Author: Dr Clemens

Uncategorized Published - 23 October, 2025    By - Dr Clemens
Artificial Intelligence in Anesthesiology: Comment

Authors: Higgins, K. Elliott III M.D. et al Anesthesiology ():10.1097/ALN.0000000000005712, October 13, 2025. This Letter to the Editor responds to the Anesthesia Research Council’s recent expert report on artificial intelligence (AI) in anesthesiology. The authors commend the report for defining the current state and future vision of AI but caution that its integration into clinical practice […]

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Uncategorized Published - 23 October, 2025    By - Dr Clemens
Revisiting infusion rate limitations for continuous lumbar plexus blocks in children and adolescents with 0.2% ropivacaine

Authors: Sunder R.A. et al. Anesthesiology, September 29, 2025. DOI: 10.1097/ALN.0000000000005775 This pharmacokinetic study revisited infusion rate limitations for continuous lumbar plexus blocks in pediatric patients, addressing the long-standing concern of balancing adequate analgesia with local anesthetic toxicity. The widespread use of ropivacaine for pediatric regional anesthesia has been constrained by limited pharmacokinetic data, leading […]

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Uncategorized Published - 23 October, 2025    By - Dr Clemens
The Impact of Preoperative Functional Capacity on Postoperative Mortality and Morbidity

Authors: Valadkhani A. et al. Anesthesiology, October 3, 2025. DOI: 10.1097/ALN.0000000000005779 This large, prospective dual-center cohort study assessed how preoperative functional capacity—expressed as metabolic equivalents of task (MET)—relates to postoperative mortality and morbidity. Although functional capacity has long been recognized as a predictor of surgical risk, prior studies often used binary cutoffs rather than examining […]

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Uncategorized Published - 23 October, 2025    By - Dr Clemens
Anesthesia facing mounting malpractice insurance costs

Author: Francesca Mathewes Becker’s ASC Review Anesthesiologists are facing rising malpractice insurance costs, largely driven by high-risk procedures and sometimes limited access to standard coverage. According to data released Oct. 6 by Homewood Insurance Group, a Naples, Fla.-based medical insurance group, anesthesiologists pay average annual malpractice insurance premiums of $21,000-$23,000 for standard $1 million or $3 million […]

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Anesthesiology Published - 23 October, 2025    By - Dr Clemens
Perioperative Brain Health and Postoperative Delirium Prevention: Recommendations from the APSF Brain Health Patient Safety Priority Advisory Group

Authors: Ryan Field, MD; Lisa Bethea, MD; Arney Abcejo, MD; Jeffrey Huang, MD Anesthesia Patient Safety Foundation Vo; 40 No 3 Oct 2025 Summary:The APSF Brain Health Patient Safety Priority Advisory Group highlights postoperative delirium as a leading perioperative brain health risk, emphasizing prevention through risk assessment, evidence-based interventions, and team-based strategies to improve patient […]

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Uncategorized Published - 23 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 - 22 October, 2025    By - Dr Clemens
Mixed-Methods Analysis of Preoperative Distress and Postoperative Outcomes in a Prospective, Observational Cohort of Older Adults

Authors: Kjaerulff I. et al. Anesthesiology, October 3, 2025. DOI: 10.1097/ALN.0000000000005780 This mixed-methods analysis explored how preoperative psychological distress influences postoperative outcomes in older surgical patients—a critical but underexamined aspect of perioperative care. Despite calls for routine distress screening in geriatric populations, evidence linking preoperative distress to clinical outcomes has been sparse. The study analyzed […]

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Uncategorized Published - 22 October, 2025    By - Dr Clemens
Intraoperative Cardiac Events in Pediatric Patients with Congenital Heart Disease Undergoing Noncardiac Procedures

Authors: Nasr V.G. et al. Anesthesiology, October 3, 2025. DOI: 10.1097/ALN.0000000000005783 This large multicenter registry analysis provides one of the most comprehensive assessments to date of intraoperative cardiac events in pediatric patients with congenital heart disease (CHD) undergoing noncardiac procedures. Prior research on this high-risk group has been limited by either national datasets lacking clinical […]

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Uncategorized Published - 22 October, 2025    By - Dr Clemens
Anesthesia’s ‘untapped resource’

Author: Francesca Mathewes Becker’s ASC Review ASCs are poised for growth over the next several years as CMS and payer policy, patient preference and demand for surgical services push more cases into the outpatient setting. While this potential for growth is promising for many ASCs, anesthesia coverage remains a core issue as the shortage of […]

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Uncategorized Published - 22 October, 2025    By - Dr Clemens
Efficacy and safety of preemptive magnesium sulfate infusion during pheochromocytoma and paraganglioma resection

Authors: Kong H. et al. Anesthesiology, October 3, 2025. DOI: 10.1097/ALN.0000000000005778 This randomized, double-blind clinical trial investigated whether preemptive magnesium sulfate infusion could improve intraoperative hemodynamic stability during pheochromocytoma and paraganglioma (PPGL) resection—a surgery characterized by extreme fluctuations in blood pressure and heart rate due to catecholamine surges. Despite magnesium’s known sympatholytic and vasodilatory properties, […]

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