Anesthesia Updates

A patient may have followed fasting instructions perfectly, but does that mean the stomach is actually empty? In this episode, we discuss the ASRA Pain Medicine narrative review and expert practice recommendations by Haskins and colleagues examining gastric point-of-care ultrasound in medically complex patients. We explore when fasting history may be unreliable, which patient populations may benefit most from gastric POCUS, and how real-time assessment of gastric contents can influence anesthetic and airway management.
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.

New pediatric neuromuscular blockade guidelines are reshaping everyday anesthesia practice. We unpack what they mean for intubation, quantitative monitoring, sugammadex reversal, and high-risk patients, with clinical insights from guideline lead author Professor Veyckemans.
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.

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.