An International Journal of Anesthesiology and Perioperative Medicine.https://bsky.app/profile/j-clin-anesth.bsky.socialhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3mgshmqq65c2kHave you ever wondered how to best time breaks during cases? There is empirical data. 🔗doi.org/10.1016/j.jclinane.2026.11213611 Mar 2026 17:59 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3mgshmqq65c2khttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3mgacd6o2r22aOur February podcast is here! @roesslermd.bsky.social talks to Markus Luedi, MD about his recent article on humor, cynicism, and the leadership challenge in perioperative medicine. 📽️watch: youtu.be/-uyCYOtPfng 🔗read the article: doi.org/10.1016/j.jclinane.2025.11209604 Mar 2026 12:36 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3mgacd6o2r22ahttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3m5ciyqyimc2k‼️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.2025.11194510 Nov 2025 20:54 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3m5ciyqyimc2khttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3m4awswwibc2lPostoperative 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.2025.11189628 Oct 2025 12:31 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3m4awswwibc2lhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lxr37q4dus2sChemical 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.2025.11187201 Sep 2025 07:26 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lxr37q4dus2shttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lv5zupwpdc2x‼️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 #AnSky30 Jul 2025 06:51 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lv5zupwpdc2xhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lv5zjnsu6s2xThis 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.2025.11187930 Jul 2025 06:45 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lv5zjnsu6s2xhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lrrubcjov22zNew 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 #MedSky17 Jun 2025 06:23 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lrrubcjov22zhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lrpou2voqs2yUltrasound 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.2025.11185316 Jun 2025 09:41 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lrpou2voqs2yhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lqfpy5c3xs26Repeated 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.2025.11185130 May 2025 17:10 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lqfpy5c3xs26https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lox7vmoag22oPredicting 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.2025.11181012 May 2025 05:19 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lox7vmoag22ohttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lnfph2sbws25‼️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 #AnSky22 Apr 2025 12:44 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lnfph2sbws25https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lnfpfzckzc25‼️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 https://youtu.be/UA-D6955LCY22 Apr 2025 12:44 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lnfpfzckzc25https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lkierp4ikc2hThis 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.2025.11174516 Mar 2025 09:56 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lkierp4ikc2hhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3ljmtacades2bNon-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.2025.11174205 Mar 2025 11:00 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3ljmtacades2bhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3li5e2dboys2d‼️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 #MedSky14 Feb 2025 13:53 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3li5e2dboys2dhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lhlbpscwgs22Cerebral 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.2024.11173307 Feb 2025 09:24 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lhlbpscwgs22https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lgzk3mgsr22xPersonalized 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.2024.11168731 Jan 2025 08:05 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lgzk3mgsr22xhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lfzrywcvic22Individual 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.2024.11173218 Jan 2025 17:02 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lfzrywcvic22https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lftjt5uegk2fVVZ-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.2024.11172916 Jan 2025 05:20 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lftjt5uegk2fhttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3lfh65iynrs26Evidence 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.2024.11170911 Jan 2025 07:19 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lfh65iynrs26https://bsky.app/profile/j-clin-anesth.bsky.social/post/3lf5b3tfzt22iNew podcast coming soon! In the new year, we will continue our series of podcasts to highlight articles from the journal. Remember last January‘s interview with @MayoClinic's Dr. Weingarten on neuromuscular block reversal and urinary retention? 🎬youtu.be/pEIWiIU7OJA07 Jan 2025 08:45 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3lf5b3tfzt22ihttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3ldr6ccojq22aThis 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.2024.11172820 Dec 2024 19:58 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3ldr6ccojq22ahttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3ldocreehn224The Journal of Clinical Anesthesia celebrates its 100th issue! All articles in this special issue with free access for 100 days. 🔓 https://www.sciencedirect.com/journal/journal-of-clinical-anesthesia/vol/100/suppl/C19 Dec 2024 16:40 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3ldocreehn224https://bsky.app/profile/j-clin-anesth.bsky.social/post/3ldlzrpqryc2cPossible 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.2024.11171818 Dec 2024 18:53 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3ldlzrpqryc2chttps://bsky.app/profile/j-clin-anesth.bsky.social/post/3ldeohpuwr22qMitochondrial 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.2024.11171515 Dec 2024 20:42 +0000at://did:plc:dmt7naifyxir6atxu5fwh4mt/app.bsky.feed.post/3ldeohpuwr22q