Author: Dr Clemens

Anesthesiology Published - 26 September, 2025    By - Dr Clemens
A Review of Transnasal Cooling for Migraine Relief

Author: Rapoport Alan M., et al. Medscape Neurology SummaryRapoport and colleagues reviewed evidence on transnasal evaporative cooling as a potential acute treatment for migraine. Two randomized trials have been conducted. CALM 1 tested the CoolStat device but was limited by accrual, with the 6 LPM flow rate showing the most efficacy and no significant adverse […]

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Anesthesiology Published - 26 September, 2025    By - Dr Clemens
Intraoperative Methadone Versus Other Opioids: A Retrospective Review of Postoperative Outcomes in Pediatric Surgeries

Author: Pan Stephanie J., et al. Anesthesia & Analgesia ():10.1213/ANE.0000000000007653, July 31, 2025. doi:10.1213/ANE.0000000000007653 SummaryPan and colleagues conducted a retrospective cohort study of 1794 pediatric patients undergoing six common surgeries to evaluate intraoperative methadone use compared with other opioids. Of these, 528 received methadone. Methadone was associated with lower maximum PACU pain scores (3.9 vs […]

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Anesthesiology Published - 26 September, 2025    By - Dr Clemens
Common Painkiller Tied to Heart Failure Risk in Older Adults

Author: Megan Brooks Medscape Medical News Pregabalin, a commonly prescribed antiseizure drug used for chronic pain, has been linked to an elevated risk of heart failure (HF), particularly in patients with preexisting cardiovascular disease (CVD). A large cohort analysis of more than 240,000 Medicare beneficiaries found that new users of pregabalin had a 48% higher […]

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Anesthesiology Published - 26 September, 2025    By - Dr Clemens
Best Anesthesiologist Opportunity in New Mexico

If you’re an anesthesiologist searching for a balanced lifestyle and rewarding work, you’ll want to check out this opportunity. Our all-anesthesiologist group is seeking a dedicated team member to join our collaborative practice. Position Highlights: Zero Call for 3 Weeks: Enjoy three weeks of no call duty, followed by one week of call. Even during […]

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Anesthesiology Published - 26 September, 2025    By - Dr Clemens
Independent CRNA Opportunity – Savannah, TN

Hardin Medical Center (122 beds) is offering a rare CRNA-only practice with full autonomy and an unbeatable lifestyle. • Schedule: 2 weeks on / 1 week off (17 weeks off annually)• Model: Independent CRNA practice – no anesthesiologist supervision• Case Mix: General surgery, ortho, endo, OB/GYN (epidurals & C-sections)• No Complex Cases: No hearts, no […]

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Anesthesiology Published - 25 September, 2025    By - Dr Clemens
Widefield Imaging Reveals Distinct Whole-Cortex Dynamics During Anesthetic-Induced Unconsciousness

Author: Xia Muchao, et al. Anesthesia & Analgesia ():10.1213/ANE.0000000000007649, July 31, 2025. doi:10.1213/ANE.0000000000007649 SummaryXia and colleagues used widefield cortical imaging in Thy1-GCaMP6s mice to examine how different anesthetics alter cortical dynamics during loss of consciousness. They found that ketamine, propofol, and isoflurane all enhanced 1.5–2.5 Hz oscillations in the retrosplenial cortex (RSC), a region showing […]

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Anesthesiology Published - 25 September, 2025    By - Dr Clemens
How to Safely Taper Benzodiazepines According to Patient Response: New Guideline

Authors: Brunner E, et al. Journal of General Internal Medicine. June 17, 2025. The American Society of Addiction Medicine, together with nine other medical societies, released the first Joint Clinical Practice Guideline on Benzodiazepine Tapering to address the widespread and often long-term use of these medications for conditions such as anxiety and insomnia. The guideline […]

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Anesthesiology Published - 25 September, 2025    By - Dr Clemens
Sugammadex and Gastric Emptying: Individualized Patient Effects

Author: Zhao Dan, et al. Anesthesia & Analgesia ():10.1213/ANE.0000000000007663, July 31, 2025. doi:10.1213/ANE.0000000000007663 SummaryZhao and colleagues comment on a randomized trial by Togioka et al. comparing sugammadex with neostigmine-glycopyrrolate for neuromuscular blockade reversal in colorectal surgery. While sugammadex led to faster reversal and earlier bowel function recovery, the letter raises concerns regarding unreported baseline gastric […]

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Anesthesiology Published - 25 September, 2025    By - Dr Clemens
Camera-Based Photoplethysmography for Measuring Heartbeat Intervals During General Anesthesia

Author: Ke H-Hsuan, et al. Anesthesia & Analgesia ():10.1213/ANE.0000000000007635, August 05, 2025. doi:10.1213/ANE.0000000000007635 SummaryThirty VATS patients were monitored with a camera-based photoplethysmography system (FaCare) across four anesthesia stages and compared against a GE CARESCAPE B850. Agreement was strong: 88.1% of heart-rate correlation coefficients >0.8 and tight Bland–Altman limits for heartbeat intervals. Performance held under OR […]

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Anesthesiology Published - 25 September, 2025    By - Dr Clemens
Why Your Arm Shape Skews Blood Pressure Readings

Author: Paolo Spriano Medscape Medical News This article reviews the accuracy of blood pressure (BP) measurement, emphasizing sex differences and the impact of cuff size and arm anatomy. While the Riva-Rocci-Korotkoff method remains the gold standard, modern practice largely relies on automated oscillometric cuff devices, which introduce potential errors. Recent findings show that automated systolic […]

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