Author: Dr Clemens

Anesthesiology Published - 27 April, 2026    By - Dr Clemens
Incidence of phosphate abnormalities after cardiac surgery and their association with lactic acidosis

Authors: Steck DT et al. Journal of Clinical Anesthesia, 2026, article number 112157 Summary:This multicenter retrospective cohort study evaluated the incidence of phosphate abnormalities following cardiac surgery requiring cardiopulmonary bypass and their relationship to postoperative lactic acidosis. Prior data on this topic were limited to single-center experiences, prompting the authors to analyze a large dataset […]

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Anesthesiology Published - 27 April, 2026    By - Dr Clemens
Management of Direct Oral Anticoagulants in Adult Patients Undergoing Cardiac Surgery

Authors: Budd AN et al. Anesthesia & Analgesia, 142(4):668–681, April 2026 Summary:This joint consensus statement from the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons provides evidence-based and expert-driven guidance on the perioperative management of direct oral anticoagulants (DOACs) in adult patients undergoing cardiac surgery. Given the increasing use of DOACs and the […]

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Anesthesiology Published - 27 April, 2026    By - Dr Clemens
Too Old to Practice? Screening Older Physicians Gains Ground

Author: Mauricio Wajngarten, MD, PhD Medscape Medical News Aging is known to reduce cognitive and physical capacities and may affect professional performance, including that of physicians. This topic was addressed in 2022 in Medscape’s Portuguese edition. The article “ Too Old to Practice Medicine?” by Mônica Tarantino noted that, “unlike many other professions, there is no age […]

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Anesthesiology Published - 27 April, 2026    By - Dr Clemens
2026 Kosaka Abstract Finalists: Shaping the Future

Discover Groundbreaking Research Advancements at the Kosaka Best Abstracts Session! Sunday, May 3, 2026, 7:00 am – 8:30 am ET Congratulations to the nine investigators who have been selected as the top finalists from over 860 abstracts submitted to the 2026 Annual Meeting, presented by IARS and SOCCA! Uncover their pioneering investigations in three categories: basic science, […]

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Anesthesiology Published - 27 April, 2026    By - Dr Clemens
Fat Pad Injection Shows Limited Benefit for Knee Osteoarthritis Pain

Edited by Shrabasti Bhattacharya Medscape Medical News TOPLINE: Glucocorticoid injections into the infrapatellar fat pad did not significantly reduce knee pain or effusion synovitis volume compared with placebo over 12 weeks in patients with inflammatory knee osteoarthritis (OA); however, the treatment group showed improvements in certain pain measures and cartilage defect scores. METHODOLOGY: Researchers conducted a clinical […]

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Anesthesiology Published - 24 April, 2026    By - Dr Clemens
Optimal timing for initiating antibiotic therapy in suspected non-severe ventilator associated pneumonia in intensive care units

Authors: Lamamri M et al. Anaesthesia Critical Care & Pain Medicine, 2025, Article 101726 This international survey study (OPTI-VAP) explored how ICU clinicians decide when to start antibiotics in cases of suspected non-severe ventilator-associated pneumonia (VAP). While current guidelines generally support immediate empiric antibiotic therapy, this approach raises concerns about antimicrobial overuse and resistance. The […]

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Anesthesiology Published - 24 April, 2026    By - Dr Clemens
Dynamic effects of low- and high-pressure pneumoperitoneum on optic nerve sheath diameter during laparoscopic cholecystectomy

Authors: Cetin E et al. BMC Anesthesiology, 2026 This prospective, randomized, observer-blinded clinical trial examined how low-pressure (8 mmHg) versus high-pressure (14 mmHg) pneumoperitoneum affects optic nerve sheath diameter (ONSD)—a surrogate marker for intracranial pressure—during laparoscopic cholecystectomy. Laparoscopic surgery with pneumoperitoneum is known to increase intra-abdominal pressure, which can impact venous return, cerebral venous drainage, […]

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Anesthesiology Published - 24 April, 2026    By - Dr Clemens
Nerve Ablation for Knee Osteoarthritis: Where Is Its Place in Treatment?

Authors: Tara Haelle; Lisa Mandl, MD, MPH Medscape Medical News Knee osteoarthritis is projected to affect an estimated 642 million people across the globe by the year 2050, and its huge impact on people’s quality of life makes it a major public health problem, according to Lisa Mandl, MD, MPH, an associate professor of medicine at Hospital for […]

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Anesthesiology Published - 24 April, 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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Anesthesiology Published - 24 April, 2026    By - Dr Clemens
Opioids Offer Limited Relief for Many Acute Pain Conditions

Author: Lizette Borreli Medscape Health News Long prescribed for managing acute pain management, opioid analgesics may only provide modest and short-lived relief for many conditions and no clear benefit for others. Results of a large review of prior studies on opioids for acute pain, which evaluated systematic reviews covering more than 50 acute pain conditions […]

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