When it comes to treating chronic pain—or pain associated with surgery—clinicians are always looking for alternatives to opioids. “There are zero advantages to chronic opioid use,” says Earl Kilbride, MD, MHA, an orthopedic surgeon at the Austin Orthopedic Institute. While the US makes up about 4.4% of the global population,…

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Editor's Note High-volume joints and spine procedures in ambulatory surgery centers (ASCs) require more than a “healthy” patient—success hinges on rigorous screening, block-and-flow efficiency, tech-enabled standardization, and a culture where anyone can say “stop,” this session’s speakers said. Comprising Robert Bray, MD, FAANS, CEO and founding director of DISC Sports…

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Editor's Note Segmental spinal anesthesia (SSA) has emerged as a safe and effective anesthetic technique for high-risk obstetric patients, particularly those with underlying cardiovascular disease (CVD). A recent case series published on April 29 by Medical Dialogues highlights the successful use of SSA in five parturients undergoing cesarean sections, emphasizing…

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