NYSORA - Continuing Medical Education

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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.

03/31/2026

Answers - now with visual support.

See the anatomy, follow the needle path, and recognize the expected spread—all within the answer.

So you can move from question to action faster - sonoanatomy → technique → ex*****on.

Now available in the NYSORA Anesthesia Assistant App: https://nysora.onelink.me/D0FL/ly0jpwby

03/30/2026

A 68-year-old patient heads into surgery with a fragile heart rhythm. The team is concerned about perioperative arrhythmias.

Instead of adding another medication, they perform a stellate ganglion block (SGB) before anesthesia. Surgery proceeds uneventfully. The rhythm stays stable. Recovery is smoother than expected.

A new meta-analysis by Nunez-Rodriguez et al. (2025, BJA) highlights why this approach is gaining attention:

- ~75% reduction in perioperative arrhythmias
- Benefit in both cardiac and noncardiac surgery
- Fewer atrial and ventricular arrhythmias
- No serious SGB-related complications reported

Master the stellate ganglion block with the NYSORA Nerve Blocks App - featuring step-by-step guides, clinical videos, and animations: https://nysora.onelink.me/igLl/s1lzijgc

Nunez-Rodriguez et al. Br J Anaesth. 2026 Feb;136(2):495-506

03/27/2026

ECMO. Day 3.

Platelets are dropping. Fibrinogen is borderline. Anti-Xa is “therapeutic.” And now there’s bleeding.

Do you transfuse? Adjust heparin? Replace antithrombin?

This post lays out the targets: platelet counts, INR goals, fibrinogen thresholds, and anti-Xa range. But ECMO isn’t just about numbers. It’s a constant balance between bleeding and thrombosis.

In our biweekly updates inside the NYSORA Anesthesia Assistant App, we summarize the latest literature and break them down into clear, practical learning points.

Stay updated on the latest anesthesia guidelines in the NYSORA Anesthesia Assistant App: https://nysora.onelink.me/D0FL/ly0jpwby

Reference: Saura O et al. Curr Opin Anaesthesiol. 2026;39:39-45.

03/26/2026

Opioid-free pain management is no longer just better care - it finally makes financial sense.

For years, hospitals had to absorb the cost of non-opioid options like liposomal bupivacaine. Now, with the No Pain Act, that’s changed.

In this video, Dr. Reed Nelson explains how:
• Non-opioid therapies are now reimbursed
• Opioid-sparing strategies become economically viable
• Providers can align better outcomes with sustainable practice

This shift impacts how anesthesiologists, surgeons, and healthcare systems approach perioperative care.

Watch the full breakdown on NYSORA’s YouTube channel: https://www.youtube.com/

03/25/2026

Fascia Iliaca Block – Infrainguinal Approach

One of the most common mistakes when performing a fascia iliaca block? Trying to find the nerve. Experts know the trick is different.

The fascia iliaca block is a fascial plane technique, not a nerve-targeting block.

The goal is simple:
Open the space under the fascia iliaca and allow the injectate to spread along the iliacus compartment. When the plane opens correctly, the anesthetic naturally reaches the femoral and lateral femoral cutaneous nerves.

When it doesn’t - the block fails.

Expert tip: Watch the fascia lift and the injectate spread widely along the plane. That’s the moment you know the block will work.

See the full technique, sono-anatomy, and expert pearls in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/s1lzijgc

03/23/2026

You’re in the OR. Prior lumbar fusion.
Spinal… yes or no?

We asked MAIA in the AA app: “Is spinal anesthesia contraindicated after L4–L5 fusion with pedicle screws and rods?”

MAIA’s answer:
• Not contraindicated
• Placement may be harder
• Try above or below the fusion
• Expect possible block failure

A quick question. A clear answer. That’s MAIA, built for real clinical moments.
Download the Anesthesia Assistant App and simulate cases: https://nysora.onelink.me/D0FL/ly0jpwby

03/20/2026

Everything is routine… until it isn’t.

A 32-year-old woman receives spinal anesthesia for a C-section.
Five minutes later:
• BP 60/30
• HR 40
• “I can’t breathe…”
• Arms becoming weak

What’s happening? And what should you do right now?

Inside the NYSORA Anesthesia Assistant App, MAIA analyzes the scenario and suggests the next critical steps. Swipe through the post to see how the app thinks through the case.

Simulate cases like this in the Anesthesia Assistant App and see it in action: https://nysora.onelink.me/D0FL/ly0jpwby

03/18/2026

“Blood pressure on the floor.” A familiar moment.

- Beach-chair position. Stable induction then sudden hypotension.
- An 80-year-old patient. Norepinephrine infusion started.
- Pump running at 0.9 mL/hour(2 mg in 50 mL).

Now the real question: How much norepinephrine is the patient actually receiving?

Instead of pausing to calculate, the scenario is entered directly into the NYSORA Anesthesia Assistant App and within seconds, a clear answer appears: 36 µg/hour→ 0.0067 µg/kg/min

This dose is very small, and may need to be increased to correct the hypotension!

No formulas. No interruptions.
Just clinically relevant answers, exactly when they’re needed.

Simulate this case in the Anesthesia Assistant App and see it in action: https://nysora.onelink.me/D0FL/1eaoiqz1

03/17/2026

Infrainguinal or suprainguinal - same block, very different outcomes.

A patient needs reliable anterior thigh analgesia. You perform a fascia iliaca block but coverage is incomplete. Why? Because where the local anesthetic spreads matters.

Infrainguinal: stays distal - covers femoral nerve, sometimes LFC
Suprainguinal: spreads proximally - reaches toward the lumbar plexus

That difference changes everything: coverage, consistency, and clinical results. In this animation from the NYSORA Nerve Blocks App, you can actually see the spread - making the concept instantly clear.

We’re rolling out a major update with some of the most detailed, clinically useful visuals we’ve ever created. If you’ve ever second-guessed your block this is where it starts to make sense.

Explore it in the Nerve Blocks App: https://community.nysora.com/nerve-blocks-app-OSM

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

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

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.

Address

2585 Broadway, Suite 183
New York, NY
10025

Telephone

+12126580056

Website

http://www.nysora.com/

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Dr. Paul Gregory, DDS
57 W 57th Street
Magnus Wellness
16 E 40th Street, Fl 4

Our Story

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”.