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Uncategorized Published - 24 April, 2025    By - Dr Clemens
The Association Between Fluid Management and Intraoperative Blood Pressure and Patients’ Outcome After Complex Spine Surgeries

AUTHORS: Koh, Ye Rin MD et al  Anesthesia & Analgesia 140(5):p 1178-1187, May 2025. BACKGROUND: Both intraoperative hypotension and excessive fluid administration can lead to detrimental perioperative complications. However, how much fluid is considered excessive and how is intraoperative hypotension related to major postoperative complications? METHODS: We conducted a single-center retrospective cohort study in 6243 patients […]

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Uncategorized Published - 24 April, 2025    By - Dr Clemens
A Randomized Controlled Trial of Intrathecal versus Caudal Morphine-Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients

AUTHORS: Pangasa, Neha MD, DNB et al  Anesthesia & Analgesia 140(5):p 1159-1167, May 2025. BACKGROUND: Morphine is commonly used in pediatric caudal blocks. We compared the analgesic efficacy and effect on cortisol levels of intrathecal morphine and bupivacaine with caudal morphine and bupivacaine in children undergoing lower abdominal surgeries. METHODS: Forty children undergoing lower abdominal surgeries […]

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Uncategorized Published - 23 April, 2025    By - Dr Clemens
External Validation of the Simple Postoperative Acute Kidney Injury Risk Index in Patients Admitted to the Intensive Care Unit After Noncardiac Surgery

AUTHORS: Li, Nan MD et al  Anesthesia & Analgesia 140(5):p 1140-1148, May 2025. BACKGROUND: The Simple Postoperative AKI Risk (SPARK) index is a novel model for predicting risk of postoperative acute kidney injury (PO-AKI) among patients after noncardiac surgery. However, the performance of the index has been inconsistent partly due to heterogeneity in case mix and […]

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Uncategorized Published - 23 April, 2025    By - Dr Clemens
Assessing Older Anesthesiologists

Authors: Johnstone, Robert MD*; Bader, Angela M. MD, MPH†; Hepner, David L. MD, MPH† Anesthesia & Analgesia 140(5):p 1105-1110, May 2025. Some medical staff leaders think neuropsychologic testing and specialty-specific vision and motor testing constitute best practices for assessing older physicians before renewing their practice privileges.1 They reason that the cognitive decline of some older anesthesiologists […]

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Uncategorized Published - 23 April, 2025    By - Dr Clemens
CRNA pay by state, adjusted for cost of living | 2025

Author: Anna Falvey Becker’s Hospital Review Massachusetts has the highest hourly mean wage for nurse anesthetists in the U.S., and West Virginia has the highest hourly mean wage for CRNAs after adjusted for cost of living, according to data published April 2 by the Bureau of Labor Statistics. Below are the mean hourly and annual wages for […]

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