Author: Dr Clemens

Anesthesiology Published - 17 September, 2026    By - Dr Clemens
Accuracy of Ultrasound-Estimated Epidural Depth in Transverse Median Versus Parasagittal Oblique Planes for Lower Thoracic Epidural Anesthesia

Authors: Tyagi N, Chauhan A K, Bhatia R, et al. Cureus 18(8): e114234. doi:10.7759/cureus.114234 Background Lower thoracic epidural anesthesia is widely used for perioperative analgesia in thoracic and upper abdominal surgeries. However, accurate localization of the epidural space remains technically challenging because of the complex thoracic anatomy. Preprocedural ultrasonography has emerged as a useful adjunct […]

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Anesthesiology Published - 17 September, 2026    By - Dr Clemens
Venous Air/Gas Embolism During Surgical Hysteroscopy: An Underestimated, Potentially Lethal Complication

Authors: Choi E, Yeom J, Kwon M, et al. Cureus 18(8): e114578. doi:10.7759/cureus.114578 Abstract Hysteroscopic surgery is generally considered low risk; however, venous air/gas embolism is a potentially lethal complication with high mortality in severe cases. We summarize the pathophysiology and clinical features to support timely emergency management. A 46-year-old woman with a uterine myoma […]

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Anesthesiology Published - 17 September, 2026    By - Dr Clemens
Perioperative Anesthetic Management of Kleine-Levin Syndrome: Current Evidence, Mechanistic Rationale, and a Proposed Practice Framework

Authors: Khan F, Chauhan V, Wang V Cureus 18(8): e114751. doi:10.7759/cureus.114751 Abstract Kleine-Levin syndrome is a rare disorder of central hypersomnolence characterized by relapsing-remitting severe sleepiness associated with cognitive impairment, derealization, apathy, behavioral change, and hyperphagia. Direct perioperative evidence remains limited and is insufficient to establish comparative safety, recurrence risk, or a preferred anesthetic technique. […]

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Anesthesiology Published - 17 September, 2026    By - Dr Clemens
Progressive Extension of a Post-intubation Tracheal Laceration Presenting As Massive Pneumomediastinum

Authors: Marques D, Pais M, Correia C, et al. Cureus 18(8): e114478. doi:10.7759/cureus.114478 Abstract Post-intubation tracheal laceration is rare and is usually managed conservatively, provided the tear is protected from positive pressure, whether by spontaneous ventilation, by a cuff sited beyond the lesion, or by ventilation delivered without loss of tidal volume. We describe a woman […]

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Anesthesiology Published - 17 September, 2026    By - Dr Clemens
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 […]

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Anesthesiology Published - 16 September, 2026    By - Dr Clemens
Ultrasound-Guided Intertransverse Process and Deep Rectus Sheath Blocks for Emergency Laparoscopic Cholecystectomy in a High-Risk Elderly Patient

Authors: Sorrentino T, Marrone F, Fusco P, et al. Cureus 18(8): e114236. doi:10.7759/cureus.114236 Abstract Gangrenous cholecystitis with peritonitis in elderly, high-risk patients carries substantial perioperative risk, particularly when compounded by multiple comorbidities, coagulopathy, and sepsis. General anesthesia in such patients is associated with increased hemodynamic instability and postoperative morbidity. Regional anesthesia combined with procedural sedation […]

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Anesthesiology Published - 16 September, 2026    By - Dr Clemens
Robot-assisted knee replacements show no outcome advantage: Study

Author: Hailey Bosek Becker’s Spine Review Robot-assisted knee replacement surgery was more precise than surgeon-only procedures but did not lead to better patient outcomes, according to a study published Aug. 20 in The Lancet. Researchers recruited 339 patients being treated by 33 surgeons at 10 hospitals across the U.K. and randomly assigned them to surgeon-only or […]

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Anesthesiology Published - 16 September, 2026    By - Dr Clemens
Clinical and Biochemical Factors Associated With Hospitalization and Intensive Care Unit Admission Among Pregnant Women With Severe Psoriasis

Authors: Abid H, Farooq S, Uraneb S, et al. Cureus 18(8): e114717. doi:10.7759/cureus.114717 Background and objective Severe psoriasis during pregnancy may be complicated by systemic inflammation, biochemical abnormalities, infection, and organ dysfunction requiring hospitalization or intensive care. Factors associated with escalation of care remain insufficiently characterized. The main objective of this study is to identify […]

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Anesthesiology Published - 16 September, 2026    By - Dr Clemens
The Arrest Is a Trajectory, Not a Snapshot: Rethinking Point-of-Care Ultrasound During Cardiac Arrest

Authors: Rakesh C, Mohan N Cureus 18(8): e114500. doi:10.7759/cureus.114500 Abstract Point-of-care ultrasound (POCUS) is now routine during resuscitation, and clinicians may interpret a single intra-arrest finding, such as cardiac standstill, pseudo-pulseless electrical activity (PEA), or organized motion, as a fixed description of the patient’s physiological state. This perspective argues that this assumption deserves scrutiny. The […]

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Anesthesiology Published - 16 September, 2026    By - Dr Clemens
Derivation and Exploratory Evaluation of the Respiratory Rate-Oxygenation (ROX) Index as a Predictor of High-Flow Nasal Cannula Outcomes in Patients With COVID-19 Pneumonia

Authors: Chandra R, . A, Kumar H, et al. Cureus 18(8): e114739. doi:10.7759/cureus.114739 Objectives: High-flow nasal cannula (HFNC) therapy is a first-line respiratory support modality for acute hypoxemic respiratory failure (AHRF) due to COVID-19 pneumonia. The respiratory rate-oxygenation (ROX) index, defined as the ratio of peripheral oxygen saturation (SpO2)/fraction of inspired oxygen (FiO2) divided by respiratory […]

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