Author: Dr Clemens

Anesthesiology Published - 21 April, 2026    By - Dr Clemens
The Number Needed to Treat for Music as a Medicine against Perioperative Anxiety

Authors: Stoop J M et al. Anesthesia & Analgesia, 142(4):625–634, April 2026 This systematic review and meta-analysis evaluated the effectiveness of music as a perioperative intervention for anxiety and translated its impact into a clinically intuitive metric—the number needed to treat (NNT). Perioperative anxiety is extremely common and has meaningful physiologic and recovery implications. While […]

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Anesthesiology Published - 21 April, 2026    By - Dr Clemens
Management of Direct Oral Anticoagulants in Adult Patients Undergoing Cardiac Surgery

Authors: Budd A N et al. Anesthesia & Analgesia, 142(4):668–681, April 2026 This is a joint consensus statement from the Society of Cardiovascular Anesthesiologists (SCA) and the Society of Thoracic Surgeons (STS) addressing perioperative management of direct oral anticoagulants (DOACs) in adult cardiac surgery. The document reflects both systematic review and expert consensus, highlighting the […]

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Anesthesiology Published - 21 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 - 21 April, 2026    By - Dr Clemens
Getting The Right Signal: Does Program Signaling Work?

Author: Lambeth Hochwald Medscape Medical News For the last 4 years, residency applicants have been given the option to ‘signal’ their top program choices. The goal: Medical students are not submitting (or paying for) as many applications to residency programs as in years past, and program directors can be more laser-focused on recruiting candidates who […]

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Anesthesiology Published - 21 April, 2026    By - Dr Clemens
Development of the neuromuscular junction and neuromuscular blocking agents in neonates, infants and children

Authors: Saldien, Vera et al  European Journal of Anaesthesiology 43(4):p 324-334, April 2026. This review explores how the neuromuscular junction (NMJ) develops from the neonatal period through childhood and how these developmental changes impact the pharmacology and clinical use of neuromuscular blocking agents (NMBAs). At birth, the NMJ is functionally immature. Acetylcholine receptors are more widely […]

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Anesthesiology Published - 20 April, 2026    By - Dr Clemens
Incidence of phosphate abnormalities after cardiac surgery and their association with lactic acidosis

Authors: Steck D T et al. Journal of Clinical Anesthesia, 2026, Article 112157 This multicenter cohort study evaluated how often phosphate abnormalities occur after cardiac surgery with cardiopulmonary bypass (CPB) and whether those abnormalities are associated with severe lactic acidosis. Using data from the Multicenter Perioperative Outcomes Group, the authors analyzed nearly 35,000 adult patients […]

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Anesthesiology Published - 20 April, 2026    By - Dr Clemens
‘Frustratingly Vague’: Insurers Fail to Get Specific on Prior Authorization Reforms

This is important because prior authorization is required before surgery. Author: Randy Dotinga Medscape Medical News Under pressure from politicians, American health insurers say they’ve voluntarily slashed prior authorization (PA) requirements for medical services by 11% this year. But they’re refusing to provide specifics, and they’re not being greeted as liberators. “The information is frustratingly […]

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Anesthesiology Published - 20 April, 2026    By - Dr Clemens
Which Nonpharmacologic Therapy Is Best for Low Back Pain?

Author: Deborah Brauser Medscape Medical News Spinal manipulation alone was no more effective than guideline-recommended medical care for low back pain (LBP), results of a randomized comparison study showed. Of the first-line nonpharmacologic interventions included in the four-arm trial, clinician-supported self-management offered the most benefit, besting medical care with small but significant improvements in LBP disability over 12 […]

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Anesthesiology Published - 20 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 - 20 April, 2026    By - Dr Clemens
Can AI generate safe anaesthesia plans? A comparative evaluation of three large language models on 100 synthetic cases

Authors: Audrey Jarrassier et al Anaesthesia Critical Care & Pain Medicine Volume 45, Issue 4 July 2026 Highlights • Large language models tested on 100 synthetic preoperative cases. • ChatGPT showed highest completeness and guideline adherence. • Mistral produced significantly more unsafe recommendations. • All models showed increased errors with higher American Society of Anesthesiologists (ASA) […]

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