Author: Dr Clemens

Uncategorized Published - 14 November, 2025    By - Dr Clemens
Brain Retraining Yields Lasting Relief of Chronic Back Pain

Author: Megan Brooks Medscape  JAMA Psychiatry. Psychological therapy that changes an individual’s beliefs about pain can provide lasting relief for chronic back pain (CBP), long-term follow-up results of a randomized controlled trial showed. More than half of those who received the brain-focused pain reprocessing therapy (PRT) reported being nearly or completely pain-free 5 years later, […]

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Uncategorized Published - 14 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 - 13 November, 2025    By - Dr Clemens
Plasma fibrinogen level and severe bleeding in cardiac surgery

Authors: A Talvasto et al. Source: Canadian Journal of Anesthesia / Journal canadien d’anesthésie, (2025) October 30; DOI: 10.1007/s12630-025-03046-7 SummaryThis observational post-hoc analysis of the ALBICS trial examined 1,386 patients undergoing on-pump cardiac surgery to determine how plasma fibrinogen levels, both before and after cardiopulmonary bypass (CPB), relate to the risk of severe bleeding and […]

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Uncategorized Published - 13 November, 2025    By - Dr Clemens
Regional anesthesia and functional outcomes after anterior cruciate ligament reconstruction surgery in adolescent patients: Society of Pediatric Anesthesia Improvement Network (SPAIN)

Authors: (Multicenter Adolescent ACL Registry Investigators) BMJ Journals Regional Anesthesia & Pain Medicine This multicenter prospective observational study investigated the relationship between regional anesthesia and postoperative functional recovery in adolescents undergoing anterior cruciate ligament (ACL) reconstruction. While peripheral nerve blocks are widely used for perioperative analgesia, their potential effect on longer-term function and rehabilitation outcomes […]

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Uncategorized Published - 13 November, 2025    By - Dr Clemens
Revisiting infusion rate limitations for continuous lumbar plexus blocks in children and adolescents with 0.2% ropivacaine: a pharmacokinetic analysis

Authors: Sunder, Rani A. et al. Anesthesiology September 2025 | DOI: 10.1097/ALN.0000000000005775 This prospective pharmacokinetic study examined the safety and dosing parameters of continuous lumbar plexus blocks using 0.2% ropivacaine in pediatric patients. Although lumbar plexus blocks are effective for postoperative analgesia in children, limited pharmacokinetic data have restricted infusion rates due to concerns about […]

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Uncategorized Published - 13 November, 2025    By - Dr Clemens
AI-based malware makes attacks stealthier and more adaptive

Author: Eric Geller Cybersecurity DIVE Dive Brief: Cyber threat actors have recently begun using AI to develop malware, in a dramatic evolution of the technology’s role in the hacking ecosystem, Google said on Wednesday. New strains of malware use AI to grow and change in real time during the attack phase, potentially making detection and […]

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Uncategorized Published - 13 November, 2025    By - Dr Clemens
Chronic Pain Prevalence in US Surges to Record High

Edited by Anushree Chaphalkar Medscape Pain TOPLINE:  The prevalence of chronic and high-impact chronic pain increased significantly in US adults from 2019 to 2023, with long COVID accounting for approximately 13% of both increases, new research showed. METHODOLOGY: Researchers analyzed data for more than 90,000 adults from three cross-sectional waves of the National Health Interview […]

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Uncategorized Published - 13 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 - 12 November, 2025    By - Dr Clemens
The Impact of Preoperative Functional Capacity on Postoperative Mortality and Morbidity

Authors: Valadkhani, Arman et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005779 This large prospective cohort study evaluated the relationship between preoperative functional capacity—measured in metabolic equivalents of task (METs)—and postoperative outcomes across a broad elective surgical population. While functional capacity is a cornerstone of preoperative risk assessment, this study explored its predictive value using granular […]

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Uncategorized Published - 12 November, 2025    By - Dr Clemens
Efficacy and safety of preemptive magnesium sulfate infusion during pheochromocytoma and paraganglioma resection

Authors: Kong, Hao et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005778 This randomized, double-blind, placebo-controlled trial assessed whether preemptive magnesium sulfate infusion can improve intraoperative hemodynamic stability in patients undergoing pheochromocytoma or paraganglioma (PPGL) resection—procedures known for extreme fluctuations in blood pressure and heart rate due to catecholamine release. Ninety-two patients scheduled for PPGL surgery […]

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