Shows
Anesthesia UpdatesAI 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 minAnesthesia UpdatesBetter 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 & POCUSS3 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 minAnesthesia UpdatesNew 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 minAnesthesia UpdatesThe 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 minAnesthesia UpdatesGoing 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 minAnesthesia UpdatesApnoeic 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 minAnesthesia UpdatesTo 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 minBlock It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUSS3: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 minAnesthesia UpdatesKetamine 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 minAnesthesia UpdatesDexmedetomidine: 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 BreathsS10, 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 minAnesthesia UpdatesContaminated 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 minAnesthesia UpdatesVentilators 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 UpdatesTube 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 UpdatesIV 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 UpdatesTransfuse 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 UpdatesSugammadex 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 UpdatesHPI 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 UpdatesNeuraxial 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 UpdatesHyperkalemia 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 UpdatesECMO 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 UpdatesMore 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 UpdatesGastric 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 UpdatesOptimizing 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 UpdatesRethinking 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 UpdatesPost-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 UpdatesRegional 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 UpdatesOxygen 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!
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Anesthesia UpdatesEnsuring 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!
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Anesthesia UpdatesEXPAREL 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!
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Anesthesia UpdatesAnesthesia 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.
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Anesthesia UpdatesGLP-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!
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2025-01-0608 min
Anesthesia UpdatesProbiotics 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!
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Anesthesia UpdatesWhat 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 UpdatesThe 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 UpdatesThe 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 UpdatesGLP-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.
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Anesthesia UpdatesThe 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.
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Anesthesia UpdatesSurgery 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!
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Anesthesia UpdatesOpioid-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 UpdatesCurrent 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.
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Anesthesia UpdatesAnesthesia 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.
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Anesthesia UpdatesOptimal 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.
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Anesthesia UpdatesPostdural 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.
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Disclaimer: Medicine is an ever-changin...2024-10-2112 min
Anesthesia UpdatesPostdural 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
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#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changin...2024-10-2113 min
Anesthesia UpdatesWhat'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
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#nysora #regionalanesthesia #anesthesia
Disclaimer:
Medicine is an ever-changing science. As ne...2024-10-1810 min
Anesthesia UpdatesPerioperative 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
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#nysora #regionalanesthesia #anesthesia
Disclaimer:
Medicine is an ever-chan...2024-10-1509 min
Anesthesia UpdatesNavigating 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
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#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 UpdatesGastric 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/nysora2024-10-0709 min
Anesthesia UpdatesIntroduction🎙️ 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 MedicineChapter 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
Dr. Gallagher's Podcast“Where Are Commonly Used IV Sedation Medications Metabolized In The Body?”6.18.24
Quick Review #152 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #anesthesia #sedation #ivs
Of the commonly used medications used for or during IV sedation(s), most are generally metabolized in the same organ. Included is a brief overview of their metabolism:
1. Versed (Midazolam): Primarily metabolized by the liver via the cytochrome P450 enzyme system, particularly CYP3A4.
2. Ketamine: Also primarily metabolized by the liver through the cytochrome P450 enzymes (mainly CYP2B6 and CYP3A4).
3. Fentanyl: Metabolized primarily by the liver, especially by the CYP3A4 enzyme.
4. Propofol: Metabolized mainly by the liver through conjugation with glucuronic acid...2024-06-1804 min
YaleUniversityFailed 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 AnesthesiologyFailed 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
shyrrikkyrrEbooks Epub NYSORA Nerve Block Manual First Edition (PDF) Read OnlineDownload 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 Ebooks Epub NYSORA Nerve Block Manual: First Edition (PDF) Read Online Ebook | READ ONLINE Download Ebooks Epub NYSORA Nerve Block Manual: First Edition (PDF) Read Online read ebook online PDF EPUB KINDLE Download Ebooks Epub NYSORA Nerve Block Manual: First Edition (PDF) Read Online PDF - KINDLE - EPUB - MOBI - AUDIOBOOK2023-06-1100 minDeep BreathsS5 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 minDeep BreathsS5 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 minDeep BreathsS4 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 minDeep BreathsS4 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
Anesthesia Deconstructed: Moving Anesthesia ForwardDr. 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