Anesthesia Updates

In this 100th episode of the NYSORA Podcast, we explore the debate over opioid-free versus conventional anesthesia with Dr. Cao. From reduced postoperative nausea and vomiting to potential cardiovascular risks, we examine the evidence, trade-offs, and which patients may benefit most from an opioid-free approach.
Read more about the study ⁠HERE⁠.
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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 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.

Massive transfusion can save a life, but it can also deliver a dangerous potassium load. In this episode, we explore a 2026 Anesthesiology review by Zhou and colleagues on preventing and managing hyperkalemia during supramassive hemorrhage. We discuss stored blood, intraoperative red-cell washing, CRRT, and the limitations of conventional hyperkalemia treatment. 
Read more about the study HERE.
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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 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.

Double-lumen tube intubation is one of the most technically demanding airway procedures in anesthesia. In this episode, we discuss a large 916-patient multicenter randomized trial published in the British Journal of Anaesthesia comparing video laryngoscopy with direct laryngoscopy for double-lumen tube placement. We examine whether video laryngoscopy improves first-pass success, reduces airway trauma, and should become the default approach for thoracic anesthesia.

Read more about the study HERE.

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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 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.

If patient blood management (PBM) is evidence-based, why are guidelines so different around the world? In this episode, we explore a 2026 systematic review published in the British Journal of Anaesthesia that analyzed 40 national and institutional PBM guidelines. Discover where global consensus exists, where recommendations diverge, and what these inconsistencies mean for anesthesiologists managing blood loss in the operating room. 
Read more about this study ⁠HERE⁠.
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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 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.

Does the PENG block really work the way we thought? Based on a landmark 2026 study in Regional Anesthesia & Pain Medicine, this episode explores new anatomical evidence suggesting the PENG block is predominantly an intramuscular block, not a true fascial plane block, and what that means for analgesia, femoral nerve involvement, and everyday clinical practice. 
Read more about this study HERE.
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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 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.