Julian Rössler, MD

As often evidence from regular medication use does not translate to perioperative single dose.

Watch this interesting talk about gastric POCUS and GLP-1 agonists!

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

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

‼️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

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

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

Since 1978, Dr. Michael Pinsky's scientific career has revolved around the clinical significance of heart-lung interactions. Read the Classic Papers Revisited article outlining his critical contributions to the field: ow.ly/BR5j50UC0fT

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

Is this primarily common in English speaking countries? In Switzerland, patients would never address their physician with first names - always Dr. Last Name. When mistaken for a different role - e.g. with racial or gender bias - then Mr./Mrs. Last Name, but never a first name.

That’s so nice - true Holiday spitit!

Rate my setup.

a man in a suit and tie is smiling with his eyes closed in a room . ALT: a man in a suit and tie is smiling with his eyes closed in a room .

It’s a good meme

😂

What if my parents are on my Netflix account, because they did not want to set one up themselves?

Somebody let my neurosurgeons know please!

No significant difference was found in overall PPCs between ‘low etCO₂ (below 35 mmHg)’ and ‘normal to high etCO₂ (≥ 35 mmHg)’ patients (20 % vs. 19 %).

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

That’s a lot of p values

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

Did you know that ferric carboxymaltose can cause hypophosphatemia?

In the DeFicit trial we evaluated if this could be mitigated by oral phosphate supplementation.

#PatientBloodManagement

Maybe a little prairie dogging (surgeon dependent)

Could Aspirin also be promising for MINS?

POISE-2 would say no, but what about in a cohort of patients with confirmed MINS?

I mean you need to have enough personell, but then its really efficient. Also in a teaching hospital, you can still take your time to teach while maintaining good turn over rates. Glad to have you on team anesthetic room!

Multiple, at least for the induction rooms I know: Less people & less noise = less distractions for patient and me. Layout foremost designed for anesthesia induction, not surgery with anesthesia also being there. Overlapping patients, so more efficient.

What would the downsides be?

Having worked in systems without (U.S.) and with (Switzerland) anesthetic or induction rooms, I really prefer using one.