Evidence map›Paper›PMID 40964570›Full record

ArticleCureus2025

Anesthetic Considerations for and Management of a Parturient With Jarcho-Levin Syndrome: A Case Report of Continuous Spinal Anesthesia for Preterm Cesarean Section.

Ámbar Ramírez-Rodríguez, Julián J Zayas-Vélez, Dimaris Domínguez, Evelyn Carrero, Maria J Crespo

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.

Ámbar Ramírez-RodríguezAnesthesiology, University of Puerto Rico, School of Medicine, San Juan, PRI.
Julián J Zayas-VélezAnesthesiology, University of Puerto Rico, School of Medicine, San Juan, PRI.
Dimaris DomínguezAnesthesiology, University of Puerto Rico, School of Medicine, San Juan, PRI.
Evelyn CarreroAnesthesiology, University of Puerto Rico, School of Medicine, San Juan, PRI.
Maria J CrespoAnesthesiology, University of Puerto Rico, School of Medicine, San Juan, PRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Jarcho-Levin syndrome (JLS) is a rare congenital disorder marked by multiple vertebral abnormalities, a shortened spine, and rib fusion at the costovertebral junction. In addition to the typical physiological changes associated with pregnancy, patients with JLS face complications affecting their lungs, heart, spine, and mobility. Difficult airway management, pulmonary disease, and spinal deformities observed in these patients require a collaborative, multidisciplinary approach and meticulous perioperative planning. The presence of a challenging airway complicates the choice between general and neuraxial anesthesia. We present a case of a parturient with JLS who successfully underwent preterm cesarean delivery with continuous spinal anesthesia (CSA). After consultation with the multidisciplinary team, which included the Cardiology, Otolaryngology, and Obstetrics services, neuraxial anesthesia via a continuous spinal approach was chosen.

Indexed as

cesarean sectioncontinuous spinal anesthesiadifficult airwayjarcho-levin syndromeneuraxial anesthesia

Identifiers

PMID40964570
PMCPMC12439861

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.