NYSORA - Podcast Details

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Anesthesia Updates Does General Anesthesia Harm C-Section BabiesOne 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- ⁠⁠⁠⁠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 --------------------------------------------------------- ⁠⁠⁠⁠⁠⁠

2026-02-2320 min

Anesthesia Updates 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- ⁠⁠⁠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...

2026-02-0906 min

Anesthesia Updates 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 ...

2026-02-0205 min

Anesthesia Updates 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 ...

2026-01-2606 min

Anesthesia Updates 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 ...

2026-01-1906 min

Anesthesia Updates Chronic Widespread Pain Is Not Just a Pain ProblemChronic 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 ...

2026-01-1209 min

Anesthesia Updates Stellate Ganglion Block: New Hype, Evidence, and Real-World ExpectationsIn 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- ⁠⁠...

2026-01-0509 min

Anesthesia Updates Fascial Plane Blocks Are No Longer OptionalIn 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...

2025-12-2905 min

Anesthesia Updates The Power of Anterior QLBIn 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 ...

2025-12-2206 min

Anesthesia Updates The Cannabis Paradox: Worse Pain After SurgeryThis 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.nyso...

2025-12-1506 min

Anesthesia Updates Rethinking DOACs for Neuraxial & Deep BlocksThis 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: W...

2025-12-0807 min

Anesthesia Updates Hemodialysis on the table: Rethinking the RisksIn 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...

2025-12-0108 min

Anesthesia Updates Rethinking Unanticipated Difficult IntubationIn 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

2025-11-2409 min

Anesthesia Updates No Tube, No Problem: High-Flow Nasal Oxygen in General AnesthesiaIn 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/ ⁠⁠

2025-11-1707 min $pin-up-docs – don\'t panic$

2025-11-1600 min

Anesthesia Updates Mix or Match? The Best Formula for Infraclavicular BlocksIn 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/nys...

2025-11-1005 min

Anesthesia Updates Bleeding in the Young: Rethinking Hemostasis in Pediatric SurgeryIn 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/⁠⁠

2025-11-0310 min

Anesthesia Updates 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/⁠⁠ ...

2025-10-2708 min

Anesthesia Updates Regional + Local: The Pain-Relief Power Duo After Hip SurgeryA 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...

2025-10-2004 min

Anesthesia Updates 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 < >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 s...

2025-10-1306 min

Anesthesia Updates Block, Reverse, Remember: Cutting Delirium Risk After AnesthesiaIn 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/ny...

2025-10-0607 min

Anesthesia Updates Myocardial Injury Under the RadarIn 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- ⁠⁠link...

2025-09-2910 min

Anesthesia Updates Anemia and Transfusion in Children: Hidden Risks in Plain SightIn 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.nyso...

2025-09-2208 min

Anesthesia Updates Anesthesia for the Diabetic ParturientIn 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 ...

2025-09-1507 min

Anesthesia Updates 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 decisions...

2025-09-0806 min

Anesthesia Updates Hepatopulmonary Syndrome: What Anesthesiologists Must KnowIn 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...

2025-09-0109 min

Anesthesia Updates Taming Postoperative Delirium: Guideline Updates You Need to KnowIn 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/ ⁠...

2025-08-2507 min

Anesthesia Updates Pain, Pills, and Pitfalls: Analgesic Harms in Multimorbid PatientsIn 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/n...

2025-08-1808 min

Anesthesia Updates 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- ⁠⁠...

2025-08-1108 min

Anesthesia Updates 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...

2025-08-0408 min

Anesthesia Updates 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...

2025-07-2807 min

Anesthesia Updates 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 f...

2025-07-2107 min

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S3 E10: "Our conversation with Admir Hadzic (Part 2)"Amit and Jeff continue their fascinating dive into the mind and life of Admir Hadzic, author, innovator, founder of NYSORA, brewer of fine beer, bassist and sports car nut. In this episode we discuss standardization in regional anesthesia, the future of textbooks in medicine, how sedated DO patients really want to be for nerve blocks, what it's like to drive a Ferrari to your next gig, and (because we don't shy away from cont-rah-versy, Admir's passionate thoughts and feelings on why there IS a difference between spinal and general for hip fracture and where some of the recent data...

2025-07-1549 min

Anesthesia Updates New Guidelines Favor Restrictive Platelet TransfusionIn 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- ⁠...

2025-07-1409 min

Anesthesia Updates The Silent Stroke: Unmasking Hidden Brain Injuries After SurgeryIn 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 Instagra...

2025-07-0707 min

Anesthesia Updates 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- ⁠⁠linkedi...

2025-06-3007 min

Anesthesia Updates Apnoeic Oxygenation Safety Checklist for Airway SurgeryIn 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 Inst...

2025-06-2307 min

Anesthesia Updates 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...

2025-06-1608 min

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S3:E8 "Blocks, Books, Blues, Beer and Belgium: Our chat with Admir Hadzic (Part I)"He's the founder of NYSORA, a rock-blues bassist, and a lover of fine beer and finer automobiles. We had a ton of fun chatting with Admir Hadzic about the his origin story, how he has been able to reinvent himself and his focus, and how to NOT live your life in "thirds". Over three decades, Admir has built a global educational brand while running a highly efficient regional anesthesia service in New York and now Belgium, and he shares his secrets on how he's been able to build a team, create value, and not get bogged down in things...

2025-06-1558 min

Anesthesia Updates Ketamine vs. The Rest: Choosing the Safest Induction Agent in Critical CareIn 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/ ⁠...

2025-06-0909 min

Anesthesia Updates 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- ⁠⁠...

2025-06-0208 min

Deep Breaths S10, Ep. 3: These arms of mine, part 1 (upper limb regional anaesthesia), re-releaseToday, we look back at a fantastic and insightful discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr. If you liked this episode, you can find the second part of this episode in season 5, episode 12. In this episode, part 1, we focus on the interscalene block. Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you!And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you...

2025-06-0128 min

Anesthesia Updates Contaminated Ultrasound Gel – A Wake-Up Call for Infection ControlIn 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/ny...

2025-05-2609 min

Anesthesia Updates Ventilators and Young Minds: Uncovering Hidden Risks After SurgeryIn 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/⁠⁠ ...

2025-05-1906 min

Anesthesia Updates 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.nyso...

2025-05-1209 min

Anesthesia Updates IV Antihypertensives and Brain Perfusion: Friend or Foe?In this episode of NYSORA Updates in Anesthesiology, Dr. Hadzic breaks down a 2025 systematic review from the British Journal of Anaesthesia exploring how intravenous antihypertensives impact cerebral blood flow. Discover why nitroprusside and nitroglycerin demand extra caution, why nicardipine and labetalol remain safer bets, and how to avoid putting your patients at risk of cerebral hypoperfusion. Practical tips and takeaways you can apply today — don't miss it!Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠ Instagram- ⁠⁠instagram.com/nysora.inc/ ⁠⁠LinkedIN- ⁠⁠linkedin.com/company/nysora-inc/⁠⁠ Facebook- ⁠⁠facebook.com/nys...

2025-05-0506 min

Anesthesia Updates Transfuse or Not to Transfuse? Rethinking Hemoglobin Thresholds in TBIIn this episode, Dr. Hadzic breaks down the latest meta-analysis on transfusion strategies in traumatic brain injury patients. Are we under-transfusing and compromising brain recovery? Evidence now points to a liberal transfusion strategy with a 9 g/dL threshold improving neurologic outcomes, without increasing mortality. But watch out: ARDS risk rises. Tune in to hear why current guidelines may need a serious update and how this could shift your ICU 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...

2025-04-2807 min

Anesthesia Updates Sugammadex in Crisis: Can It Save a CICV Scenario?In this episode of NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic breaks down a 2025 systematic review by Dr. Nancy Abou Nafeh and colleagues, exploring whether sugammadex can truly rescue patients in 'cannot intubate, cannot ventilate' (CICV) emergencies. With a 75% success rate in reported cases but crucial limitations in timing, dosing, and airway obstruction, we explore the real-world utility of this rapid-reversal agent—and why it's not a magic bullet. Tune in for key clinical takeaways that may change how you prepare for your next high-risk airway.Where else to find us: Web- ⁠⁠http://www.ny...

2025-04-2109 min

Anesthesia Updates HPI in the OR: Prediction Without Prevention?In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a major 2025 multicenter trial by Dr. Javier Ripollés-Melchor and colleagues, exploring whether the Hypotension Prediction Index (HPI) can actually reduce postoperative acute kidney injury (AKI) in abdominal surgery. Despite HPI’s promise in predicting intraoperative hypotension, the trial found no reduction in AKI or overall complications compared to standard care. We break down what this means for your practice, how vasopressor choice might matter more than prediction tools, and why clinical judgment still reigns supreme in the OR. Stay tuned for the key takeaways and what to do wit...

2025-04-1407 min

Anesthesia Updates Neuraxial Anesthesia Isn't Dead: Reclaiming Its Role After REGAINIn this episode of Updates in Anesthesiology, Dr. Hadzic explores the ongoing role of neuraxial anesthesia in hip fracture surgery following the widely publicized REGAIN and RAGA trials. Despite claims of equivalence between general and neuraxial techniques, Dr. Alexander Stone and colleagues argue that these trials may have lacked the statistical power and mechanistic clarity to support such a conclusion. We break down the clinical benefits of neuraxial anesthesia—like reduced pulmonary complications, VTE risk, and opioid use—and discuss why abandoning it as a default choice could be a misstep. Tune in for practical, evidence-based insights that help anes...

2025-04-0708 min

Anesthesia Updates Hyperkalemia Management: Time for a Re-Evaluation?In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic breaks down a 2025 systematic review on hyperkalemia treatment strategies. Spoiler: Insulin + glucose and beta2-agonists lower potassium fast, but the role of calcium chloride and bicarbonate isn’t as solid as once thought—especially during cardiac arrest. Tune in to learn what the evidence says, how it should reshape your clinical practice, and why some traditional therapies may need rethinking.Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠ Instagram- ⁠⁠instagram.com/nysora.inc/ ⁠⁠LinkedIN- ⁠⁠linkedin.com/company/nysora-inc/⁠⁠ Facebook- ⁠⁠facebook.com/nysor...

2025-03-3108 min

Anesthesia Updates ECMO in Perioperative Cardiac Arrest: A Game Changer?In this episode of the NYSORA Podcast, Dr. Hadzic dives into a groundbreaking study by Kapoor et al. (Anesthesiology, 2025) on extracorporeal cardiopulmonary resuscitation (ECPR) for perioperative cardiac arrest. The study reveals impressive survival rates (57.6%) and excellent neurologic outcomes (89.5%) with ECMO use in carefully selected patients. Learn how early ECMO activation, shorter CPR times, and metabolic markers can improve outcomes—and what this means for anesthesiologists and critical care teams.Tune in for key takeaways, practical recommendations, and a glimpse into the future of perioperative resuscitation! Where else to find us: Web- ⁠⁠http...

2025-03-2408 min

Anesthesia Updates More Protein, More Problems? The PRECISE Trial Shakes Up ICU NutritionIn this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the groundbreaking PRECISe trial, a major study published in The Lancet that challenges the long-standing belief that higher protein intake benefits critically ill patients. Contrary to expectations, patients receiving high-protein enteral nutrition (2.0 g/kg/day) had worse long-term quality of life and no functional recovery advantage compared to those on standard protein intake (1.3 g/kg/day).We break down the key findings, clinical implications, and why this research might reshape ICU nutrition guidelines. Should we rethink the "more is better" approach to protein in the critically ill...

2025-03-1707 min

Anesthesia Updates Gastric Emptying in Pregnancy: Rethinking Aspiration Risk & Fasting GuidelinesIn this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic explores the latest evidence on gastric emptying in pregnancy and its implications for anesthesia, based on a 2025 review by Jacob Lawson et al., published in the British Journal of Anaesthesia.Key topics include:✅ How gastric emptying changes across pregnancy and postpartum✅ The impact of opioids, epidurals, and spinal anesthesia on gastric motility✅ Whether fasting guidelines for cesarean delivery need to be revised✅ The role of gastric ultrasound in assessing aspiration riskNew research challenges old assumptions about aspiration risk in pregn...

2025-03-1006 min

Anesthesia Updates Optimizing Perioperative Care for Older Adults: Key Insights from the 2025 ASA Practice Advisoryn this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic unpacks the 2025 ASA Practice Advisory on Perioperative Care of Older Adults, published in Anesthesiology and led by Dr. Frederick Sieber from Johns Hopkins. With the aging population growing rapidly, anesthesiologists must be prepared to manage frailty, cognitive impairment, and postoperative delirium in older surgical patients.We cover practical recommendations for preoperative assessment, intraoperative anesthetic choices, and postoperative strategies to optimize recovery and preserve independence. Key highlights include:✅ The importance of screening for frailty and cognitive impairment✅ Neuraxial vs. general anesthesia—what does the latest...

2025-03-0308 min

Anesthesia Updates Rethinking Opioids: Is Buprenorphine the Future of Post-Op Pain Management?Could buprenorphine be the game-changer for postoperative pain management? In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down an important meta-analysis from Regional Anesthesia & Pain Medicine that compares buprenorphine to full agonist opioids. Discover why this partial agonist may offer superior pain relief, longer-lasting effects, and a safer profile—all while reducing opioid-related harm. Tune in to stay ahead of the curve! 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...

2025-02-2406 min

Anesthesia Updates Post-Cesarean Pain Relief and Respiratory Monitoring: A Quick GuideNeuraxial morphine remains the absolute go-to for managing post-cesarean pain. But if your patient is healthy and receiving low doses, the SOAP Society suggests you don’t need super-intensive respiratory monitoring. Hear this episode of NYSORA’s Anesthesia Updates Podcast for complete summary and latest recommendations on dosing and guidance. 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...

2025-02-1708 min

Anesthesia Updates Regional Anesthesia in Patients on Antithrombotic Drugs: ESAIC-ESRA 2022 GuidelinesPerforming regional anesthesia (RA) in patients on antithrombotic therapy poses a significant challenge due to the increased risk of bleeding complications, including spinal or epidural hematomas. Neuraxial and deep peripheral nerve blocks can lead to catastrophic consequences if performed without appropriate timing and management of anticoagulant and antiplatelet medications. The latest joint guidelines from the European Society of Anesthesiology and Intensive Care (ESAIC) and the European Society of Regional Anesthesia (ESRA) provide evidence-based recommendations to reduce these risks and guide anesthetists in making safe and informed decisions.Where else to find us:Web-⁠⁠http...

2025-02-1009 min

Anesthesia Updates Oxygen Therapy in ARF: Are We Doing It Right?Oxygen therapy is a lifesaving intervention, but are we using it optimally? In this episode, Dr. Hadzic breaks down the latest SRLF-SFMU Consensus Guidelines on managing acute hypoxemic respiratory failure (ARF)—when to start oxygen, the ideal SpO2 target, choosing between HFNC, CPAP, or NIV, and when to escalate to mechanical ventilation. Tune in for practical, evidence-based insights to improve patient outcomes in critical 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...

2025-02-0310 min

Anesthesia Updates Ensuring Sterility in Regional Anesthesia: The Impact of ASRA's Infection Control GuidelinesJoin Dr. Hadzic as he summarizes the uniquely important International Pannel’s recommendation on infection control guidelines, published by ASRA’s RAPM Pain Medicine Journal. Learn why sterile probe covers are now the gold standard, why Tegaderm falls short, and how these recommendations are shaping global practices in regional anesthesia. Stay ahead in delivering safe, efficient 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/@nyso...

2025-01-2707 min

Anesthesia Updates EXPAREL Better Than Bupivacaine In Supraclavicular BlockIn this episode of Updates in Anesthesiology, Dr. Hadzic breaks down a AN 2024 study on the addition of liposomal bupivacaine (EXPAREL) to standard bupivacaine for supraclavicular brachial plexus blocks. Discover how the addition of EXPAREL improves postoperative pain, and its effects on opioid use after distal radial fracture surgeries. Is it worth the cost? Tune in to find out! 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 T...

2025-01-2006 min

Anesthesia Updates Anesthesia and the Climate Dilemma: Cutting Emissions, Not CareIn this episode of the NYSORA Podcast, Dr. Hadzic unpacks the complex relationship between anesthesia practices and greenhouse gas emissions. Are anesthetic gases like desflurane and nitrous oxide truly major climate culprits, or is their impact overstated? Learn the science, the controversies, and actionable strategies to balance patient care with environmental responsibility. Stay informed, make smarter choices, and join the conversation on sustainable anesthesia. 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...

2025-01-1307 min

Anesthesia Updates GLP-1 Medications: Decreasing the Case Load in Bariatric Surgery and Challenges for Anesthesia PracticeIn this episode of Updates in Anesthesiology, we dive into how GLP-1 receptor agonists are reshaping obesity management, impacting bariatric surgery volumes, and altering the landscape of anesthesia practice. From managing perioperative risks to understanding evolving patient profiles and multidisciplinary collaboration, this episode offers critical insights to help anesthesiologists adapt to these changing dynamics. Tune in to stay ahead in your 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

2025-01-0608 min

Anesthesia Updates Probiotics and Heart Health: Fixing Your Gut to Save Your HeartIn this episode, Dr. Hadzic explores the surprising connection between gut health and cardiovascular disease, focusing on how probiotics might help reduce heart risks by lowering levels of the harmful compound TMAO. Backed by recent research, we’ll discuss which probiotic strains show promise, practical ways to integrate them into patient care, and how they fit alongside diet and lifestyle changes. Tune in to learn how gut health could become a game-changer in cardiovascular care! Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠ Instagram- ⁠⁠instagram.com/nysora.inc/ ⁠⁠ LinkedIN- ⁠⁠linke...

2024-12-3008 min

Anesthesia Updates What to Do if You Are Sued: Relieving Stress and Preparing for LawsuitsFacing a lawsuit as a clinician can be overwhelming, but you’re not alone. In this episode of NYSORA’s Updates in Anesthesiology podcast, Dr. Hadzic shares expert insights and actionable strategies to handle legal challenges with confidence. Learn how to advocate for yourself, prepare your legal team, manage stress, and turn adversity into an opportunity for growth. Whether you're currently navigating a lawsuit or preparing for the unexpected, this episode provides the tools you need to stay resilient and focused on your career. Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠

2024-12-2310 min

Anesthesia Updates The PENG Block Unveiled: What You Should Know!In this episode of Updates in Anesthesiology, Dr. Hadzic explores groundbreaking findings from a 2024 study by Dr. Angela Lucia Balocco and colleagues, published in Regional Anesthesia and Pain Medicine. Using 3D CT imaging, the study investigates how the injectate of the pericapsular nerve group (PENG) block actually spreads in live patients undergoing hip surgery. The findings challenge prior cadaver-based assumptions, revealing a predominant focus on femoral nerve branches within the iliopsoas muscle rather than the obturator nerve or hip capsule. We discuss what this means for technique, patient outcomes, and the broader implications for motor-sparing analgesia. Plus...

2024-12-1611 min

Anesthesia Updates The Truth About the Back Brace: Helpful for Chronic Low Back Pain?In this episode of "UPDATES IN ANESTHESIOLOGY," Dr. Hadzic explores to topic of whether lumbar back bracing is helpful or counterproductive for chronic low back pain. Discover how the powerful combination of back bracing and physical therapy reduces pain, improves functionality, and challenges long-held myths about muscle atrophy and dependency. Tune in to learn actionable insights that could revolutionize your clinical practice! Keep an eye on NYSORA’s Newsletter this Thursday that will further dissect the controversy of the value of back brace in patients with lower back pain. And be sure to get your own copy of...

2024-12-0910 min

Anesthesia Updates GLP-1 Agonists and Anesthesia: Navigating the Risk, Avoiding the ChaosGLP-1 receptor agonists, like Semaglutide, are transforming diabetes and obesity management—but their effects on gastric emptying are disrupting perioperative care. In this episode of the NYSORA Podcast, Dr. Hadzic dives into the conflicting guidelines, the latest evidence, and how tools like point-of-care ultrasound (POCUS) can save the day. Learn how to minimize aspiration risks, avoid case cancellations, and keep your OR running smoothly with practical, patient-focused strategies. Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠ Instagram- ⁠⁠instagram.com/nysora.inc/ ⁠⁠ LinkedIN- ⁠⁠linkedin.com/company/nysora-inc/⁠⁠

2024-12-0210 min

Anesthesia Updates The Risks and Management of Perioperative Blood TransfusionsRefresh your knowledge on Perioperative Blood Transfusions by hearing this podcast on how perioperative blood transfusions impact outcomes in elective major abdominal surgeries. Hear why Patient Blood Management (PBM) is transforming surgical care and learn actionable strategies to optimize your 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 ⁠⁠#anesthesia⁠⁠ ...

2024-11-2610 min

Anesthesia Updates Surgery Timing Matters: Morning vs. Night – What’s Safer?Timing is everything—even in surgery. In this episode, we explore groundbreaking research on how the time of day impacts elective surgery outcomes. Learn why nighttime surgeries carry higher risks, what makes mornings a safer bet for certain procedures, and how you can optimize scheduling to improve patient safety. Practical tips and actionable insights await to keep your practice ahead of the curve! 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 Tw...

2024-11-1810 min

Anesthesia Updates Opioid-Free Anesthesia: The Value and PracticalitiesIn this episode of the NYSORA podcast series, Updates in Anesthesiology, Dr. Hadzic discusses the opioid-free anesthesia (OFA) and its potential benefits and challenges in postoperative recovery. He examines OFA's effectiveness and safety in major elective surgeries, shedding light on recovery quality, pain management, and hemodynamic stability. This episode offers anesthesiologists valuable insights into the real-world applications of OFA protocols. Discover when and how OFA might fit into clinical practice, while considering both its promise and limitations. Don’t miss this essential update in anesthesia care, and find more on this topic in NYSORA’s Anesthesia Updates 2025, available on Amaz...

2024-11-1111 min

Anesthesia Updates Current Concepts in Intraoperative Ventilation For Laparoscopic and Robotic SurgeriesThis podcast episode dives into the nuances of intraoperative ventilation during laparoscopic and robot-assisted surgeries. The discussion covers the unique respiratory challenges posed by CO₂ insufflation and patient positioning, examining lung-protective strategies like low tidal volumes, personalized PEEP, and mechanical power control to reduce postoperative complications. 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 ...

2024-11-0412 min

Anesthesia Updates Anesthesia Management of Complex Spine SurgeryJoin Dr. Hadzic as he breaks down the latest strategies in perioperative management for complex spine fusion surgeries based on the latest literature updates. From preoperative optimization to advanced intraoperative monitoring and effective pain management, this episode delivers actionable insights to optimize patient outcomes and streamline care for high-risk spine surgery 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 ...

2024-10-2815 min

Anesthesia Updates Optimal Perioperative Fluid ManagementJoin Dr. Hadzic in this episode of "UPDATES IN ANESTHESIOLOGY" as we discuss into the latest consensus guidelines from the PeriOperative Quality Initiative (POQI) on perioperative fluid management, led by Dr. Ostermann and published in the British Journal of Anaesthesia. We will discuss the evidence-based recommendations for fluid therapy across various surgeries and critical conditions, and learn how these guidelines can enhance patient outcomes in your practice. From intraoperative hydration to preventing postoperative complications, this episode equips you with practical strategies for better perioperative care. Where else to find us: Web- ⁠⁠⁠http...

2024-10-2312 min

Anesthesia Updates Postdural Puncture Headache Prevention and TreatmentIn this episode of "UPDATES IN ANESTHESIOLOGY," Dr. Hadzic breaks down the latest clinical guidelines on Postdural Puncture Headache (PDPH). Review how to minimize risk through smart needle choices and techniques, identify PDPH early, and apply the recommended treatment algorithms. 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 ⁠⁠#anesthesia⁠⁠ Disclaimer: Medicine is an ever-changin...

2024-10-2112 min

2024-10-2113 min

Anesthesia Updates What's in Your Transfusion? A Bedside Guide to Blood ProductsExplore the essentials of blood transfusions in this episode, where we break down the various blood products, their preparation, and their clinical use. From red cells to platelets and plasma, learn how to make informed transfusion decisions to optimize patient care while minimizing risks. Tune in for practical insights and expert advice on safe blood management in anesthesiology. 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 ⁠⁠#anesthesia⁠⁠ Disclaimer: Medicine is an ever-changing science. As ne...

2024-10-1810 min

Anesthesia Updates Perioperative Dexamethasone in Diabetics: Safety vs BenefitsListen to the latest evidence on the perioperative use of dexamethasone in diabetic patients undergoing surgery. This episode examines whether concerns about infection risks are justified and highlights the broader benefits of this corticosteroid in reducing adverse outcomes and aiding recovery. Gain practical insights on how to incorporate dexamethasone into your perioperative care for diabetic patients safely. 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 ⁠#anesthesia⁠ Disclaimer: Medicine is an ever-chan...

2024-10-1509 min

Anesthesia Updates Navigating Alcohol Use Disorder in Perioperative CareExplore key strategies for managing patients with alcohol use disorder (AUD) during surgery. Learn how to address the unique challenges, including pain management and the role of naltrexone, while reducing risks and improving outcomes through a multidisciplinary approach. 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 #anesthesia Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy...

2024-10-1410 min

Anesthesia Updates Gastric Ultrasound and Fasting Guidelines in Diabetic PatientsJoin Dr. Hadzic in this episode of Updates in Anesthesiology, where we discuss whether current preoperative fasting guidelines are equally effective in diabetic and healthy patients. Dr Hadzic will talk about how gastric ultrasound is transforming aspiration risk assessment, and explain the impact of GLP-1 receptor agonists on anesthesia practice. Tune in for key insights that will help you enhance patient safety and optimize preoperative care in your practice. Where else to find us:Web- ⁠http://www.nysora.com⁠Instagram- ⁠instagram.com/nysora.inc/⁠LinkedIN- ⁠linkedin.com/company/nysora-inc/⁠Facebook- ⁠facebook.com/nysora⁠

2024-10-0709 min

Anesthesia Updates Introduction🎙️ Welcome to NYSORA’s Anesthesia Updates podcast! I’m Dr. Admir Hadzic, your host, and I’m excited to bring you a transformative approach to anesthesiology education. Life in medicine can be demanding—balancing patient care, administrative duties, and staying current with new research often feels like competing in the Formula One of healthcare. For many of us, the commute to and from work might be the only quiet moment we have to ourselves and for updates on what’s new in our field. That’s why we created the Anesthesia Updates podcast—to keep you informed about what you may...

2024-10-0301 min

Always On EM - Mayo Clinic Emergency Medicine Chapter 32 - You’re invited to our block party! - Emergency department Ultrasound guided regional anesthesiaDr. Lacey Shiue, emergency ultrasound faculty, sits down with Alex and Venk to talk through ultrasound guided nerve blocks and plane blocks. We talk through key differences in commonly used medications, how to manage toxicity from those medications as well as a detailed discussion of several different specific blocks including: Erector Spinae Plane Block, Fascia Iliaca Compartment Block, Supraclavicular Block, Interscalene Block among others. In addition, she discusses the keys to advancing an emergency regional anesthesia program. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_lik...

2024-07-011h 05

YaleUniversity Failed Spinal after intrathecal injectionIn this episode, Dr. Vishal Uppal and Allana Munro discussed with us the findings from their study -The Incidence and Predictors of Failed Spinal Anesthesia After Intrathecal Injection of Local Anesthetic for Cesarean Delivery: A Single-Center, 9-Year Retrospective Review. https://pubmed.ncbi.nlm.nih.gov/37014966/ Anesthesia-Related Maternal Mortality in the United States: 1979–2002 https://pubmed.ncbi.nlm.nih.gov/21173646/ Can epidurals as a quality marker Epidural analgesia during labour and severe maternal morbidity: population based study https://pubmed.ncbi.nlm.nih.gov/38777357/ Use of Labor Neuraxial Analgesia for Vaginal Delivery and Severe Maternal Morbidity https://pubmed.ncbi.nlm.nih.gov/35191971/ Raising th...

2024-06-1752 min

Yale Anesthesiology Failed Spinal after intrathecal injectionIn this episode, Dr. Vishal Uppal and Allana Munro discussed with us the findings from their study -The Incidence and Predictors of Failed Spinal Anesthesia After Intrathecal Injection of Local Anesthetic for Cesarean Delivery: A Single-Center, 9-Year Retrospective Review. https://pubmed.ncbi.nlm.nih.gov/37014966/ Anesthesia-Related Maternal Mortality in the United States: 1979–2002 https://pubmed.ncbi.nlm.nih.gov/21173646/ Can epidurals as a quality marker Epidural analgesia during labour and severe maternal morbidity: population based study https://pubmed.ncbi.nlm.nih.gov/38777357/ Use of Labor Neuraxial Analgesia for Vaginal Delivery an...

2024-06-1752 min

selphieinakindle BOOKS Â» NYSORA Nerve Block Manual First Edition [Pdf]$$**Download NYSORA Nerve Block Manual: First Edition Full Edition,Full Version,Full Book** by Admir Hadzic Reading Now at : https://happyreadingebook.club/?book= OR DOWNLOAD EBOOK NOW! [PDF] Download BOOKS Â» NYSORA Nerve Block Manual: First Edition [Pdf]$$ Ebook | READ ONLINE Download BOOKS Â» NYSORA Nerve Block Manual: First Edition [Pdf]$$ read ebook online PDF EPUB KINDLE Download BOOKS Â» NYSORA Nerve Block Manual: First Edition [Pdf]$$ PDF - KINDLE - EPUB - MOBI - AUDIOBOOK

2023-09-0900 min

Deep Breaths S5 Ep. 13: These arms of mine, part 2 (Upper limb regional anaesthesia)Today, we continue our discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr.In part 2 of this series we discuss the supraclavicular and infraclavicular blocks, the axillary block and specific targeted nerve blocks within the forearm. We then go on to discuss the management of a suspected nerve injury. Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a l...

2022-11-0643 min

Deep Breaths S5 Ep. 12: These arms of mine, part 1 (Upper limb regional anaesthesia)Today, we have a fantastic and insightful discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr. In part 1 of this 2 part series, we focus on the interscalene block. Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast e...

2022-11-0628 min

Deep Breaths S4 Ep. 6: Drop dead legs, part 1 (Lower limb regional anaesthesia)In today's episode, we interview our guest Dr Michael Kerr to discuss regional anaesthesia for the lower limbs. In this episode, we cover the taxonomy of lower limb blocks, the indications for various types of blocks and discuss in detail the fascia iliaca block. Thanks for listening, and happy studying! Resources for this episode include:Reading list - Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of...

2022-04-0337 min

Deep Breaths S4 Ep. 7: Drop dead legs, part 2 (Lower limb regional anaesthesia)Continuing on from episode 6, we continue our interview with Dr Michael Kerr to discuss regional anaesthesia for the lower limbs. In this episode, we cover popliteal sciatic blocks and adductor canal blocks in detail, ideas for learning/practising blocks in a resource-constrained environment, and tips for dealing with surgeons when discussing regional anaesthesia for your patients. Thanks for listening, and happy studying!Resources for this episode include:Reading list -Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes a...

2022-04-0337 min

Anesthesia Deconstructed: Moving Anesthesia Forward Dr. Jeff Gadsden MD Discusses Regional Anesthesia & Nerve InjuryDr. Jeff Gadsden is a Physician Anesthesiologist who did a large portion of his residency with Dr. Admir Hadzic at the New York School of Regional Anesthesia (NYSORA) where his love of regional anesthesia was born. He has since brought that passion and expertise to Duke University where he currently serves as the Chief, Division of Orthopedic, Plastic & Regional Anesthesia. Dr. Gadsden is not only an expert at regional anesthesia but passionate about it which comes across in every video he does, to every trainee he mentors and in this podcast!We talk about everything regional anesthesia f...

2022-02-031h 00

randInt podcast with Raffy and Chandra S01E20 - Numbing spines and ponzi schemesAchievement unlocked: Episode 20! It's that magic milestone of episode 20! I can't remember the exact stats, but less than half the podcasts launched fail to get to this point. So after patting ourselves on the back, we'd like to thank YOU for sticking it out and listening to our random show. In this episode we talk about... How Chandra nearly burnt down my shed and fried my cat Teslas in work mode? Unfair advantage baristas have sketchier than normal ponzi schemes and much more! Things mentioned in this episode: NFT's explained- https://www...

2021-11-2347 min

Prolonged Field Care Podcast Prolonged Field Care Podcast 45: Regional Anesthesia As An Analgesic AdjunctWhen properly and safely administered regional anesthesia can augment your limited supply of narcotics and ketamine in resource poor environments. It can also preserve your patient’s mental status while providing targeted pain relief. This can be accomplished using a nerve stimulator and the techniques found in the Military Advanced Regional Anesthesia and Analgesia Handbook as taught in the Special Forces Medical Sergeant course. If you have a portable ultrasound machine and a little practice you can also use the safe techniques found in the videos made available in by the New York School of Regional Anesthesia at NYSORA.com. ...

2021-07-1133 min

The Correlation Sensation Podcast E42: Cervical Plexus Spinal Nerve AnatomyForgive the first 33 minutes, for Gork forgot to plug in the decent mic. Gork and Void discuss the prospect of Gork debating a dead celebrity, while Void tries to inform Gork of the impossibility, and Gork didn't pay Void any mind. This is the first of specific anatomy studies Gork and Void are going to do for the spinal nerves. Hope you enjoy. Sources Cited: 1) Title: Cervical Nerves/ Host: Healthline.com/ Location: Web/ Url: https://www.healthline.com/human-body-maps/cervical-nerves#1 2) Brachial Definition: https://www.merriam-webster.com/dictionary/brachial 3) Plexus Definition: https://www.merriam-webster.com/dictionary/plexus 4) T...

2020-10-0755 min

Emergency Medical Minute Podcast 599: Facial Blocks for the WinContributor: Don Stader, MD Educational Pearls: Local anesthetics injected directly into wounds can cause distortion - especially important in facial lacerations Several blocks can be helpful to help numb branches of the trigeminal nerve (CN V) which innervates the face: Supraorbital nerve block: blocks distribution of V1 (most of the forehead) through injection above the eyebrow External nasal nerve block: blocks superficial innervation of nose through injection along the nasal dorsum Infraorbital nerve block: blocks innervation to lip and cheek by injection below the eye Mental nerve block: blocks innervation to chin and lower lip by in...

2020-09-2805 min

Deep Breaths S1 Ep. 7: Achy breaky... ribs? part 2 (Regional anaesthesia for rib fracture)In the second installment of our chat with Dr Anthony Hade, we continue discussing the ins & outs of regional anaesthesia for rib fractures. We talk about erector spine blocks, the pitfalls of providing chest trauma patients with regional anaesthesia, and Anthony shares with us some of the more memorable cases that he has seen.Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. Thanks for listening, and happy studying. Some resources to help with studying this topic: https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/thoracic-lumbar-paravertebral-block/

2020-09-2117 min

Deep Breaths S1 Ep. 6: Achy breaky... ribs? part 1 (Regional anaesthesia for rib fracture)This week we’re joined by Dr Anthony Hade to discuss regional anaesthesia for blunt chest trauma. We talk about the approach to the blunt chest trauma patient, the goals of regional anaesthesia for rib fractures, indications and contraindications for various types of regional anaesthesia, as well as tips and tricks for paravertebral blocks. Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. Thanks for listening, and happy studying. Some resources to help with studying this topic: https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/thoracic-lumbar-paravertebral-block/

2020-09-2021 min

CPAS Episode #5. Anterior Abdominal Wall Blocks in ChildrenDr Johanne Lynch reviews anterior abdominal blocks in pediatric anesthesia. For a video of an ultrasound-guided Transversus Abdominus Plane (TAP) block in an adult from the NYSORA website, click here. To comment on this post please email the comment to

2010-11-0826 min