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Uncategorized Published - 10 November, 2025    By - Dr Clemens
Pyridoxine for Postoperative Nausea and Vomiting: Comment

Author: Xue, Fu-Shan M.D. et al Anesthesiology October 21, 2025. | DOI: 10.1097/ALN.0000000000005703 This Letter to the Editor comments on Zhang et al.’s recent study evaluating pyridoxine as part of a multimodal strategy for preventing postoperative nausea and vomiting (PONV) following gynecologic laparoscopic surgery. The authors commend the findings but raise concerns about potential confounding factors and the […]

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Uncategorized Published - 10 November, 2025    By - Dr Clemens
A Display Filter Alters SEF95 Calculation in the BIS Monitor: A Persistent Design Flaw with Clinical and Research Implications

Authors: Hight, Darren et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005762 This letter to the editor exposes a long-standing technical flaw in Bispectral Index (BIS) monitors (Medtronic, Ireland) that directly affects calculation of the spectral edge frequency 95 (SEF95), a standard electroencephalographic (EEG) measure used to gauge anesthetic depth. The authors—building on prior reports of […]

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Uncategorized Published - 10 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 - 9 November, 2025    By - Dr Clemens
How ASCs survive the anesthesia cost squeeze

Author: Francesca Mathewes Becker’s ASC Review ASC leaders face a near impossible situation as anesthesia reimbursement rates stagnate and decline, all while other pressures, including staffing issues and operational costs weigh on profitability. Two leaders recently joined Becker’s to discuss their strategies for surviving the anesthesia cost squeeze. Editor’s note: Responses have been lightly edited for clarity and length. Question: What […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
2025 state of claims: Why are errors in claims increasing?

Author: Todd Shryock Medical Economics With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout. Health care claims denials remain a growing challenge for providers, draining administrative resources, delaying payments and impacting patient experiences. Denials often occur due to incomplete documentation, coding errors, […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
The next era of anesthesiologist-CRNA collaboration

Author: Patsy Newitt Becker’s ASC Review As anesthesia groups navigate workforce shortages and cost pressures, collaboration between anesthesiologists and CRNAs becomes increasingly vital. Brian Cohen, MD, administrative chief of Miami Anesthesia Services, joined Becker’s to discuss how transparency and education are critical for alignment. Editor’s note: This interview was edited lightly for clarity and length.  Question: Looking […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
Pain as a driver of myocardial injury in hip fracture patients: a HIP fracture Accelerated surgical TreaTment And Care track (HIP ATTACK) Trial secondary analysis

Authors: Khan, James S. et al. Anesthesiology October 2025 | DOI: 10.1097/ALN.0000000000005818 This secondary analysis of the international HIP ATTACK randomized controlled trial examined whether perioperative pain contributes to myocardial injury in patients undergoing surgery for hip fracture. Because hip fracture patients often experience severe pain and physiological stress, the authors explored whether higher pain […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
Sex-specific effects of acute stress on emergence from isoflurane anesthesia via brainstem circuitry in mice

Authors: Zhao, Xianghe et al. Anesthesiology November 2025 | DOI: 10.1097/ALN.0000000000005826 This preclinical study explored how acute stress influences anesthetic depth and emergence from isoflurane anesthesia, focusing on sex-specific neural mechanisms. Using a mouse model exposed to 30 minutes of restraint stress, investigators assessed the onset and recovery of anesthesia through loss and return of […]

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Uncategorized Published - 7 November, 2025    By - Dr Clemens
Near-infrared Spectroscopy and Skin Tone in Children

Authors: Starnes, Joseph R. et al. Anesthesiology November 2025 | DOI: 10.1097/ALN.0000000000005738 This study examined how skin tone influences the accuracy of near-infrared spectroscopy (NIRS) readings in children, addressing concerns similar to those previously identified in pulse oximetry. Using the Medtronic INVOS 5100C NIRS system, the research team enrolled 110 pediatric patients under 21 years […]

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Uncategorized Published - 7 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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