepartment of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.
Junko DozonoDepartment of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.
Hiromasa KidaDepartment of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.
Sho MatsubaDepartment of Anesthesiology, Kanazawa Medical University, Ishikawa, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Birt-Hogg-Dubé syndrome (BHDS) is a rare genetic disorder characterized by multiple pulmonary cysts, increasing the risk of pneumothorax under positive pressure ventilation. We report a case of a 50-year-old woman with BHDS, recurrent pneumothorax, and post-renal transplant chronic renal failure, who underwent three surgeries within three years. Anesthetic management was tailored to minimize the risk of pneumothorax and deterioration of renal function, including spinal anesthesia for cervical conization, combined epidural-general anesthesia with lung-protective ventilation for open sigmoid colectomy, and general anesthesia with peripheral nerve blocks for an emergency Hartmann's procedure. Careful ventilation strategies, controlled extubation using a supraglottic airway under deep anesthesia, and renal-protective management employing regional anesthesia successfully prevented perioperative complications. This case highlights the need for individualized anesthetic management in BHDS patients with renal transplants, emphasizing careful strategies to protect both pulmonary and renal function.

Indexed as

birt-hogg-dubé syndrome (bhds)multiple pulmonary cystspneumothoraxpost renal transplantrenal dysfunction

Identifiers

PMID40589676
PMCPMC12207280

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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.