Evidence map›Paper›PMID 41024752›Full record

ArticleCureus2025

Management of High Spinal Anesthesia for Cesarean Section in the Semi-Fowler's Position.

Nathan Martin-Orr, Joseph E Villaluz, Brandon So, Taizoon Q Dhoon, Michael Holland

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.

Nathan Martin-OrrAnesthesiology and Perioperative Medicine, University of California, Irvine (UCI) Health, Orange, USA.
Joseph E VillaluzAnesthesiology and Perioperative Medicine, University of California, Irvine (UCI) Health, Orange, USA.
Brandon SoAnesthesiology and Perioperative Medicine, University of California, Irvine (UCI) Health, Orange, USA.
Taizoon Q DhoonAnesthesiology and Perioperative Medicine, University of California, Irvine (UCI) Health, Orange, USA.
Michael HollandAnesthesiology and Perioperative Medicine, University of California, Irvine (UCI) Health, Orange, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High spinal anesthesia, a rare but serious complication of neuraxial techniques, occurs when local anesthetic spreads through the cerebrospinal fluid, blocking spinal segments above the intended level. This can lead to significant cardiovascular, respiratory, and neurological effects. These effects include vasodilation, bradycardia, and potential respiratory failure if the phrenic nerve or brainstem is affected. High spinal blocks are particularly concerning in obstetric anesthesia, where they are used for labor analgesia and cesarean deliveries. The ability to quickly and effectively manage this high-risk event can significantly reduce the risk of maternal and fetal morbidity and mortality. In the event of a high spinal, we describe how the use of a semi-Fowler's position can salvage a high spinal and even prevent the need for intubation.

Indexed as

cesarean deliverydural puncturefailed epiduralhigh spinal blockneuraxial anesthesia complicationsobstetric anesthesiasemi-fowler's position

Identifiers

PMID41024752
PMCPMC12476286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.