Author: Dr Clemens

Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Pain During Cesarean Delivery—Improving Patient Safety by Bringing the Patients and Anesthesia Professionals into the Conversation

Authors: Nixon H et al. Anesthesia Patient Safety Foundation Newsletter, volume 41, number 1, February 2026. SummaryThis article addresses pain during cesarean delivery as a major and underrecognized patient safety issue with significant short- and long-term consequences. The authors emphasize that inadequate intraoperative analgesia during cesarean delivery is not merely a technical failure but a […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
To Transplant or Not, the Ethical Dilemma: A Case Report of Pediatric Heart Transplantation

Authors: Wenman A et al. Source: A & A Practice, 19(11):e02084, November 2025, This case report explores a rare and ethically complex scenario in pediatric cardiac anesthesia and transplantation: whether to proceed with heart transplantation after intraoperative cardiac arrest occurring before cardiopulmonary bypass. The authors describe a 12-year-old patient undergoing a second heart transplant for […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Three-Dimensional Echocardiographic Approach to Mitral Valve After Transcatheter Edge-to-Edge Repair

Authors: Kumar R et al. Source: Anesthesia & Analgesia, 142(1):85–92, January 2026, This retrospective study evaluates a three-dimensional echocardiographic method for assessing mitral valve area (MVA) after transcatheter edge-to-edge repair (TEER), addressing a persistent challenge in intraprocedural imaging. Iatrogenic mitral stenosis is a recognized risk following TEER, particularly when multiple clips are required, but accurately […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Presynaptic Neurotransmission: A Bottleneck to Recovery From General Anesthesia?

Authors: Qiu G et al. Anesthesiology, January 26, 2026, 10.1097/ALN.0000000000005953 SummaryThis mechanistic review and experimental synthesis explores whether impaired presynaptic neurotransmission represents a critical bottleneck to recovery from general anesthesia (GA), particularly with agents such as propofol and dexmedetomidine. While much of anesthetic pharmacology has historically focused on postsynaptic receptor modulation, growing evidence suggests that […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Enhancing Anesthetic Preoptimization: Promising Opportunities for Innovation in Economically Diverse Regions

Authors: Bernstein WK et al. Source: Anesthesia & Analgesia, 142(1):76–84, January 2026, 10.1213/ANE.0000000000007629 Enhancing anesthetic preoptimization represents a major opportunity to improve patient outcomes while advancing value-based perioperative care, particularly in regions with limited or uneven access to health care resources. This comprehensive review from the ASA Committee on Innovation outlines how anesthesiologists are uniquely […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Impact of implementing a thromboelastometry-guided transfusion strategy on fibrinogen supplementation and transfusion in women with postpartum hemorrhage

Authors: Zheng A et al. Journal of Clinical Anesthesia, 2025 SummaryThis retrospective study examined whether implementing a thromboelastometry-guided coagulopathy management protocol altered fibrinogen supplementation and blood product transfusion practices in women with postpartum hemorrhage (PPH). Given that coagulopathy is a major driver of maternal morbidity in PPH, the authors focused on whether point-of-care viscoelastic testing […]

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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
BEST Independent CRNA Opportunity – Savannah, TN just increased salary $15,000

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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Anesthesiology Published - 12 February, 2026    By - Dr Clemens
Returning to Anesthesia After Burnout, Pain Management, ICU med or administrative job? We Built a Path Back

Burnout or time away in pain, ICU, or administration doesn’t erase your anesthesia training—it just requires a structured path back. For many physicians, it simply means you stepped away to regroup. We work with anesthesiologists every day who want to return to clinical anesthesia after time away in: administration or leadership roles pain medicine critical […]

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Anesthesiology Published - 11 February, 2026    By - Dr Clemens
Why Anesthesia Collections Fail — and How to Fix Them

Author: Dr. Rob Clemens Most anesthesia groups don’t lose revenue because they lack volume. They lose it because anesthesia billing is complex, fragmented, and often managed with systems that were never designed for how anesthesia is actually practiced. As operating costs rise and hospital support is scrutinized more closely, maximizing collections is no longer optional. […]

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Anesthesiology Published - 11 February, 2026    By - Dr Clemens
Cannabis and Anesthesia: A 2025 Update on Perioperative Considerations

Authors: Irvine D et al. Anesthesia Patient Safety Foundation Newsletter, volume 41, number 1, February 2026. SummaryThis article provides an updated review of perioperative considerations for patients who use cannabis, reflecting the growing prevalence of both medical and recreational use in the United States. As legalization expands and cannabis consumption becomes more common, anesthesia professionals […]

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