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.

01/08/2026

TAP block: When good technique isn’t enough.

Sometimes TAP blocks fail, not because of your needle placement, but because of the anatomy.

This video shows why: The plane between the internal oblique and transversus abdominis muscles isn’t an empty space. It’s filled with dense connective tissue and fibrous strands that can limit anesthetic spread, even with perfect technique.

Want more clinical insights like this?

The NYSORA Nerve Blocks App gives you up-to-date evidence, 70+ step-by-step block guides, and practical anatomical insights you can use immediately.

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

01/07/2026

Which drug to choose for ICU intubation?

Insights from Kotani et al. (2025) break down the best induction agents based on hemodynamic stability.

Key takeaways:

- Hemodynamically unstable? Prefer ketamine ± low-dose midazolam
- Avoid propofol or high-dose fentanyl in instability
- Contraindications to ketamine? Use etomidate with caution
- Stable patients? Consider propofol or ketamine, but monitor BP closely
- Etomidate may increase mortality without major hemodynamic benefit
- Propofol linked to cardiovascular instability

While no agent is perfect, ketamine is reported to have the safest profile in critical illness.

Stay ahead of the latest anesthesia breakthroughs with NYSORA’s Anesthesia Assistant App: https://community.nysora.com/anesthesia-assistant-app-O-SM

Reference: Kotani Y et al. Crit Care Med. 2025;53:e173-e181.

01/06/2026

Re**us Sheath Block: Why precision matters.

In this video, you’ll see exactly why technique counts: The inferior epigastric artery lies just posterior to the re**us muscle, right where your needle goes.

Using a larger needle here means more trauma and a higher bleeding risk.

Here’s how to stay safe:

- Use a 25G needle
- Identify the artery with color Doppler
- Stay in the correct fascial plane

Want more clinical insights like this?
The NYSORA Nerve Blocks App brings together up-to-date evidence, 70+ step-by-step block guides, and practical tips you can use at the bedside.

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

01/05/2026

A 55-year-old patient presents with anterior shoulder pain and tenderness over the bicipital groove, consistent with a long head of biceps tendinitis.

An ultrasound-guided biceps tendon sheath injection is performed for diagnosis and pain relief.

- Position the patient in a seated or supine position with their arm supine.
- Place a linear transducer transversely over the bicipital groove and identify the biceps tendon.
- Use color Doppler to locate and avoid the ascending circumflex humeral artery.
- Insert the needle in-plane, medial to lateral, into the tendon sheath.
- Inject 1.5–2 mL of local anesthetic and steroid mixture, avoiding injection into the tendon.

For a fully illustrated guide to this and 50+ ultrasound-guided pain procedures, download NYSORA’s Ultrasound Pain App today: https://community.nysora.com/US-Pain-App-OSM

01/02/2026

New DAS 2025 Difficult Airway Guidelines Released!

Unanticipated difficult intubation remains a major contributor to perioperative morbidity and cardiac arrest. The new Difficult Airway Society (DAS) 2025 Guidelines provide a contemporary, evidence-based roadmap to make airway management safer, smarter, and more successful.

These guidelines reflect three years of systematic review, expert consensus, and real-world learning from airway complications. They are essential reading for anyone involved in airway management.

A must-read for anyone performing tracheal intubation!

Read more about difficult airway management in the NYSORA360 Anesthesiology Module - a structured, evidence-based resource designed for residency training and clinical practice.

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

Ahmad et al.. Br J Anaesth. 2025 Nov 7:S0007-0912(25)00693-2.

12/25/2025

In 2025, the map filled up.
With people. With questions. With conversations.

360,000 new community members joined along the way.
We published 7 books, hosted 52 events in 20+ countries, and welcomed attendees from 80+ countries.
And NYSORA apps found a place in 200,000+ pockets worldwide.

2025 reminded us: learning travels fast when people learn together.

Join the global community of clinicians!

12/24/2025

RFA Improves Walking in Lumbar Spinal Arthritis Patients

A recent prospective study reported that radiofrequency ablation (RFA) relieves chronic low back pain AND measurably improves gait velocity in patients with lumbar facet arthritis.

Functional mobility is the new frontier in pain management:

- +0.17–0.22 mph increase in gait speed
- Significant drops in pain and disability scores
- Objective evidence of real-world recovery

Get instant access to step-by-step guidance for ultrasound-guided pain procedures, such as lumbar facet joint and medial branch blocks, as well as RFA, in the Ultrasound Pain app.

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

Reference: Goree JH et al. Reg Anesth Pain Med. 2025;50(9):762-763.

12/23/2025

COMING SOON: Anesthesia Updates 2026

Anesthesiology’s most time-saving clinical updates, tailored for fast-moving professionals.

This annual bestseller is your shortcut to the year's top findings, distilled from thousands of journal articles into practical insights you can use immediately.

What’s inside:

- 80+ expertly curated updates
- Key trends in anesthesiology, pain, and perioperative care
- Actionable takeaways for real-world use
- Enhanced formatting + space for personal notes
- Designed for clinicians, educators, and learners

Fast to read. Easy to navigate. Impossible to ignore. Coming soon!

12/22/2025

IV Antihypertensives & Cerebral Blood Flow: What Clinicians Must Know

Lowering very high blood pressure quickly? Be careful! Rapid MAP reduction can lead cerebral hypoperfusion due to the impaired autoregulation or under anesthesia. A 2025 BJA meta-analysis (Meacham et al.) tells the story:

Key findings:

- Nitroprusside & Nitroglycerin ↓ CBF significantly
- Nicardipine & Labetalol preserve CBF: safer for neuroprotection
- No consistent link between MAP drop and CBF - autoregulation often preserved
- CBF < 30 mL/100g/min → cognitive symptoms, especially with > 50% MAP drop

Choose wisely: In neuro-risk patients, nicardipine/labetalol are often prefered over nitrates (caution!).

Stay updated on the latest anesthesia guidelines in the NYSORA Anesthesia Assistant App: https://community.nysora.com/anesthesia-assistant-app-O-SM

12/19/2025

Smart addition: Anterior subcostal QL block in laparoscopic colorectal surgery

Even minimally invasive colorectal surgery can cause significant post-op pain. A new RCT shows that adding a bilateral anterior subcostal QL block improves analgesia and recovery.

Key findings:

- Decreased opioid use (~ 9 mg less at 24 h)
- Reduced PONV (18.5% vs 71.4%)
- Lower pain scores at rest and during movement
- Consistent dermatomal coverage from T7–L1, sometimes extending to T5
- Earlier mobilization and shorter hospital stay (modest improvement)

Clinical takeaway: The anterior subcostal QLB is an ERAS-compatible adjunct for laparoscopic colorectal surgery - providing thoracolumbar coverage and opioid-sparing benefits without the hemodynamic risks of neuraxial techniques.

Go beyond how-to. Understand the why, when, and what’s new in regional anesthesia with the NYSORA Nerve Blocks App.

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

12/18/2025

Not all NSAIDs are the same - and in perioperative care, those differences matter.

In this NYSORA industry spotlight, Teresa Human, PharmD, PhD, breaks down how IV ibuprofen fits into modern, opioid-sparing pain pathways and why it should not be viewed as interchangeable with ketorolac.

A practical, evidence-based discussion for clinicians focused on safer pain management.

Don’t miss the chance to showcase your innovation at our next events - see what’s coming up.

https://www.nysora.com/all-events/

12/17/2025

After an uneventful lumbar puncture, a patient began complaining of severe back pain, followed by urinary retention and leg weakness.

Within hours, the weakness progressed to paraplegia. An urgent spinal MRI revealed a spinal epidural hematoma (SEH) - a rare but devastating complication. Emergency decompression was performed, preventing permanent neurological injury.

What to remember about SEH:

- Causes: Trauma, anticoagulation, epidural, or spinal anesthesia
- Risk factors: Coagulopathy, advanced age, female s*x, spine surgery, hepatic disease
- Diagnosis: Back pain with new neurologic deficits → Immediate MRI is the gold standard

Remember that early detection and decompression can mean the difference between full recovery and permanent paralysis.

Read more about spinal epidural hematoma in NYSORA's Regional Anesthesia Module on NYSORA360 - a structured, evidence-based resource designed for residency training and clinical practice.

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

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New York, NY
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+12126580056

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http://www.nysora.com/

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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”.