Anesthesia Updates

Anesthesia Updates

By: NYSORA

Language: en

Categories: Health, Fitness, Medicine

Anesthesia Updates by NYSORA is your go-to podcast for staying at the forefront of anesthesiology. Hosted by Dr. Hadzic and the NYSORA educational team, each 10-15 minute episode reviews the latest developments, publications, and clinical trends, so you can stay ahead without wading through lengthy research articles. Whether it's the newest guidelines, emerging practices, or essential updates, this podcast delivers highly relevant information that will keep your practice on the cutting edge—one episode at a time.

Episodes

Non-Insulin Diabetes Drugs: Stop or Continue Before Surgery?
Oct 27, 2025

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. 


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Duration: 00:08:35
Regional + Local: The Pain-Relief Power Duo After Hip Surgery
Oct 20, 2025

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.


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Duration: 00:04:05
Hypotension and Delirium: No Clear Link?
Oct 13, 2025

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a landmark 2025 study, which challenges the long-held belief that intraoperative hypotension (MAP < >


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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 s...

Duration: 00:06:30
Block, Reverse, Remember: Cutting Delirium Risk After Anesthesia
Oct 06, 2025

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.


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Duration: 00:07:40
Myocardial Injury Under the Radar
Sep 29, 2025

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.


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Duration: 00:10:07
Anemia and Transfusion in Children: Hidden Risks in Plain Sight
Sep 22, 2025

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.


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Duration: 00:08:59
Anesthesia for the Diabetic Parturient
Sep 15, 2025

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.


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Duration: 00:07:46
AI in Anesthesiology: Hype, Reality, and What Comes Next
Sep 08, 2025

 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...

Duration: 00:06:52
Hepatopulmonary Syndrome: What Anesthesiologists Must Know
Sep 01, 2025

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.


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Duration: 00:09:37
Taming Postoperative Delirium: Guideline Updates You Need to Know
Aug 25, 2025

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.


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Duration: 00:07:27
Pain, Pills, and Pitfalls: Analgesic Harms in Multimorbid Patients
Aug 18, 2025

In this episode, Dr. Hadzic unpacks a 2025 British Journal of Anaesthesia systematic review led by Dr. Grant and colleagues, exploring the hidden dangers of common analgesics, opioids, NSAIDs, and gabapentinoids in patients with multiple chronic conditions. With over 2.6 million patients studied, the findings reveal clear red flags and critical evidence gaps. Tune in for practical insights, risk-reduction strategies, and what this means for your everyday prescribing decisions.


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Duration: 00:08:56
Sugammadex: The Reversal Agent with a catch?
Aug 11, 2025

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.


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Duration: 00:08:45
Sugammadex vs Neostigmine: A Faster Recovery for Bariatric OSA Patients?
Aug 04, 2025

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.


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Duration: 00:08:04
AI vs Anesthesiology: Can Chatbots Replace Clinical Judgment?
Jul 28, 2025

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.



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Duration: 00:07:28
Better Blood, Better Outcomes: The Real Power of PBM in Joint Surgery
Jul 21, 2025

 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.\


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Duration: 00:07:50
New Guidelines Favor Restrictive Platelet Transfusion
Jul 14, 2025

In this episode of Updates in Anesthesiology, Dr. Hadzic reviews the newly published 2025 international clinical practice guidelines on platelet transfusion, co-led by Dr. Ryan Metcalf from the University of Utah and Dr. Simon Stanworth from Oxford, and published in JAMA. Based on evidence from over 30 studies, these guidelines recommend restrictive platelet transfusion thresholds in both adult and pediatric populations, advocating for transfusions only when platelet counts are critically low in specific scenarios. The goal? Minimize unnecessary transfusions, reduce patient harm, and conserve resources without increasing bleeding or mortality.


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Duration: 00:09:23
The Silent Stroke: Unmasking Hidden Brain Injuries After Surgery
Jul 07, 2025

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the results from the PRECISION study published in Anesthesiology (2025). Led by Dr. Cui and colleagues, this prospective trial reveals that nearly 1 in 9 older patients undergoing noncardiac surgery, especially neurosurgical, experience covert strokes detectable only by MRI. These “silent” strokes double the risk of postoperative delirium and long-term cognitive decline. Tune in to hear what this means for perioperative care, how to identify patients at risk, and actionable strategies to protect brain health after surgery.


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Duration: 00:07:54
Going Green in the OR: TIVA vs Gas – Who Wins the Carbon Battle?
Jun 30, 2025

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.


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Duration: 00:07:39
Apnoeic Oxygenation Safety Checklist for Airway Surgery
Jun 23, 2025

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic discusses a new international consensus on apnoeic oxygenation using high-flow nasal oxygen (HFNO) during laryngotracheal surgery. Featuring insights from a newly published 19-item safety checklist in the European Journal of Anaesthesiology, we break down what every clinician needs to know, from patient selection to post-op care, to improve safety and streamline multidisciplinary workflows. Whether you're already using THRIVE or just curious about best practices, this episode gives you the practical takeaways to elevate your airway game.


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Duration: 00:07:31
To Cut or Not to Cut: Rethinking Hip Fracture Care in the Frail Elderly
Jun 16, 2025

 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.


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Duration: 00:08:19
Ketamine vs. The Rest: Choosing the Safest Induction Agent in Critical Care
Jun 09, 2025

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the latest evidence comparing ketamine, etomidate, and propofol for tracheal intubation in critically ill patients. Drawing from a 2025 review in Critical Care Medicine, we explore why ketamine is emerging as the safest and most reliable option, while etomidate shows a potential mortality risk, and propofol continues to raise red flags for cardiovascular instability. Get the evidence, the implications, and the practical takeaways, all in one focused episode.


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Duration: 00:09:44
Dexmedetomidine: The Kidney's Secret Ally in Surgery?
Jun 02, 2025

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.


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Duration: 00:08:13
Contaminated Ultrasound Gel – A Wake-Up Call for Infection Control
May 26, 2025

In this episode, Dr. Hadzic discusses the CDC's May 2025 nationwide alert on bloodstream infections linked to non-sterile, multi-use ultrasound gel. Learn how this outbreak unfolded, what it means for ultrasound-guided procedures, and why sterile gel and validated probe covers—like EZCOVER®—are now essential for every percutaneous procedure. Practical, evidence-based takeaways to help you enhance infection control and patient safety in your daily practice.


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Duration: 00:09:41
Ventilators and Young Minds: Uncovering Hidden Risks After Surgery
May 19, 2025

In this episode of Updates in Anesthesiology, Dr. Hadzic explores a groundbreaking study from Columbia University, published in the British Journal of Anaesthesia (2025), revealing that children who require mechanical ventilation during surgery face nearly double the risk of developing neurodevelopmental and behavioral disorders after discharge. Tune in to learn what factors may drive this association, why longer ventilation matters, and how we can act early to protect young patients' futures.


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Duration: 00:06:01
Tube Tip in Pharynx Ventilation as A Rescue?
May 12, 2025

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.


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Duration: 00:09:04
IV Antihypertensives and Brain Perfusion: Friend or Foe?
May 05, 2025

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!


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Duration: 00:06:27
Transfuse or Not to Transfuse? Rethinking Hemoglobin Thresholds in TBI
Apr 28, 2025

In 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.


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Duration: 00:07:41
Sugammadex in Crisis: Can It Save a CICV Scenario?
Apr 21, 2025

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.


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Duration: 00:09:16
HPI in the OR: Prediction Without Prevention?
Apr 14, 2025

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...

Duration: 00:07:33
Neuraxial Anesthesia Isn't Dead: Reclaiming Its Role After REGAIN
Apr 07, 2025

In 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...

Duration: 00:08:33
Hyperkalemia Management: Time for a Re-Evaluation?
Mar 31, 2025

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.


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Duration: 00:08:37
ECMO in Perioperative Cardiac Arrest: A Game Changer?
Mar 24, 2025

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! 


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Duration: 00:08:28
More Protein, More Problems? The PRECISE Trial Shakes Up ICU Nutrition
Mar 17, 2025

In 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...

Duration: 00:07:50
Gastric Emptying in Pregnancy: Rethinking Aspiration Risk & Fasting Guidelines
Mar 10, 2025

In 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 risk

New research challenges old assumptions about aspiration risk in pregn...

Duration: 00:06:57
Optimizing Perioperative Care for Older Adults: Key Insights from the 2025 ASA Practice Advisory
Mar 03, 2025

n 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...

Duration: 00:08:22
Rethinking Opioids: Is Buprenorphine the Future of Post-Op Pain Management?
Feb 24, 2025

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! 


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Duration: 00:06:06
Post-Cesarean Pain Relief and Respiratory Monitoring: A Quick Guide
Feb 17, 2025

Neuraxial 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. 


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Duration: 00:08:10
Regional Anesthesia in Patients on Antithrombotic Drugs: ESAIC-ESRA 2022 Guidelines
Feb 10, 2025

Performing 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.


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Duration: 00:09:54
Oxygen Therapy in ARF: Are We Doing It Right?
Feb 03, 2025

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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Duration: 00:10:12
Ensuring Sterility in Regional Anesthesia: The Impact of ASRA's Infection Control Guidelines
Jan 27, 2025

Join 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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Duration: 00:07:56
EXPAREL Better Than Bupivacaine In Supraclavicular Block
Jan 20, 2025

In 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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Duration: 00:06:57
Anesthesia and the Climate Dilemma: Cutting Emissions, Not Care
Jan 13, 2025

In 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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Duration: 00:07:13
GLP-1 Medications: Decreasing the Case Load in Bariatric Surgery and Challenges for Anesthesia Practice
Jan 06, 2025

In 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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Duration: 00:08:24
Probiotics and Heart Health: Fixing Your Gut to Save Your Heart
Dec 30, 2024

In 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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Duration: 00:08:14
What to Do if You Are Sued: Relieving Stress and Preparing for Lawsuits
Dec 23, 2024

Facing 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.


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Duration: 00:10:23
The PENG Block Unveiled: What You Should Know!
Dec 16, 2024

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...

Duration: 00:11:12
The Truth About the Back Brace: Helpful for Chronic Low Back Pain?
Dec 09, 2024

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...

Duration: 00:10:10
GLP-1 Agonists and Anesthesia: Navigating the Risk, Avoiding the Chaos
Dec 02, 2024

GLP-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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Duration: 00:10:51
The Risks and Management of Perioperative Blood Transfusions
Nov 26, 2024

Refresh 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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...

Duration: 00:10:06
Surgery Timing Matters: Morning vs. Night – What’s Safer?
Nov 18, 2024

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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Duration: 00:10:42
Opioid-Free Anesthesia: The Value and Practicalities
Nov 11, 2024

In 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...

Duration: 00:11:09
Current Concepts in Intraoperative Ventilation For Laparoscopic and Robotic Surgeries
Nov 04, 2024

This 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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Duration: 00:12:41
Anesthesia Management of Complex Spine Surgery
Oct 28, 2024

Join 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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Duration: 00:15:34
Optimal Perioperative Fluid Management
Oct 23, 2024

Join 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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Duration: 00:12:35
Postdural Puncture Headache Prevention and Treatment
Oct 21, 2024

In 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...

Duration: 00:12:43
Postdural Puncture Headache Prevention and Treatment
Oct 21, 2024

In 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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Web- ⁠⁠http://www.nysora.com⁠⁠ 


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Disclaimer: Medicine is an ever-changin...

Duration: 00:13:36
What's in Your Transfusion? A Bedside Guide to Blood Products
Oct 18, 2024

Explore 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.


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Duration: 00:10:23
Perioperative Dexamethasone in Diabetics: Safety vs Benefits
Oct 15, 2024

Listen 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...

Duration: 00:09:36
Navigating Alcohol Use Disorder in Perioperative Care
Oct 14, 2024

Explore 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...

Duration: 00:10:01
Gastric Ultrasound and Fasting Guidelines in Diabetic Patients
Oct 07, 2024

Join 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.


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Facebook- ⁠facebook.com/nysora⁠ Duration: 00:09:11

Introduction
Oct 03, 2024

🎙️ 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...

Duration: 00:01:44