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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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Uncategorized Published - 21 November, 2025    By - Dr Clemens
Tranexamic Acid Use in Neck of Femur Fractures

Authors: Ponsworno K V et al. Cureus 17(10): e95672, October 2025. DOI: 10.7759/cureus.95672 This retrospective study assessed the impact of tranexamic acid (TXA) use in 158 patients undergoing surgical management for neck of femur (NOF) fractures at a UK teaching hospital. Among the patients, 91% received TXA perioperatively. Those given TXA had markedly lower transfusion […]

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Uncategorized Published - 21 November, 2025    By - Dr Clemens
Complication of Trigger Point Injections: Retained Injection Needle Causing Pneumothorax

Authors: Reindorf R, et al. Cureus 17(10): e95679 DOI: 10.7759/cureus.95679 A 38-year-old man developed right apical pneumothorax hours after outpatient trigger point injections (TPIs). Chest X-ray/CT showed a retained metallic needle fragment lodged in the parietal pleura. He underwent VATS with successful extraction and was discharged the same day without complications. Documentation from the clinic […]

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Uncategorized Published - 21 November, 2025    By - Dr Clemens
Rotational Thromboelastometry (ROTEM)-Assisted Anaesthetic Management of a Parturient With Paroxysmal Nocturnal Haemoglobinuria and Aplastic Anaemia for Caesarean Section

Authors: Papadaki D, et al. Cureus 17(10): e95701. DOI: 10.7759/cureus.95701 Summary A 25-year-old primigravida with aplastic anemia–paroxysmal nocturnal hemoglobinuria (AA-PNH) on eculizumab and cyclosporine required a scheduled cesarean delivery at 33+3 weeks. Despite near-daily transfusion support late in gestation, her preop platelets were 3 ×10³/µL; conventional coagulation tests were normal. To balance profound thrombocytopenia with […]

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Uncategorized Published - 21 November, 2025    By - Dr Clemens
Prevention and Post-extubation Screening of Perioperative Traumatic Dental Injury in Pediatric Anesthesia

Authors: Ahmad I et al. Cureus 17(10): e95628, October 2025. DOI: 10.7759/cureus.95628 This report describes a five-year-old boy who sustained an avulsed and ingested lower central incisor following adenotonsillectomy under general anesthesia. The missing tooth was not noticed until the postoperative recovery period, when the child’s caregiver observed it. Imaging confirmed ingestion rather than aspiration, […]

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Uncategorized Published - 21 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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