Anesthesiology

Anesthesiology Published - 24 September, 2025    By - Dr Clemens
Regional Analgesia Through Posterior Quadratus Lumborum Block in Laparoscopic and Robot-Assisted Nephrectomies

Authors: Dupuis M, et al. Anesthesia & Analgesia. August 29, 2025. doi:10.1213/ANE.0000000000007702 This retrospective observational study from Grenoble University Hospital evaluated whether preoperative low-dose posterior quadratus lumborum block (QLB) reduces opioid consumption after laparoscopic nephrectomy compared to transversus abdominis plane (TAP) block or no locoregional analgesia (LRA). The analysis included 289 patients: 54 received QLB, […]

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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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Anesthesiology Published - 23 September, 2025    By - Dr Clemens
Retrospective Analysis of Factors Associated With Increased Anesthesia Ready Time in Patients With Odontogenic Infections

Authors: Govind A, et al. Anesthesia & Analgesia. September 05, 2025. doi: 10.1213/ANE.0000000000007740 This retrospective cohort study reviewed 137 intubations for incision and drainage of odontogenic infections under general anesthesia between 2012 and 2019. Researchers examined factors affecting anesthesia ready time (ART) and first-attempt intubation failure (FAIF). The mean ART was 19.2 minutes. The strongest […]

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Anesthesiology Published - 23 September, 2025    By - Dr Clemens
Anesthesiology Resident Demographics and the BASIC Examination Pass Rates

Authors: Sun H, Harman AE, Mitchell JD, Gaiser RR, Deiner SG Anesthesia & Analgesia. March 27, 2025. doi: 10.1213/ANE.0000000000007490 This large retrospective study analyzed over 17,000 BASIC Examination attempts by nearly 16,000 anesthesiology residents between 2014 and 2022. The first-time pass rate differed by gender, race, and ethnicity: men (92.7%) outperformed women (88.1%), and White […]

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Anesthesiology Published - 22 September, 2025    By - Dr Clemens
Movements During Intended General Anesthesia and Psychologically Traumatic Accidental Awareness: Explanatory Role of the “Efference Copy Network”

Authors: Pandit JJ Anesthesia & Analgesia. September 05, 2025. doi: 10.1213/ANE.0000000000007722 This perspective connects findings from NAP5 and decades of isolated forearm technique (IFT) research to a unifying neurophysiology: the efference copy / reafference network. NAP5 showed AAGA is concentrated in cases using neuromuscular blockade (NMB) and that paralysis—not pain—is the dominant driver of psychological […]

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Anesthesiology Published - 22 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 with norepinephrine and ephedrine affects transcranial electrical stimulation muscle-recorded motor evoked potentials (Tc-mMEPs) in patients undergoing spinal surgery. False positive Tc-mMEP warnings are common during intraoperative monitoring, often attributed to low blood pressure, leading […]

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