Anesthesia Updates

A new BJA trial compares paravertebral block (PVB) and PEFB for rib fracture pain. While PEFB matches early pain control, it fails in durability, leading to more rescue interventions. PVB, though more complex, better restores cough and respiratory function.

The key shift: stop focusing on pain at rest and start treating for function.

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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.

One in three births in the U.S. occurs by cesarean delivery.
But when it comes to neonatal outcomes, does the anesthetic technique matter? A new meta-analysis of 36 randomized trials involving more than 3,400 neonates compared regional and general anesthesia. This episode reviews the key findings and explores their implications for daily clinical practice.

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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.

Airway management in thoracic anesthesia is evolving rapidly. New guidelines from the EACTAIC Thoracic Group highlight a shift toward structured risk stratification, advanced imaging, video-assisted devices, and emerging digital technologies. In this episode, we explore what’s changed, what’s coming next, and what thoracic anesthesiologists should be doing today.

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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.

Neuraxial anesthesia has long been associated with better outcomes in total hip and knee arthroplasty—but does that advantage still hold in modern practice? In this episode, we discuss the main findings from new large-scale data showing that neuraxial anesthesia continues to reduce perioperative complications, even as anesthesia techniques and patient populations evolve.

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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.

Motor-sparing regional anesthesia is the backbone of modern total knee arthroplasty analgesia. But posterior knee pain remains a blind spot. In this episode, we discuss the main findings from  new randomized trial data on whether adding a popliteal plexus block to a femoral triangle block actually moves the needle, on opioids, pain, and mobility.

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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.

Opioid-free anesthesia sounds appealing, but does it actually improve outcomes? In this episode, we discuss the main findings from a clinical focus review in Anesthesiology by Shanthanna et al. and discuss why avoiding opioids altogether may add complexity without clear benefit. The real win isn’t “opioid-free,” it’s opioid-sparing, procedure-specific, and regional-first anesthesia. Evidence over ideology.

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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.

Chronic widespread pain isn’t just a quality-of-life issue; it may be an early warning sign for cognitive decline. In this episode, we discuss the main findings from new longitudinal evidence linking widespread pain to mild cognitive impairment, dementia risk, brain structural changes, and inflammation, and what this means for clinicians today.

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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 episode of NYSORA Updates in Anesthesiology, Dr. Hadzic reveals why the stellate ganglion block (SGB) has re-emerged as a hot topic in perioperative medicine. Drawing on a landmark 2025 narrative review from MD Anderson published in the British Journal of Anaesthesia, we explore what SGB can—and cannot—realistically offer today. From arrhythmia control and postoperative recovery to immune modulation and risk considerations, this episode delivers a balanced, evidence-based perspective to help anesthesiologists decide when SGB truly belongs in modern practice.

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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 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:
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#nysora⁠⁠ ⁠⁠#regionalanesthesia⁠⁠ ⁠⁠#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.

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:
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#nysora⁠⁠ ⁠⁠#regionalanesthesia⁠⁠ ⁠⁠#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.