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Uncategorized Published - 24 November, 2025    By - Dr Clemens
Pyridoxine for Postoperative Nausea and Vomiting: Comment

Authors: Xue F-S et al. Source: Anesthesiology. 2025;143(6):1663–1665. DOI: 10.1097/ALN.0000000000005973 This Letter to the Editor comments on Zhang et al.’s study evaluating pyridoxine (vitamin B6) as part of a multimodal postoperative nausea and vomiting (PONV) prevention strategy in gynecologic laparoscopic surgery. Xue and colleagues acknowledge that pyridoxine was reported to halve the incidence of PONV […]

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Uncategorized Published - 24 November, 2025    By - Dr Clemens
Medicare Policy Will Deny Coverage for Medically Necessary Treatments for Debilitating Pain and Potentially Increase Opioid Use, Misuse

American Society of Anesthesiologists Millions of chronic pain patients may be forced to turn to opioids or less effective treatments for their conditions, at a time when the opioid epidemic continues to claim the lives of Americans at an alarming rate.  A newly proposed Medicare Administrative Contractors (MACs) policy aims to deny those suffering from chronic […]

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Uncategorized Published - 24 November, 2025    By - Dr Clemens
2026 Medicare Fee Schedule Includes Multiple “Bombshells”

Author: Torrey Kim MedCentral News From new conversion factors and negative efficiency adjustments to time-based codes, primary care may see the biggest increases. Primary care providers are expected to see higher pay in 2026, even though the Centers for Medicare and Medicaid Services (CMS) will be cutting the work relative value units for more than […]

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Uncategorized Published - 24 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 - 21 November, 2025    By - Dr Clemens
Subcutaneous Emphysema and Pneumomediastinum Triggered by Nasotracheal Intubation

Authors: Kurosawa Y et al. Cureus 17(10): e95653, October 2025. DOI: 10.7759/cureus.95653 This case report describes a 74-year-old woman who developed right cervical subcutaneous emphysema and pneumomediastinum during anesthesia induction for oral surgery under general anesthesia, secondary to nasopharyngeal wall injury during nasotracheal intubation (NTI). Despite stable oxygenation and hemodynamics, postoperative imaging confirmed the presence […]

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