Author: Dr Clemens

Uncategorized Published - 5 November, 2025    By - Dr Clemens
Nonsteroidal anti-inflammatory drug use and acute kidney injury in nephrectomies

Authors: Chun-yan Ye et al. Source: Anaesthesia Critical Care & Pain Medicine, 2025. DOI: 10.1016/j.accpm.2025.101581 This retrospective cohort study examined whether perioperative intravenous nonsteroidal anti-inflammatory drug (NSAID) use increases the risk of acute kidney injury (AKI) following partial or radical nephrectomy. The analysis included 3,359 adult patients, of whom 78% received NSAIDs postoperatively. After propensity-score […]

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Uncategorized Published - 5 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 - 5 November, 2025    By - Dr Clemens
Current and novel approaches for critical care management of aneurysmal subarachnoid hemorrhage in critical care

Authors: Argyro Zoumprouli et al. Source: Current Opinion in Anesthesiology 38(5):541–546, October 2025. This review summarizes recent advances in the intensive care management of aneurysmal subarachnoid hemorrhage (aSAH), emphasizing updates from the past 18 months. The authors outline current best practices for preventing rebleeding, mitigating delayed cerebral ischemia (DCI), managing hydrocephalus, refining transfusion thresholds, and […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
The 3 biggest challenges facing anesthesia, per ASA President Dr. Patrick Giam

Author: Patrick Giam, MD. President of American Society of Anesthesiologists Becker’s ASC Review Two weeks ago, I assumed the position of president of the American Society of Anesthesiologists, an organization and specialty of which I am immensely proud. More than 60,000 ASA members work every day to provide the safest, highest-quality care for the patients […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Forearm support to reduce dental contact during direct laryngoscopy

Authors: Seung Eun Song et al. Source: Canadian Journal of Anesthesia, 2025 (advance online publication) This single-center randomized crossover trial compared a novel laryngoscopy technique, in which the operator uses the left forearm or elbow to maintain head extension by supporting the patient’s forehead, with the conventional direct laryngoscopy method. Eighty-four adults undergoing elective surgery […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Effects of Dexmedetomidine–Remifentanil on Neurodevelopment of Children after Inhalation Anesthesia

Authors: Ji, Sang-Hwan et al. Anesthesiology 143(4):827–834, October 2025. DOI: 10.1097/ALN.0000000000005634 This randomized, double-blind trial enrolled infants <2 years undergoing single, nonrepetitive surgeries to test whether adding dexmedetomidine plus remifentanil (DEX-R) and thereby reducing sevoflurane exposure alters early neurodevelopment versus sevoflurane alone. At 28–30 months, 343 of 400 participants completed assessment. Despite a markedly lower […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Society of Anesthesia and Sleep Medicine Opinion Paper: High-Flow Nasal Oxygen Therapy for Early Postoperative Management of Patients With Sleep-Disordered Breathing

Authors: Ameya Pappu et al. Anesthesia & Analgesia 141(4):740–747, October 2025. DOI: 10.1213/ANE.0000000000007424 This Society of Anesthesia and Sleep Medicine opinion paper reviews the rationale and current evidence for using high-flow nasal oxygen (HFNO) in the early postoperative period for patients with sleep-disordered breathing (SDB). HFNO can improve oxygenation, provide low-level positive airway pressure (≈ […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Senate committee hears bill to require AI transparency in health-insurance prior authorization

Citzen Portal Senator Mark Catrona on behalf of the sponsor told the Financial Institutions Insurance Technology Committee that Senate Bill 164 would require greater transparency and human oversight when insurers use artificial intelligence in health-care prior-authorization decisions. Catrona said the bill would require disclosure of the algorithms, the criteria and the software used to make […]

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Uncategorized Published - 4 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 - 3 November, 2025    By - Dr Clemens
Perioperative Analgesic Interventions for Reduction of Persistent Postsurgical Pain After Total Hip and Knee Arthroplasty

Authors: Jens Laigaard et al. Source: Anesthesia & Analgesia 141(4):765–778, October 2025. This meta-analysis reviewed 49 randomized controlled trials (68 intervention arms) examining perioperative analgesic interventions aimed at reducing long-term (3–24 months) postsurgical pain following total hip or knee arthroplasty in patients with osteoarthritis. The review evaluated pain both at rest and during movement and […]

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