Author: Dr Clemens

Anesthesiology Published - 18 February, 2026    By - Dr Clemens
Interpretation of Viscoelastic Hemostatic Assays in Cardiac Surgery Patients

Authors: Noteboom S H et al. Anesthesia & Analgesia 141(3), September 2025 This multicenter expert-panel study examined how consistently experienced clinicians interpret rotational thromboelastometry (ROTEM) results in cardiac surgery patients and how those interpretations compare with a standardized ROTEM-guided algorithm. Given the widespread use of viscoelastic assays to guide transfusion decisions, understanding the reliability and […]

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Anesthesiology Published - 18 February, 2026    By - Dr Clemens
Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement

Authors: Oprea AD et al. British Journal of Anaesthesia, volume 135, issue 1, 2026 This multidisciplinary consensus statement from the Society for Perioperative Assessment and Quality Improvement (SPAQI) addresses the increasingly common perioperative challenge of managing patients taking glucagon-like peptide-1 receptor agonists (GLP-1 RAs). With widespread use for diabetes mellitus, obesity, and cardiovascular risk reduction, […]

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Anesthesiology Published - 18 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 - 18 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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Uncategorized Published - 18 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 - 17 February, 2026    By - Dr Clemens
Effect of S-Ketamine on Postoperative Delirium in Elderly Patients Undergoing Arthroplasty

Authors: Zhu Y et al. Anesthesiology, January 2026, volume 144, issue 1, pages 63–76 This randomized controlled trial evaluated whether S-ketamine reduces postoperative delirium (POD) in elderly patients undergoing total hip or knee arthroplasty when administered outside a general anesthesia setting. Prior studies suggested potential neuroprotection from ketamine, but effects may have been blunted by […]

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Anesthesiology Published - 17 February, 2026    By - Dr Clemens
Cardiac ultrasound-guided crystalloid preloading before spinal anesthesia vs. standard coloading for scheduled cesarean delivery

Authors: Ben Marzouk S et al. International Journal of Obstetric Anesthetic Vol 66 May 26 Clinical trial registration: NCT07108881 SummaryThis randomized controlled trial evaluated whether cardiac ultrasound–guided crystalloid preloading, added to standard coloading, reduces the incidence and severity of maternal hypotension following spinal anesthesia for scheduled cesarean delivery. Maternal hypotension remains a frequent complication of […]

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Anesthesiology Published - 17 February, 2026    By - Dr Clemens
Comparison of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block for preoperative analgesia in elderly patients with hip fracture

Authors: Liao H et al. Journal of Clinical Anesthesia 2025 SummaryThis prospective, observer-blinded randomized controlled study compared the pericapsular nerve group (PENG) block with the ultrasound-guided supra-inguinal fascia iliaca compartment block (sFICB) for preoperative analgesia in elderly patients undergoing hip fracture surgery. Adequate analgesia before positioning for spinal anesthesia is critical in this population, as […]

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Anesthesiology Published - 17 February, 2026    By - Dr Clemens
Successful Rescue of Femoral Cardiopulmonary Bypass Cannulation-Related False Lumen Perfusion Using Multimodal Monitoring

Authors: Tsujimoto H et al. A & A Practice 19(11):e02076, November 2025 SummaryThis case report describes two patients who developed false lumen perfusion following femoral artery cannulation for cardiopulmonary bypass, despite apparent confirmation of true lumen guidewire placement on transesophageal echocardiography. False lumen perfusion is a rare but catastrophic complication that can lead to severe […]

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Anesthesiology Published - 17 February, 2026    By - Dr Clemens
Reusable vs. Single-Use Airway Devices in Humanitarian Anesthesia: Lessons from Continuing Promise 2025 Aboard the USNS Comfort

Authors: McGee M et al. Anesthesia Patient Safety Foundation Newsletter, volume 41, number 1, February 2026. SummaryThis article examines the patient safety, ethical, and operational trade-offs of reusable versus single-use airway devices in humanitarian anesthesia, drawing on firsthand experience during the Continuing Promise 2025 mission aboard the USNS Comfort. The author emphasizes that airway equipment […]

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