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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

00:08:56

Pain, Pills, and Pitfalls: Analgesic Harms in...

Anesthesia Updates ·

2025/08/18

In this episode, Dr. Hadzic unpacks a 2025 British Journal of Anaesthesia systematic review led by Dr. Grant and colleagues, exploring the hidden dangers of common analgesics, opioids, NSAIDs, and gabapentinoids in patients with multiple chronic conditions. With over 2.6 million patients studied, the findings reveal clear red flags and critical evidence gaps. Tune in for practical insights, risk-reduction strategies, and what this means for your everyday prescribing decisions.Where else to find us:

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00:08:45

Sugammadex: The Reversal Agent with a catch?

Anesthesia Updates ·

2025/08/11

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the latest evidence on sugammadex-induced anaphylaxis from the 2025 Anesthesiology review by Dr. Savic and colleagues. We explore the benefits that make sugammadex the preferred reversal agent over neostigmine, and the rare but serious risk of hypersensitivity reactions. You'll learn about proposed mechanisms, diagnostic pitfalls, global incidence data, and what this all means for your daily anesthesia practice. Stay informed, stay

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00:08:04

Sugammadex vs Neostigmine: A Faster Recovery for...

Anesthesia Updates ·

2025/08/04

In this episode of Updates in Anesthesiology, Dr. Hadzic reviews a double-blind RCT from Anesthesia & Analgesia (March 2025) led by Dr. Ajetunmobi and colleagues. The study compared sugammadex and neostigmine for neuromuscular blockade reversal in morbidly obese patients with OSA undergoing bariatric surgery. Despite sugammadex’s pharmacologic advantages, the study found no significant difference in OR discharge times between the agents. Join us as we analyze the data, explore potential

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00:07:28

AI vs Anesthesiology: Can Chatbots Replace Clinical...

Anesthesia Updates ·

2025/07/28

In this episode of Updates in Anesthesiology, Dr. Hadzic discusses a 2025 study by Corpman et al. evaluating ChatGPT-4, Bard, and other AI chatbots as decision support tools in regional anesthesia. The findings? AI is getting smarter, but it still makes major clinical errors. Enter MAIA, NYSORA’s purpose-built AI assistant, designed by anesthesiologists to bridge the gap between innovation and safe practice. Tune in to hear why general AI tools may not be ready for primetime—and how MAIA sets a new

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00:07:50

Better Blood, Better Outcomes: The Real Power of PBM...

Anesthesia Updates ·

2025/07/21

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic breaks down a landmark study by Garcia-Casanovas et al., published in Anesthesiology (July 2025), involving over 30,000 joint arthroplasty patients across 43 hospitals. The study shows that higher adherence to patient blood management (PBM) guidelines isn't just about fewer transfusions; it leads to fewer complications, shorter hospital stays, and better outcomes across the board. Tune in to hear why delivering PBM as a bundled strategy,

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00:09:23

New Guidelines Favor Restrictive Platelet Transfusion

Anesthesia Updates ·

2025/07/14

In this episode of Updates in Anesthesiology, Dr. Hadzic reviews the newly published 2025 international clinical practice guidelines on platelet transfusion, co-led by Dr. Ryan Metcalf from the University of Utah and Dr. Simon Stanworth from Oxford, and published in JAMA. Based on evidence from over 30 studies, these guidelines recommend restrictive platelet transfusion thresholds in both adult and pediatric populations, advocating for transfusions only when platelet counts are critically low in

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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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