Author: Dr Clemens

Good news for anesthesia

Author: Francesca Mathewes Becker’s ASC Review From student loan repayment support to federal legislation that could support the anesthesia workforce, here are five pieces of good news in the anesthesia space in the last several weeks: 1. A bill has been introduced in the House of Representatives that would permit rural hospitals to utilize Medicare funding to hire […]

Predictive Performance of the STOP-BANG Questionnaire for Difficult Airway Management in Iraqi Adults Undergoing Elective Surgery

Authors: Alshtait S, Emami L, Behnaz F Cureus 18(7): e112428. doi:10.7759/cureus.112428 Abstract Background: Failure to anticipate airway difficulty may increase the risk of major perioperative complications during anesthesia. The STOP-BANG questionnaire is a simple screening tool for obstructive sleep apnea (OSA) that may also help identify patients at risk of difficult airway management. Evidence from […]

Opioid-Sparing Effects of Perioperative Ketamine With Inconsistent Analgesic Benefit in Orthopedic Surgery

Authors: Buckholz M, Moradian A, Patel R M, et al. Cureus 18(7): e112926. doi:10.7759/cureus.112926 Abstract Effective postoperative pain management following orthopedic surgery remains a challenge, particularly in the context of increasing opioid-related morbidity. Multimodal analgesic strategies incorporate adjuvant therapies such as ketamine to reduce opioid requirements while maintaining adequate pain control. This systematic review evaluated […]

CRNA Job in Key West, Florida – $275,000, No Call, Paid Malpractice and Island Living

What if your next CRNA position offered excellent compensation, no call, a manageable anesthesia practice—and you got to live in Key West, Florida? Key West Anesthesia Services, LLC is seeking a full-time CRNA to join our established anesthesia team in one of the most desirable locations in the country. This is a $275,000 1099 position […]

Postoperative Sciatic Neuropathy Following Spinal Anesthesia in a Patient With Severe Lumbar Degenerative Disease

Author: Nam W, Woo K Cureus 18(7): e113046. doi:10.7759/cureus.113046 Abstract Neurologic complications after spinal anesthesia are uncommon but remain a major concern because of their potential severity. Distinguishing anesthesia-related neurologic injury from preexisting spinal pathology is often challenging. A 70-year-old man with hypertension, hyperlipidemia, and known lumbar degenerative disease underwent elective bilateral inguinal hernia repair […]

The era of free anesthesia coverage is over

Author: Patsy Newitt Becker’s ASC Review ASC leaders and anesthesia executives say the flat annual subsidy, which long has been treated as the cost of keeping ORs covered, is being replaced by structured deals that tie financial support to room-hour minimums, guaranteed coverage, block utilization and performance metrics. “Flat stipends are dying; there are already negotiations […]

Pseudo-Pulseless Electrical Activity With Anaphylaxis in a Pediatric Surgical Patient

Authors: Stopak J, Herbst M O, Nicolaus A R, et al. Cureus 18(7): e112837. doi:10.7759/cureus.112837 Abstract Pseudo-pulseless electrical activity (p-PEA) is a clinical condition where cardiac output drops severely enough to produce a non-palpable pulse in the setting of organized electrical activity of the heart, but imaging or monitors display evidence of cardiac motion. It […]

Safety of Additional Local Anesthetics Soon After Liposomal Bupivacaine

Authors: Veloria D, Xu L, Rader E, et al. Cureus 18(7): e112872. doi:10.7759/cureus.112872 Introduction Liposomal bupivacaine (LB) produces a prolonged serum bupivacaine level. It carries a warning to avoid additional local anesthetics for 96 hours due to a theoretical additive risk of local anesthetic systemic toxicity (LAST). Whether patients exposed to additional local anesthetics soon […]

Comparative Evaluation of Perfusion Index With Lactate and Base Deficit for Assessing Resuscitation Response in Traumatic Shock Patients Not Requiring Blood Transfusion in the Emergency Department

Authors: Kalathingal A, KJ D, K R, et al. Cureus 18(7): e113061. doi:10.7759/cureus.113061 Introduction Traumatic shock is a life-threatening condition characterized by inadequate tissue perfusion following severe injury. Early recognition of impaired perfusion and monitoring of the response to resuscitation are essential to prevent organ dysfunction. Although lactate and base deficit are commonly used biochemical […]

CRNA Job in Key West, Florida – $275,000, No Call, Paid Malpractice and Island Living