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PODCAST

Anesthesia Updates

Anesthesia Updates by NYSORA is your go-to podcast for staying at the forefront of anesthesiology. Hosted by Dr. Hadzic and the NYSORA educational team, each 10-15 minute episode reviews the latest developments, publications, and clinical trends, so you can stay ahead without wading through lengthy research articles. Whether it"s the newest guidelines, emerging practices, or essential updates, this podcast delivers highly relevant information that will keep your practice on the cutting edge—one

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All Episodes

00:07:54

The Silent Stroke: Unmasking Hidden Brain Injuries...

Anesthesia Updates ·

2025/07/07

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the results from the PRECISION study published in Anesthesiology (2025). Led by Dr. Cui and colleagues, this prospective trial reveals that nearly 1 in 9 older patients undergoing noncardiac surgery, especially neurosurgical, experience covert strokes detectable only by MRI. These “silent” strokes double the risk of postoperative delirium and long-term cognitive decline. Tune in to hear what this means for perioperative care, how

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00:07:39

Going Green in the OR: TIVA vs Gas – Who Wins the...

Anesthesia Updates ·

2025/06/30

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the largest real-world study to date comparing the environmental impact of general anesthesia strategies. With over 35,000 cases analyzed, discover why TIVA with propofol has emerged as the lowest carbon emitter, outperforming even optimized sevoflurane techniques. We’ll explore the GHG numbers, plastic waste concerns, and clinical outcomes, and conclude with practical tips to make your OR practice more sustainable without

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00:07:31

Apnoeic Oxygenation Safety Checklist for Airway Surgery

Anesthesia Updates ·

2025/06/23

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic discusses a new international consensus on apnoeic oxygenation using high-flow nasal oxygen (HFNO) during laryngotracheal surgery. Featuring insights from a newly published 19-item safety checklist in the European Journal of Anaesthesiology, we break down what every clinician needs to know, from patient selection to post-op care, to improve safety and streamline multidisciplinary workflows. Whether you're already using THRIVE or just

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00:08:19

To Cut or Not to Cut: Rethinking Hip Fracture Care in...

Anesthesia Updates ·

2025/06/16

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the FRAIL-HIP study published in JAMA Surgery, which challenges the routine use of surgery for proximal femoral fractures in frail, institutionalized older adults. You'll hear how nonoperative management, guided by a structured shared decision-making process, can lead to comparable quality of life, fewer adverse events, and even a more dignified dying experience. Tune in to discover how this paradigm shift could reshape your

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00:09:44

Ketamine vs. The Rest: Choosing the Safest Induction...

Anesthesia Updates ·

2025/06/09

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down the latest evidence comparing ketamine, etomidate, and propofol for tracheal intubation in critically ill patients. Drawing from a 2025 review in Critical Care Medicine, we explore why ketamine is emerging as the safest and most reliable option, while etomidate shows a potential mortality risk, and propofol continues to raise red flags for cardiovascular instability. Get the evidence, the implications, and the practical takeaways,

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00:08:13

Dexmedetomidine: The Kidney's Secret Ally in Surgery?

Anesthesia Updates ·

2025/06/02

In this episode of Updates in Anesthesiology, Dr. Hadzic explores groundbreaking findings from Chotinaruemol and colleagues, published in the British Journal of Anaesthesia (2025), revealing how dexmedetomidine may do more than sedate. It could protect the kidneys from ischemia-reperfusion injury. From cellular survival pathways to improved surgical outcomes, we break down how DEX works, when it works best, and what this could mean for high-risk surgical patients. Stay tuned for actionable insights

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00:09:41

Contaminated Ultrasound Gel – A Wake-Up Call for...

Anesthesia Updates ·

2025/05/26

In this episode, Dr. Hadzic discusses the CDC's May 2025 nationwide alert on bloodstream infections linked to non-sterile, multi-use ultrasound gel. Learn how this outbreak unfolded, what it means for ultrasound-guided procedures, and why sterile gel and validated probe covers—like EZCOVER®—are now essential for every percutaneous procedure. Practical, evidence-based takeaways to help you enhance infection control and patient safety in your daily practice.Where else to find us: Web-

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00:06:01

Ventilators and Young Minds: Uncovering Hidden Risks...

Anesthesia Updates ·

2025/05/19

In this episode of Updates in Anesthesiology, Dr. Hadzic explores a groundbreaking study from Columbia University, published in the British Journal of Anaesthesia (2025), revealing that children who require mechanical ventilation during surgery face nearly double the risk of developing neurodevelopmental and behavioral disorders after discharge. Tune in to learn what factors may drive this association, why longer ventilation matters, and how we can act early to protect young patients'

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00:09:04

Tube Tip in Pharynx Ventilation as A Rescue?

Anesthesia Updates ·

2025/05/12

In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down a study by Dr. Travis Markham and colleagues from Anesthesia & Analgesia (2025) that introduces a game-changing airway rescue technique: Tube Tip in Pharynx (TTIP) ventilation. Discover how this simple, low-tech maneuver outperformed standard facemask ventilation in patients with potentially difficult airways and proved to be a reliable backup when other methods failed. Tune in to learn how to perform TTIP, when to use it, and

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00:06:27

IV Antihypertensives and Brain Perfusion: Friend or Foe?

Anesthesia Updates ·

2025/05/05

In this episode of NYSORA Updates in Anesthesiology, Dr. Hadzic breaks down a 2025 systematic review from the British Journal of Anaesthesia exploring how intravenous antihypertensives impact cerebral blood flow. Discover why nitroprusside and nitroglycerin demand extra caution, why nicardipine and labetalol remain safer bets, and how to avoid putting your patients at risk of cerebral hypoperfusion. Practical tips and takeaways you can apply today — don't miss it!Where else to find us: Web-

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00:07:41

Transfuse or Not to Transfuse? Rethinking Hemoglobin...

Anesthesia Updates ·

2025/04/28

In this episode, Dr. Hadzic breaks down the latest meta-analysis on transfusion strategies in traumatic brain injury patients. Are we under-transfusing and compromising brain recovery? Evidence now points to a liberal transfusion strategy with a 9 g/dL threshold improving neurologic outcomes, without increasing mortality. But watch out: ARDS risk rises. Tune in to hear why current guidelines may need a serious update and how this could shift your ICU practice.Where else to find us: Web-

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00:09:16

Sugammadex in Crisis: Can It Save a CICV Scenario?

Anesthesia Updates ·

2025/04/21

In this episode of NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic breaks down a 2025 systematic review by Dr. Nancy Abou Nafeh and colleagues, exploring whether sugammadex can truly rescue patients in 'cannot intubate, cannot ventilate' (CICV) emergencies. With a 75% success rate in reported cases but crucial limitations in timing, dosing, and airway obstruction, we explore the real-world utility of this rapid-reversal agent—and why it's not a magic bullet. Tune in for key

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00:07:33

HPI in the OR: Prediction Without Prevention?

Anesthesia Updates ·

2025/04/14

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a major 2025 multicenter trial by Dr. Javier Ripollés-Melchor and colleagues, exploring whether the Hypotension Prediction Index (HPI) can actually reduce postoperative acute kidney injury (AKI) in abdominal surgery. Despite HPI’s promise in predicting intraoperative hypotension, the trial found no reduction in AKI or overall complications compared to standard care. We break down what this means for your practice, how vasopressor

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00:08:33

Neuraxial Anesthesia Isn't Dead: Reclaiming Its Role...

Anesthesia Updates ·

2025/04/07

In this episode of Updates in Anesthesiology, Dr. Hadzic explores the ongoing role of neuraxial anesthesia in hip fracture surgery following the widely publicized REGAIN and RAGA trials. Despite claims of equivalence between general and neuraxial techniques, Dr. Alexander Stone and colleagues argue that these trials may have lacked the statistical power and mechanistic clarity to support such a conclusion. We break down the clinical benefits of neuraxial anesthesia—like reduced pulmonary

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00:08:37

Hyperkalemia Management: Time for a Re-Evaluation?

Anesthesia Updates ·

2025/03/31

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic breaks down a 2025 systematic review on hyperkalemia treatment strategies. Spoiler: Insulin + glucose and beta2-agonists lower potassium fast, but the role of calcium chloride and bicarbonate isn’t as solid as once thought—especially during cardiac arrest. Tune in to learn what the evidence says, how it should reshape your clinical practice, and why some traditional therapies may need rethinking.Where else to find us: Web-

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00:08:28

ECMO in Perioperative Cardiac Arrest: A Game Changer?

Anesthesia Updates ·

2025/03/24

In this episode of the NYSORA Podcast, Dr. Hadzic dives into a groundbreaking study by Kapoor et al. (Anesthesiology, 2025) on extracorporeal cardiopulmonary resuscitation (ECPR) for perioperative cardiac arrest. The study reveals impressive survival rates (57.6%) and excellent neurologic outcomes (89.5%) with ECMO use in carefully selected patients. Learn how early ECMO activation, shorter CPR times, and metabolic markers can improve outcomes—and what this means for anesthesiologists and critical

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00:07:50

More Protein, More Problems? The PRECISE Trial Shakes...

Anesthesia Updates ·

2025/03/17

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the groundbreaking PRECISe trial, a major study published in The Lancet that challenges the long-standing belief that higher protein intake benefits critically ill patients. Contrary to expectations, patients receiving high-protein enteral nutrition (2.0 g/kg/day) had worse long-term quality of life and no functional recovery advantage compared to those on standard protein intake (1.3 g/kg/day).We break down the key findings, clinical

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00:06:57

Gastric Emptying in Pregnancy: Rethinking Aspiration...

Anesthesia Updates ·

2025/03/10

In this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic explores the latest evidence on gastric emptying in pregnancy and its implications for anesthesia, based on a 2025 review by Jacob Lawson et al., published in the British Journal of Anaesthesia.Key topics include:✅ How gastric emptying changes across pregnancy and postpartum✅ The impact of opioids, epidurals, and spinal anesthesia on gastric motility✅ Whether fasting guidelines for cesarean delivery need to be revised✅ The

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00:08:22

Optimizing Perioperative Care for Older Adults: Key...

Anesthesia Updates ·

2025/03/03

n this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic unpacks the 2025 ASA Practice Advisory on Perioperative Care of Older Adults, published in Anesthesiology and led by Dr. Frederick Sieber from Johns Hopkins. With the aging population growing rapidly, anesthesiologists must be prepared to manage frailty, cognitive impairment, and postoperative delirium in older surgical patients.We cover practical recommendations for preoperative assessment, intraoperative anesthetic

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00:06:06

Rethinking Opioids: Is Buprenorphine the Future of...

Anesthesia Updates ·

2025/02/24

Could buprenorphine be the game-changer for postoperative pain management? In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down an important meta-analysis from Regional Anesthesia & Pain Medicine that compares buprenorphine to full agonist opioids. Discover why this partial agonist may offer superior pain relief, longer-lasting effects, and a safer profile—all while reducing opioid-related harm. Tune in to stay ahead of the curve! Where else to find us: Web-

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