Author: Dr Clemens

Uncategorized Published - 11 November, 2025    By - Dr Clemens
Effect of S-Ketamine on Postoperative Delirium in Elderly Patients Undergoing Arthroplasty

Authors: Zhu, Youzhuang et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005800 This randomized controlled trial evaluated whether S-ketamine can reduce postoperative delirium (POD) in elderly patients undergoing total hip or knee arthroplasty under neuraxial anesthesia. The study enrolled 372 patients between November 2023 and October 2024 at a high-volume arthroplasty center with standardized perioperative care […]

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Uncategorized Published - 11 November, 2025    By - Dr Clemens
Effect of Intravenous, Inhalational, or Combined Anesthesia Maintenance on Postoperative Respiratory Adverse Events in Children Undergoing Adenotonsillectomy (AmPRAEC)

Authors: Shen, Fangming et al. Anesthesiology 2025 Oct 14 | DOI: 10.1097/ALN.0000000000005707 This multicenter randomized clinical trial (the AmPRAEC study) evaluated how different anesthesia-maintenance strategies affect postoperative respiratory adverse events (PRAEs) in children undergoing adenotonsillectomy. The investigators enrolled 760 children aged 0–12 years at 12 hospitals in China and randomly allocated them to one of […]

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Uncategorized Published - 11 November, 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 - 10 November, 2025    By - Dr Clemens
Cognitive Decline and Dementia in Chronic Widespread Pain

Authors: Jiang, Xue et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005731 This large longitudinal cohort study investigated whether chronic widespread pain (CWP) contributes to cognitive decline and dementia, as well as potential underlying mechanisms involving brain structure and systemic inflammation. Using data from nearly 190,000 UK Biobank participants followed over 13 years, researchers examined self-reported […]

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Uncategorized Published - 10 November, 2025    By - Dr Clemens
Modulation of the Renin–Angiotensin System in Critically Ill Patients

Authors: Calabrese, Alberto et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005633 This comprehensive narrative review examines the expanding role of renin–angiotensin system (RAS) modulation in critical care, focusing on both classical and alternative pathways. The authors explore how the dual RAS axes—one promoting vasoconstriction and inflammation, the other vasodilation and tissue protection—may be therapeutically targeted […]

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Uncategorized Published - 10 November, 2025    By - Dr Clemens
Pyridoxine for Postoperative Nausea and Vomiting: Comment

Author: Xue, Fu-Shan M.D. et al Anesthesiology October 21, 2025. | DOI: 10.1097/ALN.0000000000005703 This Letter to the Editor comments on Zhang et al.’s recent study evaluating pyridoxine as part of a multimodal strategy for preventing postoperative nausea and vomiting (PONV) following gynecologic laparoscopic surgery. The authors commend the findings but raise concerns about potential confounding factors and the […]

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Uncategorized Published - 10 November, 2025    By - Dr Clemens
A Display Filter Alters SEF95 Calculation in the BIS Monitor: A Persistent Design Flaw with Clinical and Research Implications

Authors: Hight, Darren et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005762 This letter to the editor exposes a long-standing technical flaw in Bispectral Index (BIS) monitors (Medtronic, Ireland) that directly affects calculation of the spectral edge frequency 95 (SEF95), a standard electroencephalographic (EEG) measure used to gauge anesthetic depth. The authors—building on prior reports of […]

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Uncategorized Published - 10 November, 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 - 9 November, 2025    By - Dr Clemens
How ASCs survive the anesthesia cost squeeze

Author: Francesca Mathewes Becker’s ASC Review ASC leaders face a near impossible situation as anesthesia reimbursement rates stagnate and decline, all while other pressures, including staffing issues and operational costs weigh on profitability. Two leaders recently joined Becker’s to discuss their strategies for surviving the anesthesia cost squeeze. Editor’s note: Responses have been lightly edited for clarity and length. Question: What […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
2025 state of claims: Why are errors in claims increasing?

Author: Todd Shryock Medical Economics With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout. Health care claims denials remain a growing challenge for providers, draining administrative resources, delaying payments and impacting patient experiences. Denials often occur due to incomplete documentation, coding errors, […]

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