Author: Dr Clemens

Uncategorized Published - 17 November, 2025    By - Dr Clemens
Association Between Multisite and Site-Specific Chronic Pain, Analgesic Use, Metabolic-Proteomic Profile and Incident Chronic Kidney Disease in Diabetes

Authors: Yang S et al. Anesthesiology, November 2025. DOI: 10.1097/ALN.0000000000005829 This large-scale cohort analysis used UK Biobank data from over 20,000 adults with diabetes to investigate how chronic pain patterns and analgesic use affect the risk of developing chronic kidney disease (CKD). Over a median follow-up of 13.2 years, participants with chronic pain had an […]

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Uncategorized Published - 17 November, 2025    By - Dr Clemens
Radiofrequency Cautery: A Safe Option for Patients With Indwelling Devices

Authors: Alfred A M et al. Cureus 17(10): e95809, October 2025. DOI: 10.7759/cureus.95809 This case report describes perioperative management for a 56-year-old man with two non-cardiac implantable electrical devices (NCIEDs)—a deep brain stimulator (DBS) and a spinal cord stimulator (SCS)—undergoing CABG. To mitigate risks of device malfunction and thermal injury from surgical energy devices, both […]

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Uncategorized Published - 17 November, 2025    By - Dr Clemens
Anesthetic Management of a Child With Rothmund-Thomson Syndrome for Major Orthopedic Surgery

Authors: Cabete S et al. Cureus 17(11): e95877, November 2025. DOI: 10.7759/cureus.95877 This pediatric case report describes anesthetic management for a 10-year-old with Rothmund-Thomson syndrome (RTS) type 2 undergoing major orthopedic surgery (tibial osteosarcoma resection with fibular centralization)—the first such report for a major orthopedic procedure in RTS. The team anticipated multisystem issues: potentially difficult […]

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Uncategorized Published - 17 November, 2025    By - Dr Clemens
Anesthesiologists’ Perspectives on GLP-1 Receptor Agonists in Elective Surgeries

Authors: Boudreau B et al. Cureus 17(11): e95986, November 2025. DOI: 10.7759/cureus.95986 This qualitative survey captured practicing anesthesiologists’ experiences with GLP-1 receptor agonists (GLP-1 RAs) in elective surgery and their views on the ASA’s 2023 consensus guidance. The instrument was developed via expert focus groups, iterative validation, cognitive interviews, and pretesting, then deployed nationally via […]

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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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Uncategorized Published - 14 November, 2025    By - Dr Clemens
Minimal clinically important changes of patient-reported outcome measures for acute post-surgical pain

Authors: Vollert, Jan et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005792 This large multicenter European study established reference values for the minimal clinically important difference (MCID) in postoperative pain and physical function using patient-reported outcome measures (PROMs). The MCID defines the smallest change in a score that patients perceive as meaningful—crucial for interpreting clinical trial […]

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