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Somnia Anesthesia blog Surgical care remains one of the most significant drivers of overall hospital cost—yet the medical readiness of complex surgical patients is often overlooked in financial and operational planning. While the cost-effectiveness of any surgery requires consideration of both short- and long-term improvements in patient outcomes and quality of life, the episode-of-care cost […]
Read MoreAuthor: Richard Novak, MD THE ANESTHESIA CONSULTANT Intraoperative bradycardia (heart rate less than 60 beats per minute) is a common but sometimes dire occurrence in anesthesia care when mismanaged. In study published in 1990, bradycardia occurred in 18.9% of 17,201 patients having general anesthesia with volatile drugs. Bradyarrhythmias usually occur from combinations of: primary cardiac disease (ischemic […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Private equity’s consolidation of anesthesiology has been documented in federal courtrooms, academic studies and state attorney general investigations. Here’s a breakdown of where that consolidation stands market by market, which ASCs are now effectively captive to a single dominant group and which independent practices are still holding out and why. […]
Read MoreAuthor: Flora Liu, MD IARS 2026 Annual Meeting coverage Anesthesiologists routinely produce and reverse unconsciousness, yet the brain mechanisms responsible for losing and regaining consciousness remain incompletely understood. At the 2026 IARS and SOCCA Annual Meeting, investigators discussed how anesthetics alter brain networks, how consciousness may fluctuate despite stable drug concentrations, and how these findings […]
Read MoreAuthor: Francesca Mathewes Becker’s ASC Review Many anesthesia departments and ASCs facing staffing shortages have turned toward cheaper labor as a solution. Jarrett Heard, MD, associate professor of clinical anesthesiology and medical director of perioperative services at Ohio State University Wexner Medical Center in Columbus, thinks that framing misses the actual lever available to the specialty. “I really […]
Read MoreAuthor: Yuka Uchinami, et al. Anesthesia & Analgesia. 2026;143(1):5–15. Infant tracheal intubation can be particularly challenging for anesthesia trainees because of infants’ unique airway anatomy, limited oxygen reserve, and rapid risk of desaturation. This randomized controlled trial evaluated whether the McGRATH MAC video laryngoscope improved first-attempt intubation success compared with conventional direct laryngoscopy. Study Design […]
Read MoreAuthor: Cameron Cortigiano Becker’s ASC Review The way in which payers set their rates for anesthesiology services is causing many physicians to go around them, looking for ways to provide care without dealing with insurance companies. Payers negotiate rates based on leverage, often giving better rates to bigger groups, not those who necessarily provide the best […]
Read MoreAuthor: Zhu Guan, et al. Anesthesia & Analgesia. 2026;143(1):43–58. Older patients with sepsis experience greater organ injury and mortality, but the biological mechanisms responsible for this increased vulnerability remain incompletely understood. This study examined whether aging impairs macrophage clearance of neutrophil extracellular traps, or NETs, resulting in greater inflammation and liver injury during sepsis. Study […]
Read MoreAuthor: Jordan Francke, MD, MPH IARS 2026 Annual Meeting coverage Academic success in anesthesiology depends less on simply holding a faculty or residency position and more on how individuals approach learning, mentorship, preparation, and professional growth. During the 2026 IARS and SOCCA Annual Meeting, academic leaders used humor and reverse advice to describe the behaviors […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Anesthesia coverage has quietly moved from a scheduling detail to a strategic question, one that ASC administrators, surgeons, and anesthesiologists say will define which surgery centers grow and which ones stall over the next five years. From stipends becoming standard to CRNA reliance accelerating, 24 ASC leaders, administrators and physician […]
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