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Uncategorized Published - 17 November, 2025    By - Dr Clemens
Ethical Dilemmas and Approaches to Acute Pain Management in Patients With Substance Use Disorders

Authors: Virno T et al. Cureus 17(10): e95044, October 2025. DOI: 10.7759/cureus.95044 This review addresses the growing ethical challenges of managing acute pain in patients with opioid use disorder (OUD) amid the ongoing opioid epidemic. Clinicians are often caught between the need to provide adequate pain relief and the obligation to prevent relapse or misuse. […]

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Uncategorized Published - 17 November, 2025    By - Dr Clemens
BEST Independent CRNA Opportunity – Savannah, TN

Hardin Medical Center (122 beds) is offering a rare CRNA-only practice where you can enjoy full autonomy and an exceptional lifestyle. • Schedule: 2 weeks on / 1 week off (17 weeks off each year)• Model: Independent CRNA practice – no anesthesiologist supervision• Case Mix: General surgery, orthopedics, endoscopy, OB/GYN (including epidurals & C-sections)• No […]

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Uncategorized Published - 14 November, 2025    By - Dr Clemens
Double trouble? The pharmacological pitfalls of mixing local anaesthetics

Authors: Michele Carella et al. Source: European Journal of Anaesthesiology 42(12):1043-1045, December 2025. DOI: 10.1097/EJA.0000000000002269 SummaryThis editorial commentary by Carella et al. reviews a randomized controlled trial by Yousef et al. that rigorously re-examined a longstanding but poorly supported practice in regional anesthesia—the admixture of amide-type local anesthetics (LAs) such as lidocaine and ropivacaine. The […]

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Uncategorized Published - 14 November, 2025    By - Dr Clemens
Time to Reconsider Tramadol for Chronic Pain?

Author: Carla Cantor Medscape BMJ Evidence-Based Medicine. Tramadol, a commonly prescribed opioid often viewed as a safer option for chronic pain, provided limited pain relief while increasing the risk for serious side effects, results of a new analysis showed. In a systematic review and meta-analysis, investigators found that tramadol offered clinically insignificant pain relief, while […]

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Uncategorized Published - 14 November, 2025    By - Dr Clemens
Intraoperative Cardiac Events in Pediatric Patients with Congenital Heart Disease Undergoing Noncardiac Procedures

Authors: Nasr, Viviane G. et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005783 This multicenter registry study characterized the incidence and predictors of intraoperative cardiac events in pediatric patients with congenital heart disease (CHD) undergoing noncardiac procedures. While previous studies focused primarily on mortality, this analysis—drawing from seven U.S. centers—specifically examined real-time intraoperative hemodynamic and cardiac […]

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