Evidence map›Paper›PMID 41438245›Full record

ArticleCase reports in anesthesiology2025

Prophylactic Use of Lipid Emulsion Therapy After Inadvertent Administration of 0.5% Ropivacaine for a Bier Block: A Case Report.

Alexander Luong, Sirimas Lau, Elizabeth Johnson-Gray, Rayyan Bhutta, Austin Shaffer, Mitchell Hughes, Andrew Gable, Matthias Franzen

Abstract read
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Alexander LuongAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Sirimas LauAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Elizabeth Johnson-GrayAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Rayyan BhuttaOhio University Heritage College of Osteopathic Medicine, Dublin, Ohio, USA, ohio.edu.ORCID https://orcid.org/0009-0005-3374-1096
Austin ShafferAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Mitchell HughesOhio University Heritage College of Osteopathic Medicine, Dublin, Ohio, USA, ohio.edu.
Andrew GableAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Matthias FranzenAnesthesiology Residency Program, OhioHealth Doctors Hospital, Columbus, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Bier block for intravenous regional anesthesia is generally well tolerated, and few complications have been reported. It provides a bloodless surgical field and adequate analgesia when performed correctly. A diluted short-acting local anesthetic such as 0.5% lidocaine is typically used. Our case is a 41-year-old female who presented for endoscopic carpal tunnel release of her right wrist. An accidental injection of 30 mL of 0.5% ropivacaine was given instead of the normal 30 mL of 0.5% lidocaine, with a total tourniquet time of 46 min. Although the maximum safe dose of local anesthetic was not exceeded, lipid emulsion was administered out of an abundance of caution. No neurological or cardiovascular symptoms were reported, and the patient was discharged later that day.

Indexed as

Bier blockcarpal tunnel surgerylocal anesthesialocal anesthetic toxicityropivacaine

Identifiers

PMID41438245
PMCPMC12721107

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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.