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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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