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.

In 2025, the map filled up.With people. With questions. With conversations.360,000 new community members joined along th...
12/25/2025

In 2025, the map filled up.
With people. With questions. With conversations.

360,000 new community members joined along the way.
We published 7 books, hosted 52 events in 20+ countries, and welcomed attendees from 80+ countries.
And NYSORA apps found a place in 200,000+ pockets worldwide.

2025 reminded us: learning travels fast when people learn together.

Join the global community of clinicians!

RFA Improves Walking in Lumbar Spinal Arthritis PatientsA recent prospective study reported that radiofrequency ablatio...
12/24/2025

RFA Improves Walking in Lumbar Spinal Arthritis Patients

A recent prospective study reported that radiofrequency ablation (RFA) relieves chronic low back pain AND measurably improves gait velocity in patients with lumbar facet arthritis.

Functional mobility is the new frontier in pain management:

- +0.17–0.22 mph increase in gait speed
- Significant drops in pain and disability scores
- Objective evidence of real-world recovery

Get instant access to step-by-step guidance for ultrasound-guided pain procedures, such as lumbar facet joint and medial branch blocks, as well as RFA, in the Ultrasound Pain app.

https://community.nysora.com/US-Pain-App-OSM

Reference: Goree JH et al. Reg Anesth Pain Med. 2025;50(9):762-763.

COMING SOON: Anesthesia Updates 2026Anesthesiology’s most time-saving clinical updates, tailored for fast-moving profess...
12/23/2025

COMING SOON: Anesthesia Updates 2026

Anesthesiology’s most time-saving clinical updates, tailored for fast-moving professionals.

This annual bestseller is your shortcut to the year's top findings, distilled from thousands of journal articles into practical insights you can use immediately.

What’s inside:

- 80+ expertly curated updates
- Key trends in anesthesiology, pain, and perioperative care
- Actionable takeaways for real-world use
- Enhanced formatting + space for personal notes
- Designed for clinicians, educators, and learners

Fast to read. Easy to navigate. Impossible to ignore. Coming soon!

IV Antihypertensives & Cerebral Blood Flow: What Clinicians Must KnowLowering very high blood pressure quickly? Be caref...
12/22/2025

IV Antihypertensives & Cerebral Blood Flow: What Clinicians Must Know

Lowering very high blood pressure quickly? Be careful! Rapid MAP reduction can lead cerebral hypoperfusion due to the impaired autoregulation or under anesthesia. A 2025 BJA meta-analysis (Meacham et al.) tells the story:

Key findings:

- Nitroprusside & Nitroglycerin ↓ CBF significantly
- Nicardipine & Labetalol preserve CBF: safer for neuroprotection
- No consistent link between MAP drop and CBF - autoregulation often preserved
- CBF < 30 mL/100g/min → cognitive symptoms, especially with > 50% MAP drop

Choose wisely: In neuro-risk patients, nicardipine/labetalol are often prefered over nitrates (caution!).

Stay updated on the latest anesthesia guidelines in the NYSORA Anesthesia Assistant App: https://community.nysora.com/anesthesia-assistant-app-O-SM

Smart addition: Anterior subcostal QL block in laparoscopic colorectal surgeryEven minimally invasive colorectal surgery...
12/19/2025

Smart addition: Anterior subcostal QL block in laparoscopic colorectal surgery

Even minimally invasive colorectal surgery can cause significant post-op pain. A new RCT shows that adding a bilateral anterior subcostal QL block improves analgesia and recovery.

Key findings:

- Decreased opioid use (~ 9 mg less at 24 h)
- Reduced PONV (18.5% vs 71.4%)
- Lower pain scores at rest and during movement
- Consistent dermatomal coverage from T7–L1, sometimes extending to T5
- Earlier mobilization and shorter hospital stay (modest improvement)

Clinical takeaway: The anterior subcostal QLB is an ERAS-compatible adjunct for laparoscopic colorectal surgery - providing thoracolumbar coverage and opioid-sparing benefits without the hemodynamic risks of neuraxial techniques.

Go beyond how-to. Understand the why, when, and what’s new in regional anesthesia with the NYSORA Nerve Blocks App.

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

12/18/2025

Not all NSAIDs are the same - and in perioperative care, those differences matter.

In this NYSORA industry spotlight, Teresa Human, PharmD, PhD, breaks down how IV ibuprofen fits into modern, opioid-sparing pain pathways and why it should not be viewed as interchangeable with ketorolac.

A practical, evidence-based discussion for clinicians focused on safer pain management.

Don’t miss the chance to showcase your innovation at our next events - see what’s coming up.

https://www.nysora.com/all-events/

After an uneventful lumbar puncture, a patient began complaining of severe back pain, followed by urinary retention and ...
12/17/2025

After an uneventful lumbar puncture, a patient began complaining of severe back pain, followed by urinary retention and leg weakness.

Within hours, the weakness progressed to paraplegia. An urgent spinal MRI revealed a spinal epidural hematoma (SEH) - a rare but devastating complication. Emergency decompression was performed, preventing permanent neurological injury.

What to remember about SEH:

- Causes: Trauma, anticoagulation, epidural, or spinal anesthesia
- Risk factors: Coagulopathy, advanced age, female s*x, spine surgery, hepatic disease
- Diagnosis: Back pain with new neurologic deficits → Immediate MRI is the gold standard

Remember that early detection and decompression can mean the difference between full recovery and permanent paralysis.

Read more about spinal epidural hematoma in NYSORA's Regional Anesthesia Module on NYSORA360 - a structured, evidence-based resource designed for residency training and clinical practice.

https://community.nysora.com/nysora-lms-osm

12/16/2025

Postoperative pain after cardiac and thoracic surgery can last weeks - and prolonged opioid use increases long-term risk.

At a recent NYSORA event we explored non-opioid pain
management strategies, including ERAS pathways, multimodal approaches, and the role of cryo-nerve block in bridging acute and transitional pain.

The key message: better outcomes come from team communication, planning across all perioperative phases, and expanding the pain-management toolbox beyond opioids.

Don’t miss the chance to showcase your innovation at our next events - see what’s coming up.
https://www.nysora.com/all-events/

Your Nerve Blocks App just expanded - again.The NYSORA Nerve Blocks App now includes six new techniques for head, hand, ...
12/15/2025

Your Nerve Blocks App just expanded - again.

The NYSORA Nerve Blocks App now includes six new techniques for head, hand, and lower abdominal anesthesia: supraorbital, infraorbital, mental, digital, ilioinguinal & iliohypogastric, and genitofemoral nerve blocks.

Each technique includes step-by-step guidance, sonoanatomy, Reverse Ultrasound Anatomy illustrations, and clinical pearls from NYSORA’s experts.

Stay up to date with the newest regional anesthesia techniques.

Download the NYSORA Nerve Blocks App: https://community.nysora.com/nerve-blocks-app-OSM

NYSORA Community Chose - The “Most Innovative Regional Anesthesia Manufacturers 2025"This year, NYSORA turned to the peo...
12/15/2025

NYSORA Community Chose - The “Most Innovative Regional Anesthesia Manufacturers 2025"

This year, NYSORA turned to the people who know innovation best - the clinicians who use these tools every day. Thousands of anesthesiologists, RA faculty, fellows, residents, nurses, and ultrasound users cast their votes across categories like reliability, usability, technical advancement, education, and value.

Two manufacturers consistently stood out:
PAJUNK and B. Braun

This award reflects a clear message from the RA community:
Innovation today means practical solutions that make care safer, smoother, and more efficient.

NYSORA didn’t choose the winners - the community did. And their votes highlight where regional anesthesia is headed next.

12/12/2025

Ever had that moment where you’re staring at an arm full of veins… and none of them look quite right?

You palpate one, it rolls. Another looks promising, until the angle feels awkward. Your patient is anxious, you’re choosing your gauge, and you’re trying to decide: “Which vein is actually the best one for this IV?”

We’ve all been there.

In our latest hands-on walkthrough, we follow a real-life vein selection scenario - no perfect textbook veins, just the ones we all work with every day. The video breaks down how clinicians think through:

- Which veins deliver the easiest, safest access
- How vein location and prominence affect your choice
- When a 20G vs 22G makes more sense
- Tricks for approaching small, superficial, or tricky veins
- How to avoid those frustrating failed attempts

It’s a simple reminder: IV success is less about “luck” and more about choosing the right vein and adapting your technique.

If you want more practical videos like this, plus troubleshooting tips and step-by-step flowcharts, they’re all inside the NYSORA IV Access App.

https://community.nysora.com/IV-Access-App-IG

A 48-year-old patient comes in with stubborn low back pain that isn’t responding to PT, injections, or meds. MRI is clea...
12/10/2025

A 48-year-old patient comes in with stubborn low back pain that isn’t responding to PT, injections, or meds. MRI is clean. Sitting, standing, and rolling in bed all hurt.

A few SIJ tests are positive… a few aren’t.
Is it the SI joint?

New consensus guidelines on SIJ complex pain just dropped. Here’s what matters:

- ⁠SIJ pain causes 15–30% of axial LBP (up to 59% after fusion).
- ⁠Provocation tests help, but negative tests rule out SIJ pain better than positives confirm it.
- ⁠Intra-articular injections diagnose IA pain, but extra-articular pain is just as common.
- ⁠Lateral branch RFA shows strong evidence for ≥6 months relief.
- Minimally invasive SIJ fusion works for select patients.
- ⁠50% pain relief remains the best-supported diagnostic threshold.

This is a major step toward clearer, more consistent SIJ management.

Learn step-by-step SIJ injection techniques in the Ultrasound-Guided Interventional Pain Procedures Manual.

https://community.nysora.com/us-pain-manual-osm

Reference: McCormick et al. Pain Medicine. 2025;26(12):817-917.

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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”.