Have you ever wondered how to best time breaks during cases? There is empirical data. 🔗doi.org/10.1016/j.jclinane.2026.112136

Our 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.2025.112096

‼️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

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

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

‼️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

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

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

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

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

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

Check out our latest interview for the JCA podcast! #AnSky #MedSky

‼️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

‼️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

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

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

‼️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

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

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

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

Can having surgery affect progression of chronic kidney disease? Our new retrospective analysis of 58,175 non-cardiac surgeries, found that having surgery was associated with improved kidney function in patients with CKD - but only if there was no AKI. 🔗 doi.org/10.1016/j.jclinane.2025.111745

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

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

New 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/pEIWiIU7OJA

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

Have you seen this @icostache.bsky.social ? Good work! The OG #MTP block 👌🏾👌🏾 #RAsky #AnSky #MedSky #POCUSky & Paravertebral-by-Proxy

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...

I'm getting the impression that placing local anywhere in that region works.

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

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

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

Could Aspirin also be promising for MINS? POISE-2 would say no, but what about in a cohort of patients with confirmed MINS?

#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 study was a massive team effort! Huge thanks to everybody. Read this thread on our latest publication, the COSMOS study:

Just published! Results from the COSMOS pilot: COSMOS is a two-part prospective observational study & randomized trial in 250 patients, all of whom had continuous ward respiratory monitoring for 48 postoperative hours. 🧵 A thread!

In this new randomized trial of 126 patients having laparoscopic cholecystectomy, intravenous lidocaine provided a non-inferior quality of recovery compared to erector spinae plane block. Either approach was superior to placebo. #RegionalAnesthesia #AnSky 🔗 doi.org/10.1016/j.jclinane.2024.111528

The Journal of Clinical Anesthesia is joining the 🦋 #anesthesiology community! Hello to our friends at @anaesjournal.bsky.social, @bjajournals.bsky.social, @anesthesiology.bsky.social, @iarsjournals.bsky.social. Excited to be here!