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.

“Why isn’t she waking up yet?”The surgery went smoothly. The volatile agent is off. The vitals are stable. Yet the patie...
11/28/2025

“Why isn’t she waking up yet?”

The surgery went smoothly. The volatile agent is off. The vitals are stable. Yet the patient remains unresponsive. Vincent et al. 2025 explore actively facilitating emergence from general anesthesia, rather than waiting for passive drug clearance.

Three main strategies:

- Pharmacokinetic acceleration – speeding anesthetic elimination
- Direct receptor antagonism – blocking anesthetic binding sites
- Arousal circuit activation – engaging wake-promoting systems

These strategies make emergence as precise as induction.

Advance your anesthesia practice with the NYSORA360 Anesthesiology Module, a learning platform designed for residency training and clinical practice.

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

Vincent et al. Anesthesiology. 2025 Oct 1;143(4):1049-1089.

NYSORA Black Friday is in a full swing!Send us in the DM “GET CODE” and unlock a 1-month free trial of the Anesthesia A...
11/28/2025

NYSORA Black Friday is in a full swing!

Send us in the DM “GET CODE” and unlock a 1-month free trial of the Anesthesia Assistant App - your daily support tool in the OR.

Disclaimer: Valid until December 1 at 11:59 p.m. For new users only. Not valid with existing subscriptions, other offers, or previous purchases. Limit 1 per person.

Grab the deal, get the code, and upgrade your practice.

NYSORA Black Friday is here!Unofficially the most beautiful anesthesia book ever made, the Deluxe Nerve Block Manual is ...
11/28/2025

NYSORA Black Friday is here!

Unofficially the most beautiful anesthesia book ever made, the Deluxe Nerve Block Manual is equal parts reference and art piece. Printed in museum-grade quality and signed by the authors, this limited edition is the closest thing our field has to a “nerve block bible.” Whether you use it daily or display it proudly on your coffee table, it’s a true collector’s item.

Now at the discounted price! Order now: https://shop.nysora.com/products/nysora-nerve-block-manual-deluxe

Better together: Parasternal + re**us sheath blocksPost-sternotomy pain limits breathing and recovery. A new RCT shows t...
11/26/2025

Better together: Parasternal + re**us sheath blocks

Post-sternotomy pain limits breathing and recovery. A new RCT shows that adding a re**us sheath block (RSB) to a parasternal block improves comfort and early respiratory function.

Key findings:

-Lower pain at rest and during breathing (~1-point reduction).
- Less opioid use (0 mg vs 2 mg).
- Reduced PONV (7% vs 34.5%).
- Faster early breathing recovery.

Clinical takeaway: Parasternal covers T2–T6; RSB extends to T6–T9, targeting drain-site and lower sternal pain for smoother recovery.

Want more than just technique walkthroughs? Access structured block guides and the latest clinical updates - all in the NYSORA Nerve Blocks App.

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

Reference: Strumia A. et al., RAPM. 2025;50:712–718.

Black Friday is officially on.Get the Nerve Block Manual Deluxe for $150 USD - your go-to reference with step-by-step ne...
11/25/2025

Black Friday is officially on.

Get the Nerve Block Manual Deluxe for $150 USD - your go-to reference with step-by-step nerve block techniques, reversed ultrasound anatomy, clinical insights, and expert illustrations. Available on NYSORA website.

And because Black Friday deserves something extra..
Send us in the DM “GET CODE” and unlock a 1-month free trial of the Anesthesia Assistant App - your daily support tool in the OR.

Disclaimer: Valid until December 1 at 11:59 p.m. For new users only. Not valid with existing subscriptions, other offers, or previous purchases. Limit 1 per person.

Grab the deal, get the code, and upgrade your practice.

Nerve Block Manual Deluxe: https://community.nysora.com/nerve-block-manual-deluxe-OSM
Anesthesia Assistant App: https://community.nysora.com/anesthesia-assistant-app-O-SM

11/24/2025

Rolling Veins + Limited Mobility? Here’s What Worked.

This case was tricky; IV cannulation was made difficult by:

- Limited arm extension
- Rolling veins that were hard to stabilize
- Few suitable insertion sites

The winning approach:

- Applied a second tourniquet to improve venous distension
- Selected a smaller-gauge catheter for greater control
- Added a slight bend to the catheter to lift and guide the tip more effectively

A good reminder: success in challenging IV access often depends on adaptability, small adjustments, and the right techniques, not always on ultrasound.

Find more practical tips in the NYSORA IV Access App. Designed to support you in mastering difficult IV access, step by step.

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

Following an uncomplicated epidural for labor, the mother began experiencing intense, positional headaches - worsening w...
11/19/2025

Following an uncomplicated epidural for labor, the mother began experiencing intense, positional headaches - worsening within seconds of standing and easing when lying down.

Conservative measures failed, so an epidural blood patch (EBP) was performed. Within hours, her symptoms dramatically improved, allowing her to care for her newborn comfortably.

Why the EBP works:

- Seals the CSF leak with the patient’s own blood
- Restores CSF pressure with a “tamponade” effect
- Relief is often rapid - within 1–2 hours
- A second patch may be needed if symptoms persist

Recognizing PDPH early can be life-changing postpartum.

Read more about the management of postdural puncture headache in NYSORA's Regional Anesthesia Module on NYSORA360. This module offers residents the most comprehensive and up-to-date curriculum for mastering regional anesthesia by integrating evidence-based knowledge with practical instructions.

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

Silent but Lethal: Sepsis-Induced Coagulopathy (SIC)Sepsis doesn’t just cause infection; it hijacks the body’s clotting ...
11/14/2025

Silent but Lethal: Sepsis-Induced Coagulopathy (SIC)

Sepsis doesn’t just cause infection; it hijacks the body’s clotting system. Nearly 1 in 4 septic patients develop SIC, doubling mortality risk.

What happens?

- Sepsis activates innate immunity
- Tissue factor & NETs → thrombin storm
- Endothelial injury → ↓ thrombomodulin & ATIII
- Microvascular clots → organ ischemia
- SIC strikes before full-blown DIC.

Why it matters: Early recognition = better survival.

Stay ahead of the latest anesthesia breakthroughs with NYSORA’s Anesthesia Assistant App.

https://community.nysora.com/anesthesia-assistant-app-O-SM

Reference: Williams B. Anesth Analg. 2024;138:696-711.

11/13/2025

Transforming Recovery Through Regional Anesthesia

A 58-year-old patient undergoing total knee replacement achieved optimal pain control and early mobilization through a multimodal, opioid-sparing plan - guided by NYSORA’s Anesthesia Assistant and incorporating Exparel® for prolonged analgesia.

This case highlights how evidence-based regional anesthesia improves patient recovery, comfort, and overall outcomes.

Watch the clinical approach that made this outcome possible!
https://youtu.be/2nxl77h4paQ

Radiofrequency ablation vs stem cell therapy: Which is better for knee osteoarthritis?A new 2025 meta-analysis compares ...
11/12/2025

Radiofrequency ablation vs stem cell therapy: Which is better for knee osteoarthritis?

A new 2025 meta-analysis compares the effectiveness and safety of RFA and mesenchymal stem cell (MSC) injections for knee OA.

- RFA leads for short-term pain relief
- MSCs show promise for long-term joint regeneration

Discover the key findings, clinical implications, and step-by-step treatment insights in this review.

Get instant access to step-by-step guidance for genicular nerve RFA and 50+ other ultrasound-guided procedures in the Ultrasound Pain app.

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

Reference: Park S. Reg Anesth Pain Med. 2025;50(9):747-758.

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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”.