NYSORA - Continuing Medical Education

NYSORA - Continuing Medical Education Leading educational organization in the fields of Anesthesiology, Critical Care, Pain and Perioperative Medicine
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Trusted by 5 million readers annually, NYSORA is the #1 provider of free educational content and proprietary illustrations in the fields of Anesthesiology, Ultrasound, MSK, and Pain Medicine. In addition to hardcover textbooks and manuals, we published several apps with 11K+ users, organized 500+ live conferences, workshops, and retreats featuring lectures by world-renown industry experts around the globe, and self-funded philanthropic educational anesthesia programs in the developing world, substantially contributing to the development of regional anesthesia and pain management in Asia, Africa, South America, and the Balkans.

The surgeon wants the epidural out. Today.- 65-year-old patient.- Open abdominal surgery.- On prophylactic LMWH.- Epidur...
03/16/2026

The surgeon wants the epidural out. Today.

- 65-year-old patient.
- Open abdominal surgery.
- On prophylactic LMWH.
- Epidural in place.

This is where timing matters. Too early increases the risk of spinal epidural hematoma. Too late complicates anticoagulation.

Inside the NYSORA Anesthesia Assistant App, MAIA gives you clear, evidence-based guidance in seconds:
• Hold LMWH ≥ 12 hours before removal
• Ensure normal coagulation status
• Restart ≥ 4 hours after removal
• Monitor for neurologic red flags

Need fast, evidence-based guidance at the bedside? The NYSORA Anesthesia Assistant App, with MAIA, your Medical AI Assistant, provides instant clinical support when seconds matter: https://community.nysora.com/anesthesia-assistant-app-O-SM

One small bubble. One big risk. You’re setting up an IV. Everything seems fine. But a tiny air bubble enters the line. S...
03/13/2026

One small bubble. One big risk.

You’re setting up an IV. Everything seems fine. But a tiny air bubble enters the line. Suddenly, your patient’s short of breath, confused, maybe worse. It’s an air embolism, and it can be fatal.

The NYSORA IV Manual helps you stay ahead:
- Know the causes before they happen
- Catch the signs early
- Follow clear, fast steps for treatment
- Build safety into every IV setup

Everything you need, all in one place. Simple. Life-saving.

If you want more practical flowcharts like this, plus troubleshooting tips and clinical case videos, they’re all inside the NYSORA IV Access Manual: https://community.nysora.com/iv-access-OSM

Join us at the NYSORA Regional Anesthesia Summit 2026!Two days dedicated to advancing regional anesthesia practice - fro...
03/12/2026

Join us at the NYSORA Regional Anesthesia Summit 2026!

Two days dedicated to advancing regional anesthesia practice - from optimizing spinal and neuraxial techniques to managing modern clinical challenges, exploring advanced block updates, and discussing protocols for high-risk patients.

📅 June 13–14, 2026
📍 Leuven, Belgium

We are also pleased to welcome B. Braun as an exhibitor, showcasing solutions that support modern regional anesthesia practice.

Connect with leading experts, exchange ideas, and stay current with the techniques shaping today’s clinical practice.

Explore the full program and register now: https://www.nysora.com/events/conferences/anesthesia-summit-leuven/

For industry partners interested in exhibiting at this or future NYSORA meetings, please contact info@nysora.com for exhibitor opportunities.

A 58-year-old patient presents with progressive shoulder pain and stiffness, worse at night and during overhead activiti...
03/11/2026

A 58-year-old patient presents with progressive shoulder pain and stiffness, worse at night and during overhead activities. Examination shows restricted active and passive range of motion, suggesting adhesive capsulitis.

An ultrasound-guided posterior glenohumeral joint injection is performed for diagnostic confirmation and pain relief.

Transducer placement:
- Two fingerbreadths below the scapular spine in the infraspinous region.

Technique:
- In-plane needle approach lateral → medial
- Advance into the joint space between the humeral head and glenoid
- Inject 4–5 mL local anesthetic + corticosteroid

Tip: Prefer ropivacaine or lidocaine and always visualize the needle tip.

For step-by-step guidance on 50+ ultrasound-guided pain procedures, get NYSORA’s Ultrasound-Guided Interventional Pain Procedures Manual: https://community.nysora.com/us-pain-manual-osm

Join us for the NYSORA Regional Anesthesia Summit 2026!Two days filled with conversations about optimizing spinal & neur...
03/10/2026

Join us for the NYSORA Regional Anesthesia Summit 2026!

Two days filled with conversations about optimizing spinal & neuraxial anesthesia, managing modern clinical challenges, advanced block updates and high-risk patient protocols.

📆June 13–14, 2026
📍Leuven, Belgium

We’re also pleased to welcome PAJUNK as an exhibitor, presenting innovative solutions used in modern regional anesthesia practice.

Connect with leading experts, explore the latest techniques, and be part of the conversation.

View the full program and register now: https://www.nysora.com/events/conferences/anesthesia-summit-leuven/

For Industry interested in exhibiting at this, or any upcoming NYSORA meeting, please contact info@nysora.com for exhibitor opportunities.

A 34-year-old patient arrives for a wrist procedure, anxious about general anesthesia. Instead, the anesthesiologist opt...
03/09/2026

A 34-year-old patient arrives for a wrist procedure, anxious about general anesthesia. Instead, the anesthesiologist opts for a Bier Block.

A simple IV, a tourniquet - and within minutes the arm is numb while the patient remains awake and comfortable. Intravenous Regional Anesthesia (IVRA) is a fast, reliable technique for short limb surgeries.

Key points:
• Distal IV placement in the limb
• Double-pneumatic tourniquet for safety
• 0.5% lidocaine with onset in ~4–5 minutes
• Rapid recovery after tourniquet deflation

Swipe through for the step-by-step technique.

Explore more practical guides like this inside the Regional Anesthesia Module on NYSORA360 - designed for residency training and clinical practice: https://community.nysora.com/nysora-lms-osm

Groin pain is unforgiving - and in a space measured in millimeters, precision isn’t optional.In a genitofemoral nerve bl...
03/06/2026

Groin pain is unforgiving - and in a space measured in millimeters, precision isn’t optional.

In a genitofemoral nerve block, the ge***al branch lies within or adjacent to the spermatic cord (or round ligament), surrounded by critical vascular structures. Small deviations can mean incomplete coverage or vascular risk.

This visual breaks down three technical refinements that improve consistency and safety. Technique makes the difference.

Download the NYSORA Nerve Blocks App and master the details - step by step: https://community.nysora.com/nerve-blocks-app-OSM

03/06/2026

Thousands of blocks. Years of experience. Small details that change outcomes.

In this video, Dr. Gary Schwartz walks through how high-volume regional anesthesia is actually performed in daily practice - the probe positioning, injectate strategy, and technical adjustments that make blocks more reliable.

From ultrasound guidance to optimizing spread, the focus is on the practical refinements that improve analgesia and patient recovery.

Sometimes the difference between a good block and a great one comes down to a few millimeters - and knowing exactly what to look for.

Watch the full walkthrough on NYSORA’s YouTube channel: https://youtu.be/CAIurSAA0Ck?si=uWr6P8Y43TFFgiAk

Blunt airway trauma: when the pressure’s onYou’ve got a trauma patient, a compromised airway, and seconds to act. What’s...
03/04/2026

Blunt airway trauma: when the pressure’s on

You’ve got a trauma patient, a compromised airway, and seconds to act. What’s your move?

This visual from NYSORA’s Anesthesiology Manual breaks it down fast:

- Start with O₂ and bronchoscopy
- Avoid the traps (cricoid pressure, blind intubation)
- Pick your path: supraglottic, laryngotracheal, or bronchial
- Awake fiberoptic if you can - cut if you must

Explore this topic and more in NYSORA’s Anesthesiology Manual - practical, evidence-based and clinically focused: https://community.nysora.com/anesthesiology-manual-OSM

Cardiac tamponade: practical pearls for anesthesiologistsA new Anesthesiology review highlights how tamponade physiology...
03/02/2026

Cardiac tamponade: practical pearls for anesthesiologists

A new Anesthesiology review highlights how tamponade physiology directly impacts ventilation and hemodynamic management

Key points:

- Pulsus paradoxus = inspiratory drop in LV filling
- Low-pressure tamponade can lack classic signs
- Positive-pressure ventilation may reduce pulsus paradoxus
- Inotropes with mild vasodilation may be preferred
- Watch for pericardial decompression syndrome after drainage

Bottom line: tamponade is a respirophasic disease induction, and the ventilation strategy matters.

To learn how to perform a focused assessment of cardiac tamponade using point-of-care ultrasound, download NYSORA’s POCUS App: https://community.nysora.com/pocus-app-OSM

Royster RL et al.. Anesthesiology. 2026;144(2):461-472

After bunion surgery, a patient wakes with significant forefoot pain.The surgery was uncomplicated - recovery shouldn’t ...
02/27/2026

After bunion surgery, a patient wakes with significant forefoot pain.
The surgery was uncomplicated - recovery shouldn’t be.

A new PROSPECT guideline update (Wüst et al., 2026) outlines evidence-based pain management for hallux valgus repair.

What works best:
• Ankle block as the first-choice regional technique
• Paracetamol + NSAID/COX-2 inhibitor, continued post-op
• Intraoperative dexamethasone
• Opioids reserved for rescue
• Preference for minimally invasive techniques, as these are linked to less pain

Effective analgesia for hallux valgus surgery is multimodal, regional-first, and procedure-specific - supporting earlier mobilization and reduced opioid use.

Explore the full PROSPECT guidelines inside NYSORA360 in the Regional Anesthesia Module: https://community.nysora.com/nysora-lms-osm

Wust et al.. Eur J Anaesthesiol. 2026 Jan 1;43(1):11-18.

Does mixing local anesthetics enhance nerve blocks?Yousef et al. 2025 in EJA investigated if adding lidocaine–epinephrin...
02/25/2026

Does mixing local anesthetics enhance nerve blocks?

Yousef et al. 2025 in EJA investigated if adding lidocaine–epinephrine to ropivacaine in infraclavicular brachial plexus blocks affects block characteristics?

The findings:
• Analgesia duration decreased - by up to 5 hours
• No meaningful improvement in sensory onset
• Effect was independent of the ropivacaine dose
• Patient satisfaction remained high

In other words: mixing local anesthetics didn’t make the block faster!

Studies like this - alongside 60+ step-by-step techniques - are all in the NYSORA Nerve Blocks App, connecting evidence to real-world practice.

Download today: https://community.nysora.com/nerve-blocks-app-OSM

Yousef S et al. Eur J Anaesthesiol. 2025 Dec 1;42(12):1046-1055.

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NYSORA is world-wide renowned educational organization with focus in anesthesiology, peri-operative medicine and ultrasound. Incorporated in 2,000 in NYC, NYSORA has substantially contributed to education and advancement in science and practice of anesthesiology. Through its research and educational programs, NYSORA contributed the development of loco-regional anesthesia and acute pain practice worldwide. NYSORA's website is visited by 4,000,000 unique visitors annually; its readership comprises 50,000 health care providers. NYSORA donated supplies and conducted many philanthropic educational programs in developing countries in Latin America, Asia, Africa and Eastern Europe. Its acronym stands for “New York School of Regional Anesthesia”.