Anesthesia Updates

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 improv...

 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 ev...

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 r...

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...

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 enha...

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 associa...

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 b...

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 hypoperfusi...

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...

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 re...

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 complic...

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 co...

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...

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 t...

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 adva...

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 s...

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...

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 o...

N euraxial 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...

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 gui...

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...

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! Whe...

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! Where else to fin...

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...

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 the...