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A clinical case of the use of an extended ESP block during simultaneous surgery in plastic surgery

2025· article· en· W4413165986 on OpenAlexaff
D. S. Smolyaninova, D. V. Vorobyov, M. V. Zimin, S. V. Matsaev

Bibliographic record

VenueMessenger of Anesthesiology and Resuscitation · 2025
Typearticle
Languageen
FieldMedicine
TopicAnesthesia and Pain Management
Canadian institutionsWomen's Health Research Institute
Fundersnot available
KeywordsPlastic surgerySurgeryBlock (permutation group theory)MedicineMathematics

Abstract

fetched live from OpenAlex

Aesthetic plastic surgery is an actively developing branch of medicine, in which operations are accompanied by a pain syndrome that requires, in accordance with modern concepts, a multimodal approach to anesthesia. An important role in the multimodal approach is played by regional, ULTRASOUND-associated anesthesia methods, which contribute not only to reducing intraoperative opioid load, but also to reducing pain in the postoperative period. This article describes a clinical case of the use of a TAP block and an extended ESP block in a patient with remission of opioid dependence who underwent simultaneous surgical intervention in the form of abdominoplasty, breast tightening and enlargement. Narcotic analgesics were not used during anesthesia, as well as throughout the entire postoperative period. The use of the ESP block helps to reduce pain in the intraoperative and postoperative period.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.011
Threshold uncertainty score0.308

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.037
GPT teacher head0.306
Teacher spread0.269 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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