Evidence map›Paper›PMID 41859133›Full record

ArticleCase reports in anesthesiology2026

Implementation of Pectointercostal Fascial Plane and Rectus Sheath Block as a Tool in Weaning From Mechanical Ventilation in Gripping Poststernotomy Pain: A Case Report.

Mohammad Zishan Uddin, Maliha Karim, Md Abdul Karim, Niaz Ahmed, Saiful Islam Khan

Abstract read
In one paragraph

Article in Case reports in anesthesiology, 2026. 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

5 authors.

Mohammad Zishan UddinDepartment of Cardiothoracic-Vascular Anesthesia & ICU, Evercare Hospital, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0003-7379-5860
Maliha KarimDepartment of Anesthesia, Analgesia & ICU, Sir Salimullah Medical College Hospital, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0005-5993-6908
Md Abdul KarimDepartment of Cardiothoracic Anesthesia & ICU, Labaid Cardiac Hospital, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0003-3781-7380
Niaz AhmedDepartment of Cardiothoracic-Vascular Anesthesia & ICU, Evercare Hospital, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0007-5964-8847
Saiful Islam KhanDepartment of Cardiothoracic-Vascular Anesthesia & ICU, Evercare Hospital, Dhaka, Bangladesh.ORCID https://orcid.org/0009-0000-6083-8145

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Successful weaning from mechanical ventilation depends on many factors. Optimizing all factors creates the pathway of liberation from ventilation. Among them, comprehensive pain management is one of the most critical factors, especially for cardiac surgical patients, who require median sternotomy. This case report is about a case of a 55-year-old patient with diabetes mellitus, hypertension, and pneumonia, in whom weaning failed repeatedly after a coronary artery bypass graft operation and was successfully extubated after ultrasound-guided implementation of a combined bilateral pectointercostal fascial plane block and rectus sheath block by reducing pain and improving ventilation, which was evidenced by reduced visual analog scale score and improvement of tidal volume. Integration of regional anesthesia not only provides adequate analgesia but also reduces opioid requirements and facilitates weaning, particularly for postcardiac surgical patients.

Indexed as

mechanical ventilationpectointercostal fascial blockpoststernotomy painrectus sheath blockweaning failure

Identifiers

PMID41859133
PMCPMC12997231

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.