Evidence map›Paper›PMID 40861644›Full record

ArticleCureus2025

Clavipectoral Fascial Plane Block for a Permanent Pacemaker Insertion in a Claustrophobic Patient With a History of Substance Abuse: A Case Report.

Gade Sandeep, Subrata K Singha, Sharek Nazir, T C Arun, Anil Gupta

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Gade SandeepCardiac Anesthesia, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Subrata K SinghaAnesthesiology, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Sharek NazirAnesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Raipur, IND.
T C ArunAnesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Anil GuptaCardiac Anesthesia, All India Institute of Medical Sciences, Raipur, Raipur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Permanent pacemaker implantation in patients with severe claustrophobia and a history of substance abuse presents unique anesthetic challenges. The balance between ensuring patient comfort and avoiding the risks associated with systemic sedation or general anesthesia requires careful planning. In this report, a regional anesthetic technique, the clavipectoral fascial plane block, was used to facilitate pacemaker insertion in a high-risk individual without the need for sedatives or opioids. The anesthetic approach was supported by preoperative psychological counselling and tailored modifications to the sterile draping, allowing the patient to remain oriented and cooperative. This case underscores the value of combining regional anesthesia with empathetic, patient-centered strategies in complex perioperative scenarios.

Indexed as

general anesthesiaopioidspacemakerregional anesthesiasubstance abuse

Identifiers

PMID40861644
PMCPMC12376083

What OpenQuestion holds

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LicenceCC BY
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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.