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Anesthesiology Published - 24 September, 2025    By - Dr Clemens
Influence of High-Dose Heparin on CT EXTEM of ROTEM Sigma and ROTEM Delta During Cardiopulmonary Bypass

Authors: van Haeren MMT, et al. Anesthesia & Analgesia. September 05, 2025. doi:10.1213/ANE.0000000000007753 This substudy compared the ROTEM Delta and ROTEM Sigma devices during cardiac surgery, focusing on clotting time (CT) EXTEM values in the presence of high-dose heparin. Eighty-six patients undergoing thoracic aortic surgery had paired ROTEM measurements before heparinization and during cardiopulmonary bypass. […]

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Anesthesiology Published - 24 September, 2025    By - Dr Clemens
Independent CRNA Opportunity – Savannah, TN

Hardin Medical Center (122 beds) is offering a rare CRNA-only practice with full autonomy and an unbeatable lifestyle. • Schedule: 2 weeks on / 1 week off (17 weeks off annually)• Model: Independent CRNA practice – no anesthesiologist supervision• Case Mix: General surgery, ortho, endo, OB/GYN (epidurals & C-sections)• No Complex Cases: No hearts, no […]

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Anesthesiology Published - 23 September, 2025    By - Dr Clemens
Anesthesia’s growing pains

Author: Francesca Mathewes Becker’s ASC Review As surgical care continues migrating to the outpatient setting and the demand for anesthesia rises amid ongoing staffing shortages, a number of economic, regulatory and clinical issues have surfaced as key factors in the industry’s future. Limited flexibility in staffing models Anesthesia staffing models vary greatly between different states […]

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Anesthesiology Published - 23 September, 2025    By - Dr Clemens
The Influence of Vasopressor-Induced Arterial Blood Pressure Elevation on Muscle-Recorded Motor Evoked Potentials

Authors: Dulfer SE, et al. Anesthesia & Analgesia. September 05, 2025. doi:10.1213/ANE.0000000000007701 This prospective observational study investigated how blood pressure elevation affects transcranial electrical stimulation muscle-recorded motor evoked potentials (Tc-mMEPs) in 25 patients undergoing spinal surgery. False positive Tc-mMEP warnings are common and often attributed to inadequate blood pressure. Researchers increased mean arterial pressure (MAP) […]

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Anesthesiology Published - 23 September, 2025    By - Dr Clemens
When Imperfection Becomes Ideal: Rethinking Academic Culture Around Faculty Advancement

Author: Jones JH Anesthesia & Analgesia. 2025. doi:10.1213/ANE.0000000000007728 This letter to the editor challenges academic medicine’s pursuit of “perfection” in faculty advancement. The author reflects on clinical training—where complications, rejected manuscripts, or declined grants are seen as part of growth—and argues that advancement systems should embrace imperfection as a marker of engagement rather than risk-aversion. […]

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