PODCAST · health
Anesthesia Updates
by NYSORA
Anesthesia Updates by NYSORA is your go-to podcast for staying at the forefront of anesthesiology. Hosted by Dr. Hadzic and the NYSORA educational team, each 10-15 minute episode reviews the latest developments, publications, and clinical trends, so you can stay ahead without wading through lengthy research articles. Whether it's the newest guidelines, emerging practices, or essential updates, this podcast delivers highly relevant information that will keep your practice on the cutting edge—one episode at a time.
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85
Fluids for Hypotension: First Reflex or Fatal Mistake?
When blood pressure drops after induction, the reflex is often fluids, but that’s usually the wrong move. This episode discusses the real driver: vasodilation. Based on a 2026 Anesthesiology review, we explore how to choose the right vasopressor, avoid common pitfalls, and apply physiology, not habit, at the bedside. For more information on this topic, click HERE. ======================================Where else to find us: Web - https://www.nysora.com/Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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84
Can Nerve Blocks Protect the Heart?
A 2026 Anesthesiology study suggests that peripheral nerve blocks may reduce myocardial injury after hip fracture surgery. Is this real cardioprotection or just good pain control? We discuss the data, the physiology, and where to be cautious. Read more about this study HERE. ======================================Where else to find us: Web - https://www.nysora.com/Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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83
Stop Before You Block: The Moment That Prevents Errors
A wrong-side nerve block is a “never event”, yet it still happens. In this episode, we focus on one critical safeguard: Stop Before You Block. Why does this simple step fail in practice, and how can we make it work where it matters most, at the bedside?--------------------------------------------------------- Where else to find us: Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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82
Why Surgery Triggers Exhaustion and Muscle Loss
Postoperative fatigue and muscle weakness affect most surgical patients, but they’re often overlooked. In this episode, we discuss the biology behind POF and POAW, and what anesthesia and perioperative care can do to reduce their impact.Read more about this topic on NYSORA.com.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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81
Rethinking Shoulder Analgesia: Beyond the Interscalene Block
Why do both traditional and diaphragm-sparing shoulder blocks fall short? This episode explores the role of articular branches, mechanoreceptors, and capsular targeting in achieving true joint analgesia.Based on Chong et al., 2026, examining the functional anatomy of the axillary nerve.Read more about this on NYSORA.com. ===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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80
Mixing Local Anesthetics: Smart Shortcut or Hidden Risk?
Mixing lidocaine, ropivacaine, and bicarbonate is routine in many hospitals, but is it actually safe? In this episode, we discuss the main findings from a 2026 article by Gasteiger et al. (Anesthesiology), which questions the stability, efficacy, and safety of common local anesthetic mixtures. From crystal formation to reduced block performance, we explore why combining drugs may do more harm than good, and how to rethink this everyday practice.Read more about this on NYSORA.com. ===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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79
The Rise of Videolaryngoscopy
A new 2025 international guideline is pushing for videolaryngoscopy to become the universal standard for tracheal intubation. In this podcast, we explore how a simple camera and screen are transforming airway management, improving team coordination, and increasing first-pass success in critical situations. We also discuss the surprising barriers to adoption, from the “paradox of expertise” to cost and training, and what this shift means for patient safety and the future of emergency medicine.Read more about this topic on NYSORA.com.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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78
PENG vs QL Block: What’s Better After Hip Replacement?
In this episode, we discuss a 2026 randomized trial comparing the PENG block and lateral quadratus lumborum block for total hip arthroplasty. Both techniques preserve mobility and perform well in the PACU, but differences emerge after discharge. We explore which block provides better pain control, reduces opioid use, and what this means for real-world recovery.Read more about this topic on NYSORA.com.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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77
Rib Fracture Analgesia: Comfort vs Function - Which Block Really Wins?
A new BJA trial compares paravertebral block (PVB) and PEFB for rib fracture pain. While PEFB matches early pain control, it fails in durability, leading to more rescue interventions. PVB, though more complex, better restores cough and respiratory function.The key shift: stop focusing on pain at rest and start treating for function.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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76
Does General Anesthesia Harm C-Section Babies
One in three births in the U.S. occurs by cesarean delivery.But when it comes to neonatal outcomes, does the anesthetic technique matter? A new meta-analysis of 36 randomized trials involving more than 3,400 neonates compared regional and general anesthesia. This episode reviews the key findings and explores their implications for daily clinical practice.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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75
Airway Management in Thoracic Anesthesia: What’s Next?
Airway management in thoracic anesthesia is evolving rapidly. New guidelines from the EACTAIC Thoracic Group highlight a shift toward structured risk stratification, advanced imaging, video-assisted devices, and emerging digital technologies. In this episode, we explore what’s changed, what’s coming next, and what thoracic anesthesiologists should be doing today.===========================================Where else to find us:Web - LINKInstagram - LINKLinkedIn - LINKFacebook - LINKTwitter - LINKTikTok - LINK --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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74
Old Question, New Data: Spinal or General?
Neuraxial anesthesia has long been associated with better outcomes in total hip and knee arthroplasty—but does that advantage still hold in modern practice? In this episode, we discuss the main findings from new large-scale data showing that neuraxial anesthesia continues to reduce perioperative complications, even as anesthesia techniques and patient populations evolve.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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73
Popliteal Plexus Block: Worth the Add?
Motor-sparing regional anesthesia is the backbone of modern total knee arthroplasty analgesia. But posterior knee pain remains a blind spot. In this episode, we discuss the main findings from new randomized trial data on whether adding a popliteal plexus block to a femoral triangle block actually moves the needle, on opioids, pain, and mobility.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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72
Opioid-Free Anesthesia — Ideal, Illusion, or Overreach?
Opioid-free anesthesia sounds appealing, but does it actually improve outcomes? In this episode, we discuss the main findings from a clinical focus review in Anesthesiology by Shanthanna et al. and discuss why avoiding opioids altogether may add complexity without clear benefit. The real win isn’t “opioid-free,” it’s opioid-sparing, procedure-specific, and regional-first anesthesia. Evidence over ideology.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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71
Chronic Widespread Pain Is Not Just a Pain Problem
Chronic widespread pain isn’t just a quality-of-life issue; it may be an early warning sign for cognitive decline. In this episode, we discuss the main findings from new longitudinal evidence linking widespread pain to mild cognitive impairment, dementia risk, brain structural changes, and inflammation, and what this means for clinicians today.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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70
Stellate Ganglion Block: New Hype, Evidence, and Real-World Expectations
In this episode of NYSORA Updates in Anesthesiology, Dr. Hadzic reveals why the stellate ganglion block (SGB) has re-emerged as a hot topic in perioperative medicine. Drawing on a landmark 2025 narrative review from MD Anderson published in the British Journal of Anaesthesia, we explore what SGB can—and cannot—realistically offer today. From arrhythmia control and postoperative recovery to immune modulation and risk considerations, this episode delivers a balanced, evidence-based perspective to help anesthesiologists decide when SGB truly belongs in modern practice.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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69
Fascial Plane Blocks Are No Longer Optional
In this episode, we review the 2026 American Society of Anesthesiologists Practice Guideline on perioperative pain management using local and regional analgesia, based on evidence from more than 600 randomized trials. The guideline delivers a clear message: fascial plane blocks are a core component of modern multimodal analgesia, not an optional add-on. We discuss where the evidence is strongest, including open and minimally invasive abdominal surgery, mastectomy, cardiothoracic procedures, and pediatric surgery, and how these techniques consistently reduce opioid use, improve pain control, and enhance quality of recovery. Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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68
The Power of Anterior QLB
In this episode, we’re discussing a 2025 randomized controlled trial by Turunc and colleagues published in Regional Anesthesia & Pain Medicine. The study asks a practical, ERAS-focused question: Does adding a bilateral anterior subcostal quadratus lumborum block actually improve analgesia in laparoscopic colorectal surgery? And more importantly, does it meaningfully reduce opioids?Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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67
The Cannabis Paradox: Worse Pain After Surgery
This episode discusses the main findings of a new study from Sajdeya et al., 2025, published in Regional Anesthesia & Pain Medicine. The research asks a timely, important question: Does cannabis use affect postoperative pain in older adults? We've seen rising cannabis use among seniors, up to 5% nationally, but almost no data on how it affects acute surgical pain. This study finally gives us real evidence, using advanced NLP to detect cannabis use in the electronic record. And the findings? Well... they challenge a lot of assumptions.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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66
Rethinking DOACs for Neuraxial & Deep Blocks
This episode discusses the main findings from a 2025 review by Suleiman et al. published in BJA, examining how we should manage direct oral anticoagulants (DOACs) in patients having neuraxial anesthesia and deep peripheral nerve blocks. Traditionally, the ASRA guidelines have leaned heavily on long DOAC interruption times and selective drug level testing to avoid the rare but devastating complication of spinal epidural hematoma. But new evidence—from the PAUSE strategy and the PAUSE-2 pilot trial—suggests that shorter, pharmacokinetics-based DOAC holds may offer comparable safety without increasing thromboembolic risk.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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65
Hemodialysis on the table: Rethinking the Risks
In this episode of Updates in Anesthesiology, we discuss a 2025 Anesthesiology Clinical Focus Review on the perioperative management of patients receiving maintenance hemodialysis. This review reshapes how we assess, prepare, and manage a rapidly growing surgical population at exceptionally high perioperative risk. From hidden cardiovascular disease and fluid shifts to electrolyte traps, medication pitfalls, vascular access, and timing of dialysis.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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64
Rethinking Unanticipated Difficult Intubation
In this episode of Updates in Anesthesiology, we discuss one of the most significant airway guideline updates in a decade. The Difficult Airway Society’s 2025 guidelines reshape how we approach unanticipated difficult tracheal intubation in adults. From first-attempt success and videolaryngoscopy for all, to peroxygenation, physiologically difficult airways, linear algorithms, and a renewed emphasis on human factors. Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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63
No Tube, No Problem: High-Flow Nasal Oxygen in General Anesthesia
In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 Anesthesia & Analgesia trial that challenges a long-standing airway management routine.Could high-flow nasal oxygen (HFNO) replace the laryngeal mask airway (LMA) for short general anesthesia cases without muscle paralysis? This randomized trial puts it to the test, reporting surprising results on safety, comfort, and carbon dioxide dynamics. Stick around as we unpack the science, the caveats, and what this could mean for the future of low-invasive airway management.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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62
Mix or Match? The Best Formula for Infraclavicular Blocks
In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 RAPM study comparing the classic lidocaine–bupivacaine mix to 0.5% bupivacaine alone for infraclavicular blocks. The results? Mixing speeds onset but slashes duration by nearly 14 hours. Tune in to learn why faster isn’t always better, how adjuvants like dexamethasone already optimize your block, and when it’s finally time to ditch the mix.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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61
Bleeding in the Young: Rethinking Hemostasis in Pediatric Surgery
In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 review that reshapes how we manage bleeding in children. From restrictive transfusion thresholds and viscoelastic testing to the revival of whole blood and smarter use of TXA, pediatric hemostasis is entering a new era. Tune in to learn why kids aren’t just “small adults,” how to individualize transfusion decisions, and the five steps to safer blood management in your next pediatric case.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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60
Non-Insulin Diabetes Drugs: Stop or Continue Before Surgery?
In this episode of Updates in Anesthesiology, Dr. Hadzic discusses the main findings from a 2025 BJA review by Tinsley et al. The study reported how to manage non-insulin diabetes medicines in the perioperative period safely. From metformin’s misunderstood safety profile to the hidden risks of SGLT-2 inhibitors and GLP-1 agonists, you’ll learn which drugs to hold, which to continue, and how to prevent complications like euglycaemic DKA and aspiration. Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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59
Regional + Local: The Pain-Relief Power Duo After Hip Surgery
A 2025 Anesthesiology meta-analysis shows that the best pain control after total hip arthroplasty comes from combining regional anesthesia with local infiltration analgesia (LIA). While LIA alone is effective, adding a quadratus lumborum or pericapsular nerve group (PENG) block significantly improves pain relief, reduces opioid use, and preserves mobility. The takeaway: stop choosing between techniques — regional + local is the new gold standard for hip surgery analgesia.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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58
Hypotension and Delirium: No Clear Link?
In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a landmark 2025 study, which challenges the long-held belief that intraoperative hypotension (MAP < 65 mm Hg) contributes to postoperative delirium in older adults. With nearly 40,000 patients analyzed and no association found, it’s time to rethink reflexively chasing MAP thresholds. Tune in to hear why blood pressure might not be the villain we thought, and what really matters for preventing POD.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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57
Block, Reverse, Remember: Cutting Delirium Risk After Anesthesia
In this episode of Updates in Anesthesiology, Dr. Hadzic delves into a 2025 study, which analyzed over 53,000 surgical cases. The key finding? Neuromuscular blockers increase the risk of postoperative delirium in older adults, unless they’re properly reversed. Whether you use sugammadex or neostigmine, reversal agents significantly reduce this risk. Tune in to hear what this means for your clinical practice and how small changes in perioperative management can make a significant impact on cognitive outcomes.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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56
Myocardial Injury Under the Radar
In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the latest evidence on pharmacologic agents for perioperative cardioprotection in noncardiac surgery. From beta-blockers and statins to the evolving debate around RAAS inhibitors and aspirin, we cover what works, what doesn’t, and what’s still unclear. Plus, we discuss whether tighter blood pressure control or postoperative therapy intensification makes a difference. Tune in for practical, evidence-based takeaways to improve cardiac outcomes in your surgical patients.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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55
Anemia and Transfusion in Children: Hidden Risks in Plain Sight
In this episode, Dr. Hadzic discusses the main findings from a new study from the British Journal of Anaesthesia (2025). The study reported that 1 in 4 children having noncardiac surgery has preoperative anemia, and that both anemia and transfusion independently, and especially together, increase 30-day mortality and complications. Despite strong global guidelines for blood management and anesthesia care in adults, pediatric blood management remains under-implemented. Learn how this data can transform your pre-op protocols, and what steps you can take right now to improve pediatric surgical outcomes.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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54
Anesthesia for the Diabetic Parturient
In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic reviews a 2025 paper from Anesthesiology on managing obstetric anesthesia for patients with diabetes. From prelabor planning to postpartum glucose shifts, this episode covers everything you need to provide safe and effective anesthesia care for this growing population of high-risk parturients.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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53
AI in Anesthesiology: Hype, Reality, and What Comes Next
In this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic breaks down what anesthesiologists need to know about using AI in clinical practice. We cover recent studies showing where AI like ChatGPT performs well (like data analysis) — and where it can be risky, especially in complex patient cases. You’ll also learn how NYSORA’s Anesthesia Assistant App, powered by Maia, gives you fast, reliable answers at the bedside—built on peer-reviewed content and reviewed by experts. What you’ll get:When to trust AI—and when not toHow NYSORA’s app supports safe, informed decisionsReal tips you can apply in practice todayWhere else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIn- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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52
Hepatopulmonary Syndrome: What Anesthesiologists Must Know
In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic unpacks Hepatopulmonary Syndrome (HPS), a frequently missed but life-threatening complication of chronic liver disease. Drawing on a 2025 review from Current Opinion in Anesthesiology, we cover the mechanisms of HPS, key diagnostic clues like platypnea and orthodeoxia, and why liver transplantation remains the only curative therapy. You’ll also learn why MELD exception points are reshaping transplant access, the limits of emerging drug therapies, and practical anesthesia management tips for these challenging patients.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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51
Taming Postoperative Delirium: Guideline Updates You Need to Know
In this episode of NYSORA’s Updates in Anesthesiology, Dr. Hadzic breaks down the 2024 ESAIC guidelines on postoperative delirium (POD) in adults. Discover the latest evidence on risk factors, why inflammation, not just anesthesia, may be the real culprit, and why multicomponent nonpharmacological strategies are your best bet. Learn what works, what doesn’t, and how to protect your patients from this common yet preventable complication. Stay ahead of the curve with this essential update for every perioperative clinician.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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50
Pain, Pills, and Pitfalls: Analgesic Harms in Multimorbid Patients
In this episode, Dr. Hadzic unpacks a 2025 British Journal of Anaesthesia systematic review led by Dr. Grant and colleagues, exploring the hidden dangers of common analgesics, opioids, NSAIDs, and gabapentinoids in patients with multiple chronic conditions. With over 2.6 million patients studied, the findings reveal clear red flags and critical evidence gaps. Tune in for practical insights, risk-reduction strategies, and what this means for your everyday prescribing decisions.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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49
Sugammadex: The Reversal Agent with a catch?
In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the latest evidence on sugammadex-induced anaphylaxis from the 2025 Anesthesiology review by Dr. Savic and colleagues. We explore the benefits that make sugammadex the preferred reversal agent over neostigmine, and the rare but serious risk of hypersensitivity reactions. You'll learn about proposed mechanisms, diagnostic pitfalls, global incidence data, and what this all means for your daily anesthesia practice. Stay informed, stay prepared, and make safer clinical choices.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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48
Sugammadex vs Neostigmine: A Faster Recovery for Bariatric OSA Patients?
In this episode of Updates in Anesthesiology, Dr. Hadzic reviews a double-blind RCT from Anesthesia & Analgesia (March 2025) led by Dr. Ajetunmobi and colleagues. The study compared sugammadex and neostigmine for neuromuscular blockade reversal in morbidly obese patients with OSA undergoing bariatric surgery. Despite sugammadex’s pharmacologic advantages, the study found no significant difference in OR discharge times between the agents. Join us as we analyze the data, explore potential explanations, and discuss the practical implications for your anesthesia practice.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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47
AI vs Anesthesiology: Can Chatbots Replace Clinical Judgment?
In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 study by Corpman et al. evaluating ChatGPT-4, Bard, and other AI chatbots as decision support tools in regional anesthesia. The findings? AI is getting smarter, but it still makes major clinical errors. Enter MAIA, NYSORA’s purpose-built AI assistant, designed by anesthesiologists to bridge the gap between innovation and safe practice. Tune in to hear why general AI tools may not be ready for primetime—and how MAIA sets a new standard in anesthesia decision support.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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46
Better Blood, Better Outcomes: The Real Power of PBM in Joint Surgery
In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic breaks down a landmark study by Garcia-Casanovas et al., published in Anesthesiology (July 2025), involving over 30,000 joint arthroplasty patients across 43 hospitals. The study shows that higher adherence to patient blood management (PBM) guidelines isn't just about fewer transfusions; it leads to fewer complications, shorter hospital stays, and better outcomes across the board. Tune in to hear why delivering PBM as a bundled strategy, not piecemeal, is key, and walk away with actionable tips to improve patient safety and performance in your own practice.\Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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45
New Guidelines Favor Restrictive Platelet Transfusion
In this episode of Updates in Anesthesiology, Dr. Hadzic reviews the newly published 2025 international clinical practice guidelines on platelet transfusion, co-led by Dr. Ryan Metcalf from the University of Utah and Dr. Simon Stanworth from Oxford, and published in JAMA. Based on evidence from over 30 studies, these guidelines recommend restrictive platelet transfusion thresholds in both adult and pediatric populations, advocating for transfusions only when platelet counts are critically low in specific scenarios. The goal? Minimize unnecessary transfusions, reduce patient harm, and conserve resources without increasing bleeding or mortality.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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44
The Silent Stroke: Unmasking Hidden Brain Injuries After Surgery
In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the results from the PRECISION study published in Anesthesiology (2025). Led by Dr. Cui and colleagues, this prospective trial reveals that nearly 1 in 9 older patients undergoing noncardiac surgery, especially neurosurgical, experience covert strokes detectable only by MRI. These “silent” strokes double the risk of postoperative delirium and long-term cognitive decline. Tune in to hear what this means for perioperative care, how to identify patients at risk, and actionable strategies to protect brain health after surgery.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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43
Going Green in the OR: TIVA vs Gas – Who Wins the Carbon Battle?
In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the largest real-world study to date comparing the environmental impact of general anesthesia strategies. With over 35,000 cases analyzed, discover why TIVA with propofol has emerged as the lowest carbon emitter, outperforming even optimized sevoflurane techniques. We’ll explore the GHG numbers, plastic waste concerns, and clinical outcomes, and conclude with practical tips to make your OR practice more sustainable without compromising patient care.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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42
Apnoeic Oxygenation Safety Checklist for Airway Surgery
In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic discusses a new international consensus on apnoeic oxygenation using high-flow nasal oxygen (HFNO) during laryngotracheal surgery. Featuring insights from a newly published 19-item safety checklist in the European Journal of Anaesthesiology, we break down what every clinician needs to know, from patient selection to post-op care, to improve safety and streamline multidisciplinary workflows. Whether you're already using THRIVE or just curious about best practices, this episode gives you the practical takeaways to elevate your airway game.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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41
To Cut or Not to Cut: Rethinking Hip Fracture Care in the Frail Elderly
In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the FRAIL-HIP study published in JAMA Surgery, which challenges the routine use of surgery for proximal femoral fractures in frail, institutionalized older adults. You'll hear how nonoperative management, guided by a structured shared decision-making process, can lead to comparable quality of life, fewer adverse events, and even a more dignified dying experience. Tune in to discover how this paradigm shift could reshape your approach to surgical decisions in end-of-life care.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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40
Ketamine vs. The Rest: Choosing the Safest Induction Agent in Critical Care
In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the latest evidence comparing ketamine, etomidate, and propofol for tracheal intubation in critically ill patients. Drawing from a 2025 review in Critical Care Medicine, we explore why ketamine is emerging as the safest and most reliable option, while etomidate shows a potential mortality risk, and propofol continues to raise red flags for cardiovascular instability. Get the evidence, the implications, and the practical takeaways, all in one focused episode.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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39
Dexmedetomidine: The Kidney's Secret Ally in Surgery?
In this episode of Updates in Anesthesiology, Dr. Hadzic explores groundbreaking findings from Chotinaruemol and colleagues, published in the British Journal of Anaesthesia (2025), revealing how dexmedetomidine may do more than sedate. It could protect the kidneys from ischemia-reperfusion injury. From cellular survival pathways to improved surgical outcomes, we break down how DEX works, when it works best, and what this could mean for high-risk surgical patients. Stay tuned for actionable insights you can take straight to the OR.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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38
Contaminated Ultrasound Gel – A Wake-Up Call for Infection Control
In this episode, Dr. Hadzic discusses the CDC's May 2025 nationwide alert on bloodstream infections linked to non-sterile, multi-use ultrasound gel. Learn how this outbreak unfolded, what it means for ultrasound-guided procedures, and why sterile gel and validated probe covers—like EZCOVER®—are now essential for every percutaneous procedure. Practical, evidence-based takeaways to help you enhance infection control and patient safety in your daily practice.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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37
Ventilators and Young Minds: Uncovering Hidden Risks After Surgery
In this episode of Updates in Anesthesiology, Dr. Hadzic explores a groundbreaking study from Columbia University, published in the British Journal of Anaesthesia (2025), revealing that children who require mechanical ventilation during surgery face nearly double the risk of developing neurodevelopmental and behavioral disorders after discharge. Tune in to learn what factors may drive this association, why longer ventilation matters, and how we can act early to protect young patients' futures.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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36
Tube Tip in Pharynx Ventilation as A Rescue?
In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down a study by Dr. Travis Markham and colleagues from Anesthesia & Analgesia (2025) that introduces a game-changing airway rescue technique: Tube Tip in Pharynx (TTIP) ventilation. Discover how this simple, low-tech maneuver outperformed standard facemask ventilation in patients with potentially difficult airways and proved to be a reliable backup when other methods failed. Tune in to learn how to perform TTIP, when to use it, and why it deserves a spot in your emergency airway toolkit.Where else to find us: Web- http://www.nysora.com Instagram- instagram.com/nysora.inc/ LinkedIN- linkedin.com/company/nysora-inc/ Facebook- facebook.com/nysora Twitter- x.com/nysora TikTok- tiktok.com/@nysora_inc --------------------------------------------------------- #nysora #regionalanesthesia #anesthesiaDisclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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ABOUT THIS SHOW
Anesthesia Updates by NYSORA is your go-to podcast for staying at the forefront of anesthesiology. Hosted by Dr. Hadzic and the NYSORA educational team, each 10-15 minute episode reviews the latest developments, publications, and clinical trends, so you can stay ahead without wading through lengthy research articles. Whether it's the newest guidelines, emerging practices, or essential updates, this podcast delivers highly relevant information that will keep your practice on the cutting edge—one episode at a time.
HOSTED BY
NYSORA
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