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Uncategorized Published - 15 July, 2024    By - Dr Clemens
Acute Pain Management in a Multi-site Trauma Patient

Authors: Ayad M, Lee M, Diz Ferre J L, et al. Cureus June 03, 2024 16(6): e61596. Abstract Pain management is often difficult in the setting of multi-site trauma such as that caused by motor vehicle accidents (MVA), which is especially compounded in the setting of polysubstance abuse. This often results in patients with poor […]

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Uncategorized Published - 15 July, 2024    By - Dr Clemens
Images in Anesthesiology: Carotid Sinus Reflex From Neck Mass and Opioids

Authors: Vrionis A N, Olsen K R Cureus June 10, 2024 16(6): e62048. Abstract Surgery on head and neck masses presents unique challenges to overcome, especially in relation to preoperative anesthesia induction. Tumor proximity to the carotid sinus can result in extreme hemodynamic depression, by way of compression or direct invasion of the node. Neck […]

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Uncategorized Published - 15 July, 2024    By - Dr Clemens
Liposomal Bupivacaine Versus Bupivacaine and Dexamethasone Intercostal Nerve Blocks for Robotic Thoracic Surgery

Authors: Ganguly K, Van Helmond N, Friedman A, et al. Cureus June 10, 2024 16(6): e62085. Introduction For peripheral nerve blocks, using either the liposomal formulation of bupivacaine or plain bupivacaine with epinephrine and dexamethasone as an adjuvant has been shown to improve postoperative pain scores. In a single-blinded, randomized controlled study of patients undergoing […]

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Uncategorized Published - 15 July, 2024    By - Dr Clemens
Optimizing Anesthesia for Extensive Extraoral Fungating Lesions

Authors: Patel S, Ninave S, Sagar S Cureus June 12, 202416(6): e62221. Abstract A large extraoral fungus, frequently seen in late head and neck cancers, poses serious difficulties for the management of anesthesia and surgery. Essential factors include preoperative optimization, airway assessment, intraoperative monitoring, and postoperative care. Risk mitigation and outcome optimization strategies are discussed, […]

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Uncategorized Published - 15 July, 2024    By - Dr Clemens
Anesthetic Management of a Patient With Wolff-Parkinson-White Syndrome Undergoing Gynecological Robotic Surgery

 Authors: Ismail M I, Al-Gharaibeh O R, Talafha L, et al. Cureus June 21, 202416(6) Abstract Robotic surgery provides precision and safety for minimally invasive gynecological operations but introduces unique anesthetic challenges, especially for individuals with pre-existing conditions like Wolff-Parkinson-White (WPW) syndrome. This case report addresses the anesthetic management of a 32-year-old female with WPW […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Anesthetic Management of a Patient With Subglottic Stenosis: The Crucial Role of Communication Between Teams

 Authors: Pereira D, Cruz A S, Dias L, et al. Cureus June 12, 2024 16(6): e62250. Abstract Subglottic stenosis is characterized by the narrowing of the airway at the inferior edge of the cricoid cartilage level. It is either congenital or acquired, the latter being more commonly secondary to internal iatrogenic trauma. Airway management of […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Faculty Onboarding for Workforce Readiness and Belonging

Authors: Masaracchia M M, Markowitz S D, Janosy N R, et al. Cureus June 21, 202416(6) Introduction: An academic anesthesiology department benefits from recruiting faculty from various centers, from new graduates to experienced clinicians. Two critical objectives for a department are getting the faculty members up-to-speed thoroughly and efficiently and retaining the faculty members to […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Understanding the Physiological Connection: Cardiac Arrest Following Prone Positioning

Authors: Dhoon T Q, Tiwari A, Villaluz E, et al. Cureus June 24, 2024 16(6): e63050. Abstract Prone positioning of patients is a routine occurrence in procedural suites and operating rooms (ORs). However, the physiological changes that occur with prone positioning are frequently underappreciated by proceduralists, surgeons, and anesthesiologists. This may be related to a […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Lidocaine-Associated CNS Toxicity at Therapeutic Dosage

 Authors: Martin R D, Scanlon M, McCabe K Cureus  June 12, 202416(6): e62231. Abstract Lidocaine is a commonly used anesthetic. High doses or intravenous administration of lidocaine, as well as other local anesthetics, may result in systemic effects involving the cardiovascular and neurologic systems. Typically, effects are dependent on the serum concentrations of the offending […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Retrograde Aortic Valve Migration During Transcatheter Aortic Valve Replacement for Aortic Regurgitation: A Case Report Highlighting the Importance of Prompt Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) Initiation

Authors: Kitaura A, Sakamoto H, Tsukimoto S, et al. Cureus June 12, 2024 16(6): e62266. Abstract Surgical aortic valve replacement (SAVR) is the recommended curative treatment for pure native aortic regurgitation (AR). However, some patients are not suitable for SAVR due to comorbidities or frailty. Transcatheter aortic valve replacement (TAVR) has been reported to offer […]

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