Author: Dr Clemens

Anesthesiology Published - 2 March, 2026    By - Dr Clemens
The emerging anesthesia disruptors

Author: Sophie Eydis Becker’s ASC Review Anesthesia leaders say the specialty is facing a convergence of financial, workforce and operational pressures that threaten hospital stability nationwide. Stagnant Medicare rates, aggressive payer tactics and reimbursement cuts are colliding with workforce shortages, rising demand and growing reliance on locum tenens staffing. At the same time, restrictions on scope […]

Read More
Anesthesiology Published - 2 March, 2026    By - Dr Clemens
Queue management for the assignment of anesthesia clinician breaks to increase fractions completed before the end of surgical closure and during planned time windows

Authors: Dexter F et al. Journal of Clinical Anesthesia 110 (March 2026):112136 Summary This operations-science study evaluates how anesthesia directors should assign 30-minute lunch breaks in surgical suites with long workdays. Using discrete-event simulations based on 15 years of real-world data (5,481 days, 53 operating rooms, 460,354 cases), the authors compared different queue-management strategies to […]

Read More
Anesthesiology Published - 2 March, 2026    By - Dr Clemens
Early Exposure to Arterial Hyperoxia During Extracorporeal Membrane Oxygenator Support and Acute Brain Injury and Mortality in Patients With Cardiogenic Shock

Authors: Yang Y et al. Anesthesia & Analgesia 142(2):326–334, February 2026 Summary This retrospective cohort study from Beijing Anzhen Hospital examined whether early arterial hyperoxia during venoarterial extracorporeal membrane oxygenation (VA-ECMO) is associated with acute brain injury (ABI) and in-hospital mortality in patients with cardiogenic shock. The investigators reviewed 481 adult patients receiving VA-ECMO between […]

Read More
Anesthesiology Published - 2 March, 2026    By - Dr Clemens
Professionalism Perceptions: A Comparison of Anesthesiology Trainees and Attendings

Authors: Chen F et al. Anesthesiology, February 5, 2026 Summary Professionalism is a core ACGME competency, yet how anesthesiology trainees and attendings interpret “unprofessional behavior” may not be aligned. This multi-site cross-sectional study examined differences in professionalism perceptions across five anesthesiology residency programs. A total of 369 respondents (153 trainees and 216 attendings; 35.9% response […]

Read More
Anesthesiology Published - 2 March, 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 […]

Read More
Anesthesiology Published - 2 March, 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 […]

Read More
Anesthesiology Published - 27 February, 2026    By - Dr Clemens
Association of patient-reported substance use and postoperative pain

Authors: Dugan MQ et al. BMJ Journal Regional Anesthesia & Pain Medicine This multicenter prospective study evaluated whether preoperative substance use—identified using the validated Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) questionnaire—is associated with postoperative pain intensity. Background Substance use is common in surgical populations and has been associated with greater opioid prescribing […]

Read More
Anesthesiology Published - 27 February, 2026    By - Dr Clemens
Efficacy and Safety of Preemptive Magnesium Sulfate Infusion during Pheochromocytoma and Paraganglioma Resection

Authors: Kong H et al. Anesthesiology 144(2): 301–313, February 2026, 10.1097/ALN.0000000000005778 This single-center, randomized, double-blind, placebo-controlled trial evaluated whether preemptive magnesium sulfate infusion improves intraoperative hemodynamic stability during pheochromocytoma and paraganglioma (PPGL) resection. Hemodynamic instability during PPGL surgery remains a major perioperative challenge due to catecholamine surges during tumor manipulation and vasoplegia after tumor removal. […]

Read More
Anesthesiology Published - 27 February, 2026    By - Dr Clemens
Avoiding Intubation in Severe Acute Respiratory Distress Syndrome Due to Mixed Amiodarone Toxicity and Haemophilus Influenzae: A Case of Permissive Hypoxemia

Authors: La Brocca U et al. Cureus 17(12): e98563, December 6, 2025 This case report describes a 78-year-old woman with severe acute respiratory distress syndrome (ARDS) due to a mixed etiology: chronic amiodarone pulmonary toxicity (APT) superimposed on Haemophilus influenzae pneumonia. Despite reaching a PaO2/FiO2 nadir of 58—meeting criteria for severe ARDS—she was successfully managed […]

Read More
Anesthesiology Published - 27 February, 2026    By - Dr Clemens
Spectral Differences of Anesthetic Agents: Addressing Fundamental Problems With New Methods

Authors: Dragovic SZ et al. Anesthesia & Analgesia 142(2): 249–260, February 2026, 10.1213/ANE.0000000000007530 This retrospective EEG analysis challenges the “one-size-fits-all” assumption in processed EEG monitoring—that equivalent index targets represent equivalent anesthetic states regardless of drug. The authors compared steady-state frontal EEG under propofol versus volatile anesthetics (sevoflurane/desflurane) using conventional spectral methods and 2 newer approaches: […]

Read More