Author: Dr Clemens

Anesthesiology Published - 1 December, 2025    By - Dr Clemens
Sufentanil injections are in short supply

Becker’s Hospital Review Sufentanil injections: Pfizer, the sole supplier of the opioid agonist, has Sufentanil 50 micrograms per 1 milliliter vials on back order and expects a release date in November. The therapy is indicated as an analgesic in the maintenance of balanced general anesthesia and with bupivacaine.

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Anesthesiology Published - 1 December, 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 - 28 November, 2025    By - Dr Clemens
Anterior Quadratus Lumborum Block: A Regional Anaesthetic Technique for the Management of Acute Back Pain in the Emergency Department

Authors: Vadgama J et al. Source: Cureus 17(11): e96504, DOI: 10.7759/cureus.96504 SummaryThis case report describes the use of an anterior quadratus lumborum block (AQLB) as a rescue regional anesthetic technique for severe, refractory acute lower back pain in the emergency department. A 49-year-old man presented with debilitating bilateral flank and lumbar pain radiating to the […]

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Uncategorized Published - 28 November, 2025    By - Dr Clemens
Bilateral Upper and Lower Limb Complex Regional Pain Syndrome (CRPS) in a Lung Cancer Survivor: Diagnostic and Interventional Challenges in the Setting of Radiculopathy and Prior Radiotherapy

Authors: Hsu T et al. Cureus 17(11): e96683, 2025. DOI: 10.7759/cureus.96683 This case describes a 64-year-old man with an extremely rare and diagnostically difficult presentation of CRPS Type I affecting both the left upper and lower extremities. His clinical picture was complicated by concurrent cervical and lumbar radiculopathy, a history of lung cancer treated with […]

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Uncategorized Published - 28 November, 2025    By - Dr Clemens
Fractured Spinal Needle During Cesarean Section: A Case Report

Authors: Correia P et al. Cureus 17(11): e96826 DOI: 10.7759/cureus.96826 SummaryThis case report describes a term parturient with obesity and scoliosis who experienced a spinal needle fracture during attempted spinal anesthesia for a cesarean section. After failed labor epidural analgesia and inadequate block quality from the epidural catheter, spinal anesthesia was attempted using a 27G […]

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Uncategorized Published - 28 November, 2025    By - Dr Clemens
Phrenic Nerve Block for Intractable Hiccups

Authors: Kalava A et al. Source: Cureus 17(11): e96975, November 16, 2025. DOI: 10.7759/cureus.96975. Summary:This case series reviews seven patients with intractable hiccups—symptoms lasting over 30 days—treated with ultrasound-guided phrenic nerve blocks (PhNB). The goal was to interrupt the diaphragmatic efferent pathway and “reset” the reflex arc responsible for persistent hiccups. All patients had already […]

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Uncategorized Published - 28 November, 2025    By - Dr Clemens
Relationship Between V̇A/Q̇ Mismatch and Capnogram Phase III Slope in Acute Bronchoconstriction and Its Modulation by Salbutamol Assessed by Synchrotron Imaging in Rabbit Lung

Authors: Bayat S et al. Anesthesiology, November 2025, DOI: 10.1097/ALN.0000000000005807 Summary:This study examined how the capnogram phase III slope (SIII)—a bedside measure anesthesiologists often interpret as a marker of V̇A/Q̇ mismatch—actually corresponds to true ventilation and perfusion distribution in the lung. Using a rabbit model of acute methacholine-induced bronchoconstriction and synchrotron radiation K-edge subtraction imaging, […]

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Uncategorized Published - 28 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 - 27 November, 2025    By - Dr Clemens
Why We’re Lucky to Have Thanksgiving Day

Thanksgiving is one of the rare moments in the year when an entire country seems to pause at the same time. The airports are packed, kitchens are crowded, football is on in the background, and suddenly the pace of life slows just enough for people to look around and appreciate what’s right in front of […]

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Uncategorized Published - 26 November, 2025    By - Dr Clemens
Innovative Use of a Pediatric Double-Lumen Central Venous Catheter as a Midline Substitute in Adults With Difficult Venous Access

Authors: Mantri T et al. Cureus 17(11): e97014. DOI: 10.7759/cureus.97014 This report describes two adult ICU patients with extremely difficult venous access in whom clinicians used a 4 Fr, 8 cm pediatric double-lumen central venous catheter as a midline substitute when standard midlines were unavailable. Because pediatric CVCs share similar dimensions with short midlines, inserting […]

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