Author: Dr Clemens

Uncategorized Published - 29 October, 2025    By - Dr Clemens
The Enduring Table 1 Fallacy: A Meta-Research Study of Baseline Testing in Anesthesiology and Pain Trials

Authors: De Cassai A. et al. Anesthesiology, September 25, 2025. DOI: 10.1097/ALN.0000000000005776 This meta-research study examined the persistence of the so-called “Table 1 fallacy”—the practice of performing statistical significance testing on baseline characteristics in randomized controlled trials (RCTs). Because randomization itself ensures that baseline characteristics are balanced on average, such tests are unnecessary and may […]

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Uncategorized Published - 29 October, 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 - 28 October, 2025    By - Dr Clemens
A Quality Improvement Initiative to Improve Early Postoperative Pain Outcomes After Tonsillectomy in Children

Authors: Albornoz A.E. et al. Pediatric Anesthesia, October 2025. DOI: 10.1111/pan.70062 This quality improvement project evaluated the impact of a structured perioperative pain management toolkit on postoperative pain and opioid use following pediatric tonsillectomy and adenotonsillectomy. While opioids are often avoided intraoperatively to minimize postoperative respiratory adverse events (PRAEs), this practice can result in higher […]

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Uncategorized Published - 28 October, 2025    By - Dr Clemens
Current and novel approaches for critical care management of aneurysmal subarachnoid hemorrhage in critical care

Authors: Zoumprouli A. et al. Current Opinion in Anesthesiology, October 2025. DOI: 10.1097/ACO.0000000000001533 This narrative review summarizes recent advances and evolving evidence in the critical care management of aneurysmal subarachnoid hemorrhage (aSAH), with a focus on studies published over the past 18 months. The authors highlight the growing emphasis on precision medicine, multidisciplinary management, and […]

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Uncategorized Published - 28 October, 2025    By - Dr Clemens
Learnings From an Audit of Anesthesia Information Management System for Neurosurgery Operating Room Utilization

Authors: Malhotra R. et al. Journal of Neurosurgical Anesthesiology, October 2025. DOI: 10.1097/ANA.0000000000001021 This retrospective audit analyzed anesthesia information management system (AIMS) data to evaluate operating room (OR) utilization patterns in neurosurgery. AIMS platforms, which record timestamps for each perioperative phase, can provide detailed insights into workflow efficiency and time allocation but are underutilized for […]

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Uncategorized Published - 28 October, 2025    By - Dr Clemens
Artificial intelligence in airway management

Authors: Mohamed F. Abosamak et al Anaesthesia Critical Care & Pain Medicine, 2025. DOI: 10.1016/j.accpm.2025.101589 This systematic review and meta-analysis evaluated the performance of artificial intelligence (AI) models in predicting difficult airways—one of anesthesia’s most critical and high-stakes challenges. Difficult airway complications can rapidly lead to hypoxia, brain injury, or death, and early prediction is […]

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Uncategorized Published - 28 October, 2025    By - Dr Clemens
Remimazolam vs. dexmedetomidine for postoperative sedation in oral tumor patients undergoing free flap reconstruction

Authors: Yun Liu et al BMC Anesthesiology, 2025; Article 483. Volume 25, 2025 This randomized, double-blind clinical trial compared remimazolam and dexmedetomidine for postoperative sedation following free-flap reconstruction in patients with oral tumors—a surgical population requiring stable hemodynamics and smooth emergence to protect delicate microvascular anastomoses. Although dexmedetomidine is widely used for sedation, remimazolam’s rapid […]

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Uncategorized Published - 28 October, 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 - 27 October, 2025    By - Dr Clemens
The Role of Delta-Opioid Receptor in Mediating the Cardioprotective Effects of Morphine Preconditioning via the JAK2/STAT3 Pathway in a Failing Heart

Authors: Pan X. et al. Anesthesia & Analgesia, October 2025. DOI: 10.1213/ANE.0000000000007290 This translational study investigated the role of delta-opioid receptor (DOR) signaling in myocardial protection during ischemia/reperfusion (I/R) injury in the setting of chronic heart failure. Patients with heart failure are highly susceptible to perioperative myocardial damage, and evidence from animal models has implicated […]

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Uncategorized Published - 27 October, 2025    By - Dr Clemens
Trends in Use of Medications for Opioid Use Disorder among Commercially Insured U.S. Surgical Patients, 2016-2022

Authors: Bicket M.C. et al. Anesthesiology, September 25, 2025. DOI: 10.1097/ALN.0000000000005771 This large national cohort study evaluated trends in the use of medications for opioid use disorder (MOUD) among commercially insured adults undergoing major surgical procedures in the United States between 2016 and 2022. As the number of surgical patients treated with MOUD continues to […]

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