Anesthesiology Published - 18 February, 2026 By - Dr Clemens

If Your Hospital Employs the Anesthesia Department, Billing Still Determines the Margin

Author: Dr. Rob Clemens When anesthesia is hospital-employed, billing is often treated as an afterthought. Salaries are budgeted, coverage is secured, and revenue is assumed to follow. In practice, suboptimal anesthesia billing quietly erodes hospital margins every month — even when staffing and coverage appear stable. Employment does not insulate anesthesia services from lost revenue. […]

Anesthesiology Published - 18 February, 2026 By - Dr Clemens

Inside anesthesia’s operational shifts

Author: Francesca Mathewes Becker’s ASC Review The anesthesia workforce shortage has become a fixture in healthcare at large as hospitals, health systems and ASCs figure out how to balance high surgical demand with a lack of providers. Three leaders in anesthesia recently joined Becker’s to share the trends they’re observing in how ASCs and other organizations adapt to the shortage. […]

Anesthesiology Published - 18 February, 2026 By - Dr Clemens

Pharmacokinetics and Pharmacodynamics of Analgesic and Anesthetic Drugs in Patients During Cardiac Surgery With Cardiopulmonary Bypass

Authors: Anne Beukers et al. Anesthesia & Analgesia, 142(1):5–14 (January 2026). Anesthetic Management Considerations During Cardiopulmonary Bypass Volatile AnestheticsEnd-tidal sevoflurane concentrations can be used as a reliable surrogate for plasma levels and may guide anesthetic depth during CPB. High concentrations of sevoflurane or isoflurane that produce burst suppression should be avoided, as burst suppression may […]

Anesthesiology Published - 18 February, 2026 By - Dr Clemens

Interpretation of Viscoelastic Hemostatic Assays in Cardiac Surgery Patients

Authors: Noteboom S H et al. Anesthesia & Analgesia 141(3), September 2025 This multicenter expert-panel study examined how consistently experienced clinicians interpret rotational thromboelastometry (ROTEM) results in cardiac surgery patients and how those interpretations compare with a standardized ROTEM-guided algorithm. Given the widespread use of viscoelastic assays to guide transfusion decisions, understanding the reliability and […]

Anesthesiology Published - 18 February, 2026 By - Dr Clemens

Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement

Authors: Oprea AD et al. British Journal of Anaesthesia, volume 135, issue 1, 2026 This multidisciplinary consensus statement from the Society for Perioperative Assessment and Quality Improvement (SPAQI) addresses the increasingly common perioperative challenge of managing patients taking glucagon-like peptide-1 receptor agonists (GLP-1 RAs). With widespread use for diabetes mellitus, obesity, and cardiovascular risk reduction, […]

Anesthesiology Published - 18 February, 2026 By - Dr Clemens

BEST Independent CRNA Opportunity – Savannah, TN just increased salary $15,000

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 […]

Anesthesiology Published - 18 February, 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 […]

Anesthesiology Published - 17 February, 2026 By - Dr Clemens

Effect of S-Ketamine on Postoperative Delirium in Elderly Patients Undergoing Arthroplasty

Authors: Zhu Y et al. Anesthesiology, January 2026, volume 144, issue 1, pages 63–76 This randomized controlled trial evaluated whether S-ketamine reduces postoperative delirium (POD) in elderly patients undergoing total hip or knee arthroplasty when administered outside a general anesthesia setting. Prior studies suggested potential neuroprotection from ketamine, but effects may have been blunted by […]

Anesthesiology Published - 17 February, 2026 By - Dr Clemens

Cardiac ultrasound-guided crystalloid preloading before spinal anesthesia vs. standard coloading for scheduled cesarean delivery

Authors: Ben Marzouk S et al. International Journal of Obstetric Anesthetic Vol 66 May 26 Clinical trial registration: NCT07108881 SummaryThis randomized controlled trial evaluated whether cardiac ultrasound–guided crystalloid preloading, added to standard coloading, reduces the incidence and severity of maternal hypotension following spinal anesthesia for scheduled cesarean delivery. Maternal hypotension remains a frequent complication of […]

Anesthesiology Published - 17 February, 2026 By - Dr Clemens

Comparison of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block for preoperative analgesia in elderly patients with hip fracture

Authors: Liao H et al. Journal of Clinical Anesthesia 2025 SummaryThis prospective, observer-blinded randomized controlled study compared the pericapsular nerve group (PENG) block with the ultrasound-guided supra-inguinal fascia iliaca compartment block (sFICB) for preoperative analgesia in elderly patients undergoing hip fracture surgery. Adequate analgesia before positioning for spinal anesthesia is critical in this population, as […]