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Uncategorized Published - 25 November, 2025    By - Dr Clemens
A Systematic Review of the Effective Dose of Intrathecal Ropivacaine for Cesarean Section

Authors: Vakiarou F et al. Published in: Cureus, September 2025. DOI: 10.7759/cureus.91480 Summary: This systematic review evaluated all randomized controlled trials that compared different doses of intrathecal ropivacaine for cesarean delivery. Across 10 trials and 756 patients, the authors found substantial heterogeneity in study design, dosing regimens (4 mg to 25 mg), and definitions of […]

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Uncategorized Published - 25 November, 2025    By - Dr Clemens
Remimazolam as a Novel Option for Procedural Sedation

Authors: Ziembicki H et al. Cureus 17(9):e91962, September 10, 2025. DOI: 10.7759/cureus.91962 Remimazolam is an emerging ultra–short-acting benzodiazepine designed to address the major limitations of midazolam in procedural sedation. Unlike midazolam, it does not produce active metabolites and is rapidly hydrolyzed by tissue esterases, creating a predictable onset, quick offset, and faster recovery with far […]

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Uncategorized Published - 25 November, 2025    By - Dr Clemens
Rural hospitals’ labor and delivery closures increased in 2025

Author: Dave Muoio Fierce Healthcare More rural hospitals have closed or are planning to close their labor and delivery units in 2025 than in 2024, bringing the total number of closures since the end of 2020 to 116, according to the Center for Healthcare Quality and Payment Reform (CHQPR). In a November report, the policy […]

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Uncategorized Published - 25 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 - 24 November, 2025    By - Dr Clemens
An Unexpected Cardiac Arrest After Spinal Anesthesia for a Cesarean Section: A Case Report

Authors: Madruga C et al. Source: Cureus, September 2025, DOI 10.7759/cureus.92688 Summary:This case report describes a sudden maternal cardiac arrest occurring minutes after spinal anesthesia for an urgent 39-week cesarean section. The patient, with chronic hypertension, type 2 diabetes and obesity, had undergone a prolonged labor induction. Spinal anesthesia was placed with standard doses of […]

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Uncategorized Published - 24 November, 2025    By - Dr Clemens
Quadratus Lumborum Block: The New Gold Standard in Abdominal Analgesia?

Authors: Rytel H et al. Cureus 17(7): e88051 DOI: 10.7759/cureus.88051 The quadratus lumborum block (QLB) has evolved into one of the most promising regional anesthetic techniques for abdominal and pelvic surgery. Unlike TAP blocks that provide only somatic analgesia, QLB enables both somatic and visceral pain relief due to spread of local anesthetic along the […]

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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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