Authors: Gupta M, Farag A Cureus 18(7): e112686. doi:10.7759/cureus.112686 Abstract This case describes a 40-year-old woman with gestational trophoblastic disease (GTD) who presented with vaginal bleeding, iron deficiency anemia, and a markedly elevated beta-human chorionic gonadotropin (β-hCG) of 1,889,800 mIU/mL. Transabdominal ultrasound revealed retained products of conception and GTD. The patient had experienced a failed […]
Read MoreAuthors: Kalshan R, Nidhi T, Jakhar V, et al. Cureus 18(7): e112487. doi:10.7759/cureus.112487 Abstract Patients with simultaneous clavicular and ipsilateral thoracic trauma, including multiple rib fractures and traumatic pneumothorax, present a complex perioperative analgesic challenge. Effective pain control must be balanced against the preservation of respiratory function while minimizing opioid-related adverse effects. Individual regional anesthesia […]
Read MoreAnesthesia Experts and Carlsbad Anesthesia Services, LLC are seeking a full-time anesthesiologist to join our established anesthesia team at Carlsbad Medical Center in Carlsbad, New Mexico. This is an exceptional opportunity for an anesthesiologist seeking excellent compensation, a predictable schedule, manageable cases, and a true work-life balance. Because Carlsbad is located in a New Mexico […]
Read MoreAuthors: Divya A, Dalal N, McKendry G, et al. Cureus 18(7): e112528. doi:10.7759/cureus.112528 Abstract Vasoplegic shock following cardiac surgery is associated with significant morbidity. While norepinephrine is recommended as first-line therapy, vasopressin has been proposed as an alternative due to catecholamine-independent mechanisms. Comparative evidence in postcardiac surgery populations remains limited. We conducted a systematic review […]
Read MoreAuthors: Oishi H, Kato T, Hagiwara N, et al. Cureus 18(7): e112568. doi:10.7759/cureus.112568 Background Microvascular decompression (MVD) is associated with a high incidence of postoperative nausea and vomiting (PONV). Unlike in general surgery, where PONV is predominantly serotonin-mediated, MVD additionally activates non-serotonergic emetic mechanisms, including vestibular stimulation and direct brainstem perturbation. Whether selective 5-HT₃ receptor […]
Read More