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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Effects of Dexmedetomidine–Remifentanil on Neurodevelopment of Children after Inhalation Anesthesia

Authors: Ji, Sang-Hwan et al. Anesthesiology 143(4):827–834, October 2025. DOI: 10.1097/ALN.0000000000005634 This randomized, double-blind trial enrolled infants <2 years undergoing single, nonrepetitive surgeries to test whether adding dexmedetomidine plus remifentanil (DEX-R) and thereby reducing sevoflurane exposure alters early neurodevelopment versus sevoflurane alone. At 28–30 months, 343 of 400 participants completed assessment. Despite a markedly lower […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Society of Anesthesia and Sleep Medicine Opinion Paper: High-Flow Nasal Oxygen Therapy for Early Postoperative Management of Patients With Sleep-Disordered Breathing

Authors: Ameya Pappu et al. Anesthesia & Analgesia 141(4):740–747, October 2025. DOI: 10.1213/ANE.0000000000007424 This Society of Anesthesia and Sleep Medicine opinion paper reviews the rationale and current evidence for using high-flow nasal oxygen (HFNO) in the early postoperative period for patients with sleep-disordered breathing (SDB). HFNO can improve oxygenation, provide low-level positive airway pressure (≈ […]

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Uncategorized Published - 4 November, 2025    By - Dr Clemens
Senate committee hears bill to require AI transparency in health-insurance prior authorization

Citzen Portal Senator Mark Catrona on behalf of the sponsor told the Financial Institutions Insurance Technology Committee that Senate Bill 164 would require greater transparency and human oversight when insurers use artificial intelligence in health-care prior-authorization decisions. Catrona said the bill would require disclosure of the algorithms, the criteria and the software used to make […]

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Uncategorized Published - 4 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 - 3 November, 2025    By - Dr Clemens
Perioperative Analgesic Interventions for Reduction of Persistent Postsurgical Pain After Total Hip and Knee Arthroplasty

Authors: Jens Laigaard et al. Source: Anesthesia & Analgesia 141(4):765–778, October 2025. This meta-analysis reviewed 49 randomized controlled trials (68 intervention arms) examining perioperative analgesic interventions aimed at reducing long-term (3–24 months) postsurgical pain following total hip or knee arthroplasty in patients with osteoarthritis. The review evaluated pain both at rest and during movement and […]

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Uncategorized Published - 3 November, 2025    By - Dr Clemens
Fasting and nutrition in neuroanesthesia and neurocritical care patients

Authors: Ramaswamy, Taraa; Nagrebetsky, Alexander; Bilotta, Federico Current Opinion in Anesthesiology 38(5):569–575, October 2025. This review summarizes emerging evidence on nutrition management in neuroanesthesia and neurocritical care, emphasizing strategies that enhance functional recovery through improved perioperative and ICU nutrition practices. Malnutrition remains a strong predictor of adverse outcomes in neurosurgical and neurocritically ill patients. Recent […]

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Uncategorized Published - 3 November, 2025    By - Dr Clemens
The efficacy and safety of peripheral nerve blocks for postoperative analgesia following total hip arthroplasty

Authors: Yang, Yanyan et al. BMC Anesthesiology, Volume 25, Article 522 (2025). This Bayesian network meta-analysis compared the efficacy of multiple peripheral nerve block techniques for postoperative pain management following total hip arthroplasty (THA). Eighteen randomized clinical trials from 12 countries, encompassing 1,180 patients, were included. The analysis evaluated 11 block types, focusing on 24-hour […]

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Uncategorized Published - 3 November, 2025    By - Dr Clemens
Effects of Intraoperative Ventilation Strategies on Ventilation Inhomogeneity and Inflammatory Response in Pediatric Cardiac Surgery

Authors: Billstein, Charlotte et al. Pediatric Anesthesia, first published October 23 2025.DOI: 10.1111/pan.70066 This prospective, randomized pilot study investigated whether maintaining lung-protective ventilation (LPV) during aortic cross-clamping on cardiopulmonary bypass (CPB) in pediatric cardiac surgery influences postoperative lung function compared with apnea or continuous positive airway pressure (CPAP). The study aimed to address concerns that […]

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Uncategorized Published - 3 November, 2025    By - Dr Clemens
CMS calls back furloughed employees to help with Medicare, ACA enrollment periods

Author: Rebecca Pifer Healthcare Dive Roughly 3,000 employees are coming back to work on Monday, funded by user fees as the shutdown drags into its fourth week. Dive Brief: The CMS is temporarily calling back its furloughed employees to help during the open enrollment periods for Medicare and Affordable Care Act plans, a spokesperson for […]

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Uncategorized Published - 31 October, 2025    By - Dr Clemens
Sedation Depth in Acute Respiratory Distress Syndrome Patients Receiving Neuromuscular Blockade:

Authors: Uzun Sarıtaş, Pelin et al. Journal of Cardiothoracic and Vascular Anesthesia Oct 26, 2025 Prospective observational study, 2025 (journal pending publication details). This study investigated sedation depth using processed electroencephalography (pEEG) in adults with acute respiratory distress syndrome (ARDS) who were receiving continuous neuromuscular blockade (NMBA) in the ICU. Because traditional clinical assessments of […]

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