Anesthesia Updates

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Fascial Plane Blocks Are No Longer Optional

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

4 days ago

9 minutes 27 seconds

Anesthesia Updates

In this episode, we review the 2026 American Society of Anesthesiologists Practice Guideline on perioperative pain management using local and regional analgesia, based on evidence from more than 600 randomized trials. The guideline delivers a clear message: fascial plane blocks are a core component of modern multimodal analgesia, not an optional add-on. We discuss where the evidence is strongest, including open and minimally invasive abdominal surgery, mastectomy, cardiothoracic procedures, and pediatric surgery, and how these techniques consistently reduce opioid use, improve pain control, and enhance quality of recovery.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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The Power of Anterior QLB

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

1 week ago

5 minutes 50 seconds

Anesthesia Updates

In this episode, we’re discussing a 2025 randomized controlled trial by Turunc and colleagues published in Regional Anesthesia & Pain Medicine. The study asks a practical, ERAS-focused question: Does adding a bilateral anterior subcostal quadratus lumborum block actually improve analgesia in laparoscopic colorectal surgery? And more importantly, does it meaningfully reduce opioids?

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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The Cannabis Paradox: Worse Pain After Surgery

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 weeks ago

6 minutes 55 seconds

Anesthesia Updates

This episode discusses the main findings of a new study from Sajdeya et al., 2025, published in Regional Anesthesia & Pain Medicine. The research asks a timely, important question: Does cannabis use affect postoperative pain in older adults? We've seen rising cannabis use among seniors, up to 5% nationally, but almost no data on how it affects acute surgical pain. This study finally gives us real evidence, using advanced NLP to detect cannabis use in the electronic record. And the findings? Well... they challenge a lot of assumptions.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Rethinking DOACs for Neuraxial & Deep Blocks

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

3 weeks ago

6 minutes 45 seconds

Anesthesia Updates

This episode discusses the main findings from a 2025 review by Suleiman et al. published in BJA, examining how we should manage direct oral anticoagulants (DOACs) in patients having neuraxial anesthesia and deep peripheral nerve blocks. Traditionally, the ASRA guidelines have leaned heavily on long DOAC interruption times and selective drug level testing to avoid the rare but devastating complication of spinal epidural hematoma. But new evidence—from the PAUSE strategy and the PAUSE-2 pilot trial—suggests that shorter, pharmacokinetics-based DOAC holds may offer comparable safety without increasing thromboembolic risk.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Hemodialysis on the table: Rethinking the Risks

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

1 month ago

7 minutes 15 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, we discuss a 2025 Anesthesiology Clinical Focus Review on the perioperative management of patients receiving maintenance hemodialysis. This review reshapes how we assess, prepare, and manage a rapidly growing surgical population at exceptionally high perioperative risk. From hidden cardiovascular disease and fluid shifts to electrolyte traps, medication pitfalls, vascular access, and timing of dialysis.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Rethinking Unanticipated Difficult Intubation

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

1 month ago

8 minutes 20 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, we discuss one of the most significant airway guideline updates in a decade. The Difficult Airway Society’s 2025 guidelines reshape how we approach unanticipated difficult tracheal intubation in adults. From first-attempt success and videolaryngoscopy for all, to peroxygenation, physiologically difficult airways, linear algorithms, and a renewed emphasis on human factors.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

1 month ago

9 minutes 3 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 Anesthesia & Analgesia trial that challenges a long-standing airway management routine.Could high-flow nasal oxygen (HFNO) replace the laryngeal mask airway (LMA) for short general anesthesia cases without muscle paralysis? This randomized trial puts it to the test, reporting surprising results on safety, comfort, and carbon dioxide dynamics. Stick around as we unpack the science, the caveats, and what this could mean for the future of low-invasive airway management.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Mix or Match? The Best Formula for Infraclavicular Blocks

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

1 month ago

7 minutes 25 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 RAPM study comparing the classic lidocaine–bupivacaine mix to 0.5% bupivacaine alone for infraclavicular blocks. The results? Mixing speeds onset but slashes duration by nearly 14 hours. Tune in to learn why faster isn’t always better, how adjuvants like dexamethasone already optimize your block, and when it’s finally time to ditch the mix.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Bleeding in the Young: Rethinking Hemostasis in Pediatric Surgery

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 months ago

5 minutes 21 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 review that reshapes how we manage bleeding in children. From restrictive transfusion thresholds and viscoelastic testing to the revival of whole blood and smarter use of TXA, pediatric hemostasis is entering a new era. Tune in to learn why kids aren’t just “small adults,” how to individualize transfusion decisions, and the five steps to safer blood management in your next pediatric case.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Non-Insulin Diabetes Drugs: Stop or Continue Before Surgery?

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 months ago

10 minutes 57 seconds

Anesthesia Updates

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

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Regional + Local: The Pain-Relief Power Duo After Hip Surgery

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 months ago

8 minutes 35 seconds

Anesthesia Updates

A 2025 Anesthesiology meta-analysis shows that the best pain control after total hip arthroplasty comes from combining regional anesthesia with local infiltration analgesia (LIA). While LIA alone is effective, adding a quadratus lumborum or pericapsular nerve group (PENG) block significantly improves pain relief, reduces opioid use, and preserves mobility. The takeaway: stop choosing between techniques — regional + local is the new gold standard for hip surgery analgesia.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Hypotension and Delirium: No Clear Link?

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 months ago

4 minutes 5 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a landmark 2025 study, which challenges the long-held belief that intraoperative hypotension (MAP < 65 mm Hg) contributes to postoperative delirium in older adults. With nearly 40,000 patients analyzed and no association found, it’s time to rethink reflexively chasing MAP thresholds. Tune in to hear why blood pressure might not be the villain we thought, and what really matters for preventing POD.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Block, Reverse, Remember: Cutting Delirium Risk After Anesthesia

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

2 months ago

6 minutes 30 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic delves into a 2025 study, which analyzed over 53,000 surgical cases. The key finding? Neuromuscular blockers increase the risk of postoperative delirium in older adults, unless they’re properly reversed. Whether you use sugammadex or neostigmine, reversal agents significantly reduce this risk. Tune in to hear what this means for your clinical practice and how small changes in perioperative management can make a significant impact on cognitive outcomes.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Myocardial Injury Under the Radar

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

3 months ago

7 minutes 40 seconds

Anesthesia Updates

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the latest evidence on pharmacologic agents for perioperative cardioprotection in noncardiac surgery. From beta-blockers and statins to the evolving debate around RAAS inhibitors and aspirin, we cover what works, what doesn’t, and what’s still unclear. Plus, we discuss whether tighter blood pressure control or postoperative therapy intensification makes a difference. Tune in for practical, evidence-based takeaways to improve cardiac outcomes in your surgical patients.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Anemia and Transfusion in Children: Hidden Risks in Plain Sight

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

3 months ago

10 minutes 7 seconds

Anesthesia Updates

In this episode, Dr. Hadzic discusses the main findings from a new study from the British Journal of Anaesthesia (2025). The study reported that 1 in 4 children having noncardiac surgery has preoperative anemia, and that both anemia and transfusion independently, and especially together, increase 30-day mortality and complications. Despite strong global guidelines for blood management and anesthesia care in adults, pediatric blood management remains under-implemented. Learn how this data can transform your pre-op protocols, and what steps you can take right now to improve pediatric surgical outcomes.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Anesthesia for the Diabetic Parturient

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

3 months ago

8 minutes 59 seconds

Anesthesia Updates

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic reviews a 2025 paper from Anesthesiology on managing obstetric anesthesia for patients with diabetes. From prelabor planning to postpartum glucose shifts, this episode covers everything you need to provide safe and effective anesthesia care for this growing population of high-risk parturients.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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AI in Anesthesiology: Hype, Reality, and What Comes Next

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

3 months ago

7 minutes 46 seconds

Anesthesia Updates

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 to
How NYSORA’s app supports safe, informed decisions
Real tips you can apply in practice today

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

LinkedIn- ⁠⁠linkedin.com/company/nysora-inc/⁠⁠

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Hepatopulmonary Syndrome: What Anesthesiologists Must Know

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

4 months ago

6 minutes 52 seconds

Anesthesia Updates

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic unpacks Hepatopulmonary Syndrome (HPS), a frequently missed but life-threatening complication of chronic liver disease. Drawing on a 2025 review from Current Opinion in Anesthesiology, we cover the mechanisms of HPS, key diagnostic clues like platypnea and orthodeoxia, and why liver transplantation remains the only curative therapy. You’ll also learn why MELD exception points are reshaping transplant access, the limits of emerging drug therapies, and practical anesthesia management tips for these challenging patients.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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Taming Postoperative Delirium: Guideline Updates You Need to Know

Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.

4 months ago

9 minutes 37 seconds

Anesthesia Updates

In this episode of NYSORA’s Updates in Anesthesiology, Dr. Hadzic breaks down the 2024 ESAIC guidelines on postoperative delirium (POD) in adults. Discover the latest evidence on risk factors, why inflammation, not just anesthesia, may be the real culprit, and why multicomponent nonpharmacological strategies are your best bet. Learn what works, what doesn’t, and how to protect your patients from this common yet preventable complication. Stay ahead of the curve with this essential update for every perioperative clinician.

Where else to find us:
Web- ⁠⁠http://www.nysora.com⁠⁠

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