Journal of Clinical Anesthesia
@j-clin-anesth.bsky.social
An International Journal of Anesthesiology and Perioperative Medicine.
‼️Our October podcast is here‼️
@roesslermd.bsky.social interviews Dr. Savino Spadaro on the impact of early high flow nasal oxygen on diaphragmatic function and pulmonary complications after thoracic surgery.
📽️watch: youtu.be/TXNwMPQVIJ8
🔗read the article: doi.org/10.1016/j.jclinane.2025.111945
@roesslermd.bsky.social interviews Dr. Savino Spadaro on the impact of early high flow nasal oxygen on diaphragmatic function and pulmonary complications after thoracic surgery.
📽️watch: youtu.be/TXNwMPQVIJ8
🔗read the article: doi.org/10.1016/j.jclinane.2025.111945
November 10, 2025 at 8:54 PM
‼️Our October podcast is here‼️
@roesslermd.bsky.social interviews Dr. Savino Spadaro on the impact of early high flow nasal oxygen on diaphragmatic function and pulmonary complications after thoracic surgery.
📽️watch: youtu.be/TXNwMPQVIJ8
🔗read the article: doi.org/10.1016/j.jclinane.2025.111945
@roesslermd.bsky.social interviews Dr. Savino Spadaro on the impact of early high flow nasal oxygen on diaphragmatic function and pulmonary complications after thoracic surgery.
📽️watch: youtu.be/TXNwMPQVIJ8
🔗read the article: doi.org/10.1016/j.jclinane.2025.111945
Postoperative delirium after aortic valve surgery was detected in 32% by clinical exam, 28% by DOS, but 76% by single-lead EEG. EEG identified far more cases, suggesting high sensitivity but possible false positives. Multi-modal diagnosis may be best.
🔗 doi.org/10.1016/j.jclinane.2025.111896
🔗 doi.org/10.1016/j.jclinane.2025.111896
October 28, 2025 at 12:31 PM
Postoperative delirium after aortic valve surgery was detected in 32% by clinical exam, 28% by DOS, but 76% by single-lead EEG. EEG identified far more cases, suggesting high sensitivity but possible false positives. Multi-modal diagnosis may be best.
🔗 doi.org/10.1016/j.jclinane.2025.111896
🔗 doi.org/10.1016/j.jclinane.2025.111896
Chemical hip denervation using phenol via Pericapsular Nerve Group (#PENG) block in palliative non-operative management for frail older hip fracture patients: A multicenter retrospective cohort study
A viable option in selected hip fracture patients?
🔗 doi.org/10.1016/j.jclinane.2025.111872
A viable option in selected hip fracture patients?
🔗 doi.org/10.1016/j.jclinane.2025.111872
September 1, 2025 at 7:26 AM
Chemical hip denervation using phenol via Pericapsular Nerve Group (#PENG) block in palliative non-operative management for frail older hip fracture patients: A multicenter retrospective cohort study
A viable option in selected hip fracture patients?
🔗 doi.org/10.1016/j.jclinane.2025.111872
A viable option in selected hip fracture patients?
🔗 doi.org/10.1016/j.jclinane.2025.111872
‼️New podcast‼️
@roesslermd.bsky.social interviews Dr. Christopher Wolla on preoperative ultrasound assessment of gastric volume in fasted surgical patients taking GLP-1 agonists.
📽️watch here: youtu.be/5ebe7frmR8I
🔗read the article: doi.org/10.1016/j.jclinane.2025.111853
#MedSky #AnSky
@roesslermd.bsky.social interviews Dr. Christopher Wolla on preoperative ultrasound assessment of gastric volume in fasted surgical patients taking GLP-1 agonists.
📽️watch here: youtu.be/5ebe7frmR8I
🔗read the article: doi.org/10.1016/j.jclinane.2025.111853
#MedSky #AnSky
July 30, 2025 at 6:51 AM
‼️New podcast‼️
@roesslermd.bsky.social interviews Dr. Christopher Wolla on preoperative ultrasound assessment of gastric volume in fasted surgical patients taking GLP-1 agonists.
📽️watch here: youtu.be/5ebe7frmR8I
🔗read the article: doi.org/10.1016/j.jclinane.2025.111853
#MedSky #AnSky
@roesslermd.bsky.social interviews Dr. Christopher Wolla on preoperative ultrasound assessment of gastric volume in fasted surgical patients taking GLP-1 agonists.
📽️watch here: youtu.be/5ebe7frmR8I
🔗read the article: doi.org/10.1016/j.jclinane.2025.111853
#MedSky #AnSky
This new retrospective study found that elective non‑cardiac surgeries performed in the afternoon, especially with starting time between 3–6 pm, were linked to increased mortality and more complications in high‑risk patients.
🔗 doi.org/10.1016/j.jclinane.2025.111879
🔗 doi.org/10.1016/j.jclinane.2025.111879
July 30, 2025 at 6:45 AM
This new retrospective study found that elective non‑cardiac surgeries performed in the afternoon, especially with starting time between 3–6 pm, were linked to increased mortality and more complications in high‑risk patients.
🔗 doi.org/10.1016/j.jclinane.2025.111879
🔗 doi.org/10.1016/j.jclinane.2025.111879
New prospective study from our June issue!
➡️ In patients undergoing cesarean delivery, altered complement and coagulation pathways in pre-op cerebrospinal fluid proteome were linked to persistent pain or postpartum depression at 3 months.
🔗 doi.org/10.1016/j.jclinane.2025.111855
#AnSky #MedSky
➡️ In patients undergoing cesarean delivery, altered complement and coagulation pathways in pre-op cerebrospinal fluid proteome were linked to persistent pain or postpartum depression at 3 months.
🔗 doi.org/10.1016/j.jclinane.2025.111855
#AnSky #MedSky
June 17, 2025 at 6:23 AM
New prospective study from our June issue!
➡️ In patients undergoing cesarean delivery, altered complement and coagulation pathways in pre-op cerebrospinal fluid proteome were linked to persistent pain or postpartum depression at 3 months.
🔗 doi.org/10.1016/j.jclinane.2025.111855
#AnSky #MedSky
➡️ In patients undergoing cesarean delivery, altered complement and coagulation pathways in pre-op cerebrospinal fluid proteome were linked to persistent pain or postpartum depression at 3 months.
🔗 doi.org/10.1016/j.jclinane.2025.111855
#AnSky #MedSky
Ultrasound assessment of preoperative gastric volume in fasted diabetic surgical patients: A prospective observational cohort study on the effects of glucagon-like peptide-1 agonists on gastric emptying
🔗 doi.org/10.1016/j.jclinane.2025.111853
🔗 doi.org/10.1016/j.jclinane.2025.111853
June 16, 2025 at 9:41 AM
Ultrasound assessment of preoperative gastric volume in fasted diabetic surgical patients: A prospective observational cohort study on the effects of glucagon-like peptide-1 agonists on gastric emptying
🔗 doi.org/10.1016/j.jclinane.2025.111853
🔗 doi.org/10.1016/j.jclinane.2025.111853
Repeated maternal voice orientation effectively reduces the incidence and severity of postoperative emergence agitation among pediatric patients.
Read this new 360 patient #RCT from our June issue!
🔗 doi.org/10.1016/j.jclinane.2025.111851
Read this new 360 patient #RCT from our June issue!
🔗 doi.org/10.1016/j.jclinane.2025.111851
May 30, 2025 at 5:10 PM
Repeated maternal voice orientation effectively reduces the incidence and severity of postoperative emergence agitation among pediatric patients.
Read this new 360 patient #RCT from our June issue!
🔗 doi.org/10.1016/j.jclinane.2025.111851
Read this new 360 patient #RCT from our June issue!
🔗 doi.org/10.1016/j.jclinane.2025.111851
Predicting admission to and length of stay in intensive care units after general anesthesia?
➡️intraoperative data likely more important for predicting ICU admission
➡️preoperative data seems more important for predicting length of stay
🔗 doi.org/10.1016/j.jclinane.2025.111810
➡️intraoperative data likely more important for predicting ICU admission
➡️preoperative data seems more important for predicting length of stay
🔗 doi.org/10.1016/j.jclinane.2025.111810
May 12, 2025 at 5:19 AM
Predicting admission to and length of stay in intensive care units after general anesthesia?
➡️intraoperative data likely more important for predicting ICU admission
➡️preoperative data seems more important for predicting length of stay
🔗 doi.org/10.1016/j.jclinane.2025.111810
➡️intraoperative data likely more important for predicting ICU admission
➡️preoperative data seems more important for predicting length of stay
🔗 doi.org/10.1016/j.jclinane.2025.111810
‼️New podcast alert‼️
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
📽️watch here: youtu.be/UA-D6955LCY
🔗read the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
📽️watch here: youtu.be/UA-D6955LCY
🔗read the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
April 22, 2025 at 12:45 PM
‼️New podcast alert‼️
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
📽️watch here: youtu.be/UA-D6955LCY
🔗read the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
Our April podcast is here!
@roesslermd.bsky.social interviews Dr. A. Kaserer on his new trial on phosphate substitution in iron deficiency treatment with ferric carboxymaltose.
📽️watch here: youtu.be/UA-D6955LCY
🔗read the article: doi.org/10.1016/j.jclinane.2024.111727
#AnSky
This retrospective analysis of 58,175 non-cardiac surgical procedures found that patients with chronic renal disease tend to improve kidney function after surgery - but only if they did not have AKI.
By @roesslermd.bsky.social
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2025.111745
By @roesslermd.bsky.social
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2025.111745
March 16, 2025 at 9:56 AM
This retrospective analysis of 58,175 non-cardiac surgical procedures found that patients with chronic renal disease tend to improve kidney function after surgery - but only if they did not have AKI.
By @roesslermd.bsky.social
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2025.111745
By @roesslermd.bsky.social
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2025.111745
Non-research industry payments to anesthesiologists in the U.S. between 2014 and 2023:
➡️ 75% of anesthesiologists and 46% of non-physician anesthesia providers received payments ➡️ Top 1 % of anesthesiologists received 78% of total payments
🔗 doi.org/10.1016/j.jclinane.2025.111742
➡️ 75% of anesthesiologists and 46% of non-physician anesthesia providers received payments ➡️ Top 1 % of anesthesiologists received 78% of total payments
🔗 doi.org/10.1016/j.jclinane.2025.111742
March 5, 2025 at 11:00 AM
Non-research industry payments to anesthesiologists in the U.S. between 2014 and 2023:
➡️ 75% of anesthesiologists and 46% of non-physician anesthesia providers received payments ➡️ Top 1 % of anesthesiologists received 78% of total payments
🔗 doi.org/10.1016/j.jclinane.2025.111742
➡️ 75% of anesthesiologists and 46% of non-physician anesthesia providers received payments ➡️ Top 1 % of anesthesiologists received 78% of total payments
🔗 doi.org/10.1016/j.jclinane.2025.111742
‼️New podcast alert‼️
Our January 2025 podcast is here!
Dr. Moore interviews Dr. Saugel on his recent pilot trial on personalized perioperative blood pressure management.
📽️watch here: youtu.be/OU_WtQYEVI4?si=fixRAY7plz9MfXdB
🔗read the article: doi.org/10.1016/j.jclinane.2024.111687
#AnSky #MedSky
Our January 2025 podcast is here!
Dr. Moore interviews Dr. Saugel on his recent pilot trial on personalized perioperative blood pressure management.
📽️watch here: youtu.be/OU_WtQYEVI4?si=fixRAY7plz9MfXdB
🔗read the article: doi.org/10.1016/j.jclinane.2024.111687
#AnSky #MedSky
February 14, 2025 at 1:53 PM
‼️New podcast alert‼️
Our January 2025 podcast is here!
Dr. Moore interviews Dr. Saugel on his recent pilot trial on personalized perioperative blood pressure management.
📽️watch here: youtu.be/OU_WtQYEVI4?si=fixRAY7plz9MfXdB
🔗read the article: doi.org/10.1016/j.jclinane.2024.111687
#AnSky #MedSky
Our January 2025 podcast is here!
Dr. Moore interviews Dr. Saugel on his recent pilot trial on personalized perioperative blood pressure management.
📽️watch here: youtu.be/OU_WtQYEVI4?si=fixRAY7plz9MfXdB
🔗read the article: doi.org/10.1016/j.jclinane.2024.111687
#AnSky #MedSky
Cerebral oximetry index may be a promising metric for predicting postoperative delirium or new-onset overt stroke in patients having carotid endarterectomy.
Optimal thresholds:
➡️ 0.7 in the pre-clamping phase
➡️ 0.4 in the post-clamping phase
🔗 doi.org/10.1016/j.jclinane.2024.111733
Optimal thresholds:
➡️ 0.7 in the pre-clamping phase
➡️ 0.4 in the post-clamping phase
🔗 doi.org/10.1016/j.jclinane.2024.111733
February 7, 2025 at 9:24 AM
Cerebral oximetry index may be a promising metric for predicting postoperative delirium or new-onset overt stroke in patients having carotid endarterectomy.
Optimal thresholds:
➡️ 0.7 in the pre-clamping phase
➡️ 0.4 in the post-clamping phase
🔗 doi.org/10.1016/j.jclinane.2024.111733
Optimal thresholds:
➡️ 0.7 in the pre-clamping phase
➡️ 0.4 in the post-clamping phase
🔗 doi.org/10.1016/j.jclinane.2024.111733
Personalized perioperative blood pressure management in patients having major non-cardiac surgery: A bicentric pilot randomized trial
➡️ Preoperative automated blood pressure monitoring & targeting nighttime MAP during surgery is feasible.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111687
➡️ Preoperative automated blood pressure monitoring & targeting nighttime MAP during surgery is feasible.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111687
January 31, 2025 at 8:05 AM
Personalized perioperative blood pressure management in patients having major non-cardiac surgery: A bicentric pilot randomized trial
➡️ Preoperative automated blood pressure monitoring & targeting nighttime MAP during surgery is feasible.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111687
➡️ Preoperative automated blood pressure monitoring & targeting nighttime MAP during surgery is feasible.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111687
Individual FiO2 guided by SPO2 prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial.
Check out this new #RCT from our February issue.
🔗 doi.org/10.1016/j.jclinane.2024.111732
Check out this new #RCT from our February issue.
🔗 doi.org/10.1016/j.jclinane.2024.111732
January 18, 2025 at 5:02 PM
Individual FiO2 guided by SPO2 prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial.
Check out this new #RCT from our February issue.
🔗 doi.org/10.1016/j.jclinane.2024.111732
Check out this new #RCT from our February issue.
🔗 doi.org/10.1016/j.jclinane.2024.111732
VVZ-149 is a novel, non-opioid, non-NSAID analgesic drug: It inhibits type 2 glycine transporter and type 2A serotonin receptor.
In this phase 3 trial, VVZ-149 showed a significant reduction of pain and opioid use within the first 12h after surgery.
🔗 doi.org/10.1016/j.jclinane.2024.111729
🔗 doi.org/10.1016/j.jclinane.2024.111729
January 16, 2025 at 5:20 AM
VVZ-149 is a novel, non-opioid, non-NSAID analgesic drug: It inhibits type 2 glycine transporter and type 2A serotonin receptor.
In this phase 3 trial, VVZ-149 showed a significant reduction of pain and opioid use within the first 12h after surgery.
🔗 doi.org/10.1016/j.jclinane.2024.111729
🔗 doi.org/10.1016/j.jclinane.2024.111729
Evidence into practice!
Adequate TOF monitoring is still not ubiquitous. This large interrupted time series & quality improvement project shows successful large-scale integration of quantitative TOF monitoring and evidence based NMB management.
🔗 doi.org/10.1016/j.jclinane.2024.111709
Adequate TOF monitoring is still not ubiquitous. This large interrupted time series & quality improvement project shows successful large-scale integration of quantitative TOF monitoring and evidence based NMB management.
🔗 doi.org/10.1016/j.jclinane.2024.111709
January 11, 2025 at 7:19 AM
Evidence into practice!
Adequate TOF monitoring is still not ubiquitous. This large interrupted time series & quality improvement project shows successful large-scale integration of quantitative TOF monitoring and evidence based NMB management.
🔗 doi.org/10.1016/j.jclinane.2024.111709
Adequate TOF monitoring is still not ubiquitous. This large interrupted time series & quality improvement project shows successful large-scale integration of quantitative TOF monitoring and evidence based NMB management.
🔗 doi.org/10.1016/j.jclinane.2024.111709
Severe PPCs were more common in the ‘low etCO₂’ group (35 % vs. 18 %). Propensity score matching did not alter the results, showing a robust association.
December 20, 2024 at 7:58 PM
Severe PPCs were more common in the ‘low etCO₂’ group (35 % vs. 18 %). Propensity score matching did not alter the results, showing a robust association.
This secondary analysis of the LAS VEGAS observational study aimed to examine the association between etCO₂ levels and the occurrence of postoperative pulmonary complications (PCCs).
By the PROVE network.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111728
By the PROVE network.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111728
December 20, 2024 at 7:58 PM
This secondary analysis of the LAS VEGAS observational study aimed to examine the association between etCO₂ levels and the occurrence of postoperative pulmonary complications (PCCs).
By the PROVE network.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111728
By the PROVE network.
#AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111728
The Journal of Clinical Anesthesia celebrates its 100th issue!
All articles in this special issue with free access for 100 days.
🔓 www.sciencedirect.com/journal/jour...
All articles in this special issue with free access for 100 days.
🔓 www.sciencedirect.com/journal/jour...
December 19, 2024 at 4:40 PM
The Journal of Clinical Anesthesia celebrates its 100th issue!
All articles in this special issue with free access for 100 days.
🔓 www.sciencedirect.com/journal/jour...
All articles in this special issue with free access for 100 days.
🔓 www.sciencedirect.com/journal/jour...
Possible alternative to paravertebral blocks?
➡️Intertransverse process blocks at the retro-superior costotransverse ligament space
This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.
#RASky #AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111718
➡️Intertransverse process blocks at the retro-superior costotransverse ligament space
This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.
#RASky #AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111718
December 18, 2024 at 6:53 PM
Possible alternative to paravertebral blocks?
➡️Intertransverse process blocks at the retro-superior costotransverse ligament space
This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.
#RASky #AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111718
➡️Intertransverse process blocks at the retro-superior costotransverse ligament space
This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.
#RASky #AnSky #MedSky
🔗 doi.org/10.1016/j.jclinane.2024.111718
Mitochondrial oxygenation monitoring and acute kidney injury risk in cardiac surgery: A prospective cohort study
Read this article & more from our February issue!
🔗 doi.org/10.1016/j.jclinane.2024.111715
Read this article & more from our February issue!
🔗 doi.org/10.1016/j.jclinane.2024.111715
December 15, 2024 at 8:42 PM
Mitochondrial oxygenation monitoring and acute kidney injury risk in cardiac surgery: A prospective cohort study
Read this article & more from our February issue!
🔗 doi.org/10.1016/j.jclinane.2024.111715
Read this article & more from our February issue!
🔗 doi.org/10.1016/j.jclinane.2024.111715
The DeFicit #RCT found that oral phosphate supplementation for 30 days after ferric carboxymaltose administration did not affect mean lowest phosphate levels, but reduced the incidence of hypophosphatemia.
@roesslermd.bsky.social et al.
#PBM #MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111727
@roesslermd.bsky.social et al.
#PBM #MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111727
December 13, 2024 at 1:43 PM
The DeFicit #RCT found that oral phosphate supplementation for 30 days after ferric carboxymaltose administration did not affect mean lowest phosphate levels, but reduced the incidence of hypophosphatemia.
@roesslermd.bsky.social et al.
#PBM #MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111727
@roesslermd.bsky.social et al.
#PBM #MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111727
#Sepsis induced myocardial injury (SIMI) has a high mortality rate, and effective treatment strategies are limited.
This analysis of the MIMIC-IV database reported that aspirin use was associated with reduced mortality in patients with SIMI.
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111597
This analysis of the MIMIC-IV database reported that aspirin use was associated with reduced mortality in patients with SIMI.
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111597
December 11, 2024 at 3:45 PM
#Sepsis induced myocardial injury (SIMI) has a high mortality rate, and effective treatment strategies are limited.
This analysis of the MIMIC-IV database reported that aspirin use was associated with reduced mortality in patients with SIMI.
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111597
This analysis of the MIMIC-IV database reported that aspirin use was associated with reduced mortality in patients with SIMI.
#MedSky #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111597