Evidence map›Paper›PMID 40698203›Full record

ArticleCureus2025

Altered Mental Status and Quadriparesis in Ambulatory Surgical Care: A Case Report.

Gonçalo Torrinha, Rui Vieira, Cecília Pacheco, Cecília Vilaça, Sara Bernardo

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Gonçalo TorrinhaDepartment of Intensive Care Medicine, Unidade Local de Saúde de Braga, Braga, PRT.
Rui VieiraDepartment of Anesthesiology, Unidade Local de Saúde de Braga, Braga, PRT.
Cecília PachecoDepartment of Intensive Care Medicine, Unidade Local de Saúde de Braga, Braga, PRT.
Cecília VilaçaDepartment of Intensive Care Medicine, Unidade Local de Saúde de Braga, Braga, PRT.
Sara BernardoDepartment of Intensive Care Medicine, Unidade Local de Saúde de Braga, Braga, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes a rare instance of local anesthetic systemic toxicity (LAST) following subcutaneous lidocaine administration for a minor surgical procedure. A 70-year-old male patient developed agitation, dysarthria, and quadriparesis postoperatively, with subsequent investigations revealing a pneumothorax but no major neurological or vascular compromise. The diagnosis of LAST was made after exclusion of other causes. The patient recovered fully within hours without any specific management. This case underscores the need for improved awareness of LAST among non-anesthesiology clinicians and emphasizes preventive strategies for local anesthetic use.

Indexed as

central venous accesslocal anesthetic systemic toxicity (last)quadriparesissecondary pneumothoraxtransdermal lidocaine

Identifiers

PMID40698203
PMCPMC12282495

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.