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Author: Dr. Rob Clemens Many anesthesia groups keep billing in-house because it feels familiar and controllable. On paper, paying staff salaries instead of a percentage can look cheaper. In reality, in-house billing often costs more — and exposes the group to risks that can threaten cash flow overnight. Anesthesia billing is a specialized function. When […]
Read MoreAuthors: Binyamin Y et al. International Journal of Obstetric Anesthesia Vol 66 May 2026 This single-center, retrospective before-and-after cohort study compared routine prophylactic carbetocin with oxytocin for prevention of uterine atony during cesarean delivery. Study Design All consecutive cesarean deliveries over 2 matched 3-month periods were included: • February–April 2022: Oxytocin group3–5 IU IV bolus […]
Read MoreAuthors: Chen C et al. Journal of Clinical Anesthesia, 2026, 10.1016/j.jclinane.2026.112123 This multicenter prospective cohort study examined whether untreated preoperative sleep disturbance independently increases the risk of perioperative neurocognitive disorders (PND) in older adults undergoing major non-cardiac surgery. A total of 535 patients aged ≥60 years undergoing surgery lasting ≥2 hours were enrolled between June […]
Read MoreAuthors: Ba L Cureus 17(11): e96646, November 12, 2025, 10.7759/cureus.96646 This case report describes a 74-year-old woman who experienced prolonged unresponsiveness followed by significant postoperative agitation after an otherwise uneventful general anesthetic for laser ablation of a laryngeal tumor. The core message is that delayed emergence in older adults can be multifactorial, and psychological predispositions […]
Read MoreAuthors: Elaibaid M et al. Anesthesia & Analgesia, February 9, 2026, 10.1213/ANE.0000000000007983 This mixed-methods study evaluated Vital Anaesthesia Simulation Training (VAST) Wellbeing—a one-day course designed to address burnout and promote resilience—among healthcare providers working in an active conflict zone at the EMERGENCY-NGO Salam Centre for Cardiac Surgery in Sudan. While VAST Wellbeing has previously been […]
Read MoreAuthors: Taneze Y et al. Anesthesia & Analgesia, 2026 (Letter to the Editor) This Letter to the Editor emphasizes the importance of incorporating hospital identifiers when evaluating racial and ethnic disparities in failure-to-rescue (FTR) outcomes following surgery. The authors respond to prior work analyzing racial disparities in postoperative sepsis-related mortality using American College of Surgeons […]
Read MoreHardin 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 MoreBurnout 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 MoreAuthors: Berger AA et al. Anesthesia & Analgesia, February 10, 2026, 10.1213/ANE.0000000000007982 This 10-year single-center retrospective cohort study evaluated whether the injected volume during epidural blood patch (EBP) affects treatment success in obstetric post-dural-puncture headache (PDPH). Although EBP is widely accepted as the most effective treatment for PDPH, volume targets remain debated—particularly beyond 20 mL. […]
Read MoreAuthor: Weinberg L A & A Practice 20(1): e02142, January 2026, 10.1213/XAA.0000000000002142 This point-of-view essay reflects on ethical leadership in medicine, arguing that departments should respond to ethical misjudgments with the same structured curiosity and compassion applied to clinical errors. The author writes from experience as both a department director and chair of a hospital […]
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