ArticleCase reports in anesthesiology2025
Clinical Experience With Thoracic Segmental Spinal Anesthesia in High-Risk Surgical Patients.
Article in Case reports in anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- Article
- Clinical Experience With Thoracic Segmental Spinal Anesthesia in High-Risk Surgical Patients.Case reports in anesthesiology · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: General anesthesia (GA) can pose significant risks in patients with advanced comorbidities. Thoracic segmental spinal anesthesia (TSSA) is an underutilized alternative that offers hemodynamic stability and enhanced postoperative recovery. This case series highlights the application of TSSA in three high-risk surgical patients with complex cardiovascular, renal, or oncologic conditions. Case Presentation: We describe three patients (ASA Classes III-IV) undergoing laparoscopic or endourological procedures who received TSSA instead of GA due to high anesthetic risk. Each patient received isobaric levobupivacaine combined with dexmedetomidine via thoracic or thoracolumbar spinal injection. All patients remained awake, hemodynamically stable, and spontaneously breathing throughout their procedures. No sedation, vasopressor support, airway intervention, or ICU admission was required. Postoperative pain was minimal, with early ambulation and no reported complications. Conclusion: TSSA is a safe and effective anesthetic technique for selecting high-risk patients undergoing abdominal or urological surgery. It provides excellent intraoperative conditions, avoids the systemic effects of GA, and facilitates rapid recovery. With proper technique and patient selection, TSSA offers a valuable alternative to GA in complex surgical cases.
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Registered trials
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