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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

00:08:35

Non-Insulin Diabetes Drugs: Stop or Continue Before...

Anesthesia Updates ·

2025/10/27

In this episode of Updates in Anesthesiology, Dr. Hadzic discusses the main findings from a 2025 BJA review by Tinsley et al. The study reported how to manage non-insulin diabetes medicines in the perioperative period safely. From metformin’s misunderstood safety profile to the hidden risks of SGLT-2 inhibitors and GLP-1 agonists, you’ll learn which drugs to hold, which to continue, and how to prevent complications like euglycaemic DKA and aspiration. Where else to find us: Web-

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00:04:05

Regional + Local: The Pain-Relief Power Duo After Hip...

Anesthesia Updates ·

2025/10/20

A 2025 Anesthesiology meta-analysis shows that the best pain control after total hip arthroplasty comes from combining regional anesthesia with local infiltration analgesia (LIA). While LIA alone is effective, adding a quadratus lumborum or pericapsular nerve group (PENG) block significantly improves pain relief, reduces opioid use, and preserves mobility. The takeaway: stop choosing between techniques — regional + local is the new gold standard for hip surgery analgesia.Where else to find us: Web-

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00:06:30

Hypotension and Delirium: No Clear Link?

Anesthesia Updates ·

2025/10/13

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks a landmark 2025 study, which challenges the long-held belief that intraoperative hypotension (MAP < 65 mm Hg) contributes to postoperative delirium in older adults. With nearly 40,000 patients analyzed and no association found, it’s time to rethink reflexively chasing MAP thresholds. Tune in to hear why blood pressure might not be the villain we thought, and what really matters for preventing POD.Where else to find us: Web-

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00:07:40

Block, Reverse, Remember: Cutting Delirium Risk After...

Anesthesia Updates ·

2025/10/06

In this episode of Updates in Anesthesiology, Dr. Hadzic delves into a 2025 study, which analyzed over 53,000 surgical cases. The key finding? Neuromuscular blockers increase the risk of postoperative delirium in older adults, unless they’re properly reversed. Whether you use sugammadex or neostigmine, reversal agents significantly reduce this risk. Tune in to hear what this means for your clinical practice and how small changes in perioperative management can make a significant impact on cognitive

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00:10:07

Myocardial Injury Under the Radar

Anesthesia Updates ·

2025/09/29

In this episode of Updates in Anesthesiology, Dr. Hadzic unpacks the latest evidence on pharmacologic agents for perioperative cardioprotection in noncardiac surgery. From beta-blockers and statins to the evolving debate around RAAS inhibitors and aspirin, we cover what works, what doesn’t, and what’s still unclear. Plus, we discuss whether tighter blood pressure control or postoperative therapy intensification makes a difference. Tune in for practical, evidence-based takeaways to improve cardiac

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00:08:59

Anemia and Transfusion in Children: Hidden Risks in...

Anesthesia Updates ·

2025/09/22

In this episode, Dr. Hadzic discusses the main findings from a new study from the British Journal of Anaesthesia (2025). The study reported that 1 in 4 children having noncardiac surgery has preoperative anemia, and that both anemia and transfusion independently, and especially together, increase 30-day mortality and complications. Despite strong global guidelines for blood management and anesthesia care in adults, pediatric blood management remains under-implemented. Learn how this data can

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00:07:46

Anesthesia for the Diabetic Parturient

Anesthesia Updates ·

2025/09/15

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic reviews a 2025 paper from Anesthesiology on managing obstetric anesthesia for patients with diabetes. From prelabor planning to postpartum glucose shifts, this episode covers everything you need to provide safe and effective anesthesia care for this growing population of high-risk parturients.Where else to find us: Web- ⁠⁠http://www.nysora.com⁠⁠ Instagram- ⁠⁠instagram.com/nysora.inc/ ⁠⁠LinkedIN- ⁠⁠linkedin.com/company/nysora-inc/⁠⁠ Facebook-

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00:06:52

AI in Anesthesiology: Hype, Reality, and What Comes Next

Anesthesia Updates ·

2025/09/08

In this episode of the NYSORA Podcast: Updates in Anesthesiology, Dr. Hadzic breaks down what anesthesiologists need to know about using AI in clinical practice. We cover recent studies showing where AI like ChatGPT performs well (like data analysis) — and where it can be risky, especially in complex patient cases. You’ll also learn how NYSORA’s Anesthesia Assistant App, powered by Maia, gives you fast, reliable answers at the bedside—built on peer-reviewed content and reviewed by experts. What

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00:09:37

Hepatopulmonary Syndrome: What Anesthesiologists Must...

Anesthesia Updates ·

2025/09/01

In this episode of UPDATES IN ANESTHESIOLOGY, Dr. Hadzic unpacks Hepatopulmonary Syndrome (HPS), a frequently missed but life-threatening complication of chronic liver disease. Drawing on a 2025 review from Current Opinion in Anesthesiology, we cover the mechanisms of HPS, key diagnostic clues like platypnea and orthodeoxia, and why liver transplantation remains the only curative therapy. You’ll also learn why MELD exception points are reshaping transplant access, the limits of emerging drug

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00:07:27

Taming Postoperative Delirium: Guideline Updates You...

Anesthesia Updates ·

2025/08/25

In this episode of NYSORA’s Updates in Anesthesiology, Dr. Hadzic breaks down the 2024 ESAIC guidelines on postoperative delirium (POD) in adults. Discover the latest evidence on risk factors, why inflammation, not just anesthesia, may be the real culprit, and why multicomponent nonpharmacological strategies are your best bet. Learn what works, what doesn’t, and how to protect your patients from this common yet preventable complication. Stay ahead of the curve with this essential update for every

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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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