Anesthesiology Published - 15 September, 2026 By - Dr Clemens

When the Introducer Becomes the Limiting Factor: A Technical Note on a Simple Modification to Facilitate Spinal Anesthesia With Pencil-Point Needles in Morbidly Obese Patients

Authors: Gunduz E, Yeksan A, Apiliogullari S Cureus 18(8): e114321. doi:10.7759/cureus.114321 Abstract Morbid obesity is associated with increased skin-to-dura distance, which may complicate spinal anesthesia using standard-length pencil-point spinal needles. We describe a simple technical modification developed during spinal anesthesia in a parturient with a body mass index of 40 kg/m2, in whom a 27-gauge, […]

Anesthesiology Published - 15 September, 2026 By - Dr Clemens

Spontaneous Respiration Using Intravenous Anesthesia and High-Flow Nasal Oxygen (STRIVE-Hi) for Prolonged Rigid Bronchoscopy in a Patient With Functional Single-Lung Physiology

Authors: Estrella J A, Llaverias Y Cureus 18(8): e114537. doi:10.7759/cureus.114537 Abstract Rigid bronchoscopy in patients with functional single-lung physiology presents a considerable anesthetic challenge because interruption of spontaneous ventilation may rapidly result in severe hypoxemia. Although spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen (STRIVE-Hi) has been described as a technique that facilitates prolonged […]

Anesthesiology Published - 15 September, 2026 By - Dr Clemens

Unexpected Prolonged Apnea Following Succinylcholine in a Medically Complex Patient

Authors: Lynch S Cureus 18(8): e114907. doi:10.7759/cureus.114907 Abstract Prolonged apnea after succinylcholine should prompt consideration of impaired drug metabolism, including reduced butyrylcholinesterase activity, while other causes of delayed emergence are evaluated. We report a 69-year-old, 72.7-kg man with severe systemic illness and hypoalbuminemia who underwent esophagogastroduodenoscopy and colonoscopy under total intravenous general anesthesia. Induction included […]

Anesthesiology Published - 15 September, 2026 By - Dr Clemens

Patient- and Operator-Related Factors Associated With Difficult Thoracic Epidural Catheter Placement

Authors: Tanimoto S, Mizukami T, Hirai K, et al. Cureus 18(8): e114927. doi:10.7759/cureus.114927 Abstract Background Thoracic epidural catheter placement can be technically challenging because of the anatomical characteristics of the thoracic spine. Here, we aimed to identify patient- and operator-related factors associated with difficult thoracic epidural catheter placement, defined as requiring two or more skin punctures. […]

Anesthesiology Published - 15 September, 2026 By - Dr Clemens

Anesthetic Management of Perioperative Extracorporeal Membrane Oxygenation (ECMO) for Thoracoscopic Bullectomy in a Single-Lung Patient

Authors: Marques C, Graça I, Oliveira Â, et al. Cureus 18(8): e115165. doi:10.7759/cureus.115165 Abstract Thoracic surgery in patients with severely limited pulmonary reserve may be unsafe or infeasible with conventional one-lung ventilation. In patients with previous pneumonectomy, surgical exclusion of the only functioning lung abolishes native ventilation, making conventional lung isolation impossible. Venovenous extracorporeal membrane […]

Anesthesiology Published - 15 September, 2026 By - Dr Clemens

Anesthesiologist Opportunity in Carlsbad, New Mexico: $550,000, Eight Weeks of Vacation, and Up to $300,000 in Student-Loan Repayment

Anesthesia 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 […]

Anesthesiology Published - 14 September, 2026 By - Dr Clemens

Comparative Evaluation of Intranasal Ketamine and Midazolam for Premedication in Children Undergoing Elective Surgery

Authors: Singh V P, Sachdeva K, Bari N, et al. Cureus 18(8): e114967. doi:10.7759/cureus.114967 Abstract Background: Preoperative anxiety can adversely affect anesthetic induction and perioperative outcomes in children. Intranasal ketamine and midazolam are commonly used noninvasive premedication agents, but evidence comparing their efficacy remains inconsistent. This study compared intranasal ketamine and midazolam in children undergoing elective […]

Anesthesiology Published - 14 September, 2026 By - Dr Clemens

Recognizing Strokes in the Post-Anesthesia Care Unit in Adult Versus Pediatric Patients

Authors: Juliet Velhagen et al , Pediatric Anesthesia August 2026 Background Postoperative strokes can occur in adult and pediatric patients, with both ischemic and hemorrhagic etiologies. Unfortunately, it can be difficult to distinguish stroke symptoms from lingering anesthetic-related neurological effects. Even though there is currently no standardized screening tool, a systematic approach to symptomatic differentiation […]

Anesthesiology Published - 14 September, 2026 By - Dr Clemens

Implementation of Enhanced Recovery After Surgery Pathways in Gynecologic Oncology: Multidisciplinary Coordination, Nursing Roles, and Practical Challenges

Authors: Bourazani M, Maglari C, Anagnostopoulos A, et al. Cureus 18(8): e115198. doi:10.7759/cureus.115198 Abstract Enhanced Recovery After Surgery (ERAS) pathways are evidence-based, multimodal approaches to perioperative care designed to reduce surgical stress, standardize clinical practice, and promote earlier functional recovery. In gynecologic oncology, their clinical benefits are well established; however, successful implementation remains challenging because […]

Anesthesiology Published - 14 September, 2026 By - Dr Clemens

How endoscopic spine surgery outgrew the discectomy

Author: Hailey Bosek Becker’s Spine Review Endoscopic spine surgery has long been synonymous with lumbar discectomy, according to Jang Yoon, MD, director of minimally invasive spine surgery at the University of California San Francisco — but he doesn’t see it that way. “I don’t see endoscopic surgery as a specific procedure. I see it as […]