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.

04/15/2026

Still seeing adductor twitch? Read this.
Your block isn’t incomplete. Your target is.

Distal approach = missed branches
Proximal approach = full coverage

It’s that simple. Better anatomy → predictable blocks

Labandeyra et al. showed that targeting the nerve at the obturator canal exit improves consistent branch coverage.

Learn the exact technique and watch real clinical cases. Now in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/mnumh8r0

Labandeyra et al. Reg Anesth Pain Med. 2026 Feb 5;51(2)165-173.

04/14/2026

POCUS is no longer about learning images.
It’s about making decisions.

New York. December 5–6.

Two days of hands-on scanning, real cases, and direct feedback—designed to move you from seeing to acting.

- Lung, cardiac, gastric, DVT, eFAST
- Small groups. High repetition
- Built for real clinical use

Less theory. More confidence.
Secure your spot: https://www.nysora.com/events/workshops/new-york/

04/13/2026

In a suprainguinal fascia iliaca block, correct needle placement allows local anesthetic to spread in which specific anatomical plane to reliably reach the lumbar plexus branches?

A. Between the fascia iliaca and iliacus muscle
B. Between the sartorius and tensor fasciae latae muscles
C. Within the femoral nerve sheath
D. Between the transversus abdominis and internal oblique muscles

Let us know your answer in the comments!

See the spread with Reverse Ultrasound Anatomy in the Nerve Blocks App → https://nysora.onelink.me/igLl/5nnvps5i

04/10/2026

68y old, elective total knee replacement.
AF on apixaban (last dose 36h ago), platelets 110k, mild renal impairment.

Spinal planned. Is this safe? We pause and ask MAIA.

Within seconds:
- Neuraxial block → wait ≥72h
- Renal impairment can prolong apixaban clearance
- Mild thrombocytopenia
- If concern → avoid neuraxial, use GA + peripheral blocks
- Optimize analgesia (adductor canal block + multimodal strategy)

The most challenging decisions are the ones with incomplete information.
That’s why MAIA exists: fast, focused educational support when it matters most.

How would you have proceeded?

Educational support when it matters. Explore more in the Anesthesia Assistant App: https://nysora.onelink.me/D0FL/ly0jpwby

04/08/2026

POCUS isn’t optional anymore. It’s how you think at the bedside.

Toronto. July 11–12.

Two days of focused learning, live demos, and hands-on scanning—built to move you from recognition to decision.

- Lung, cardiac, gastric, DVT, eFAST
- Real clinical applications
- Small groups. Direct feedback

Less theory. More doing.
Secure your spot: https://www.nysora.com/events/workshops/point-of-care-ultrasound-pocus-workshop-toronto-2026/

$Stop blocking the phrenic nerve for clavicle fractures.Most traditional approaches (cervical plexus, interscalene):→ Aff...$

04/07/2026

Stop blocking the phrenic nerve for clavicle fractures.

Most traditional approaches (cervical plexus, interscalene):
→ Affect the phrenic nerve
→ Cause unnecessary motor block

There’s a better option.
Clavipectoral Fascial Plane Block

- Targeted sensory coverage of the clavicle
- Preserves motor function
- Cleaner, more precise anesthesia

This is the kind of technique that changes how you practice.
See the full step-by-step inside the NYSORA Nerve Blocks App:
https://nysora.onelink.me/igLl/s1lzijgc

04/06/2026

One of the most common mistakes with the fascia iliaca block? Chasing the femoral nerve.

But this isn’t a nerve block - it’s a fascial plane technique.

The real goal is simple: Open the space beneath the fascia iliaca and let the anesthetic do the work.

When you’re in the right plane, the injectate spreads effortlessly toward the femoral and lateral femoral cutaneous nerves.

When you’re not - the block fails.

Want to master the technique, sonoanatomy, and expert tips?
Explore the full technique in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/s1lzijgc

04/03/2026

This animation demonstrates the transversus abdominis plane (TAP) block - a simple, reliable fascial plane technique for anterior abdominal wall pain.

Why do clinicians use it?

- Effective analgesia for abdominal surgery and postoperative pain
- Targets the thoracolumbar nerves (T6–L1) in the TAP
- Opioid-sparing with minimal systemic effects
- Easy to perform under ultrasound

A straightforward block with consistent results - when the plane is right.

Have you used the transversus abdominis plane (TAP) block in your practice?

You can now find the full technique in the Nerve Blocks App, including anatomy, ultrasound guidance, and step-by-step instructions. Download the app today: https://nysora.onelink.me/igLl/s1lzijgc

04/01/2026

Femoral Nerve Block Pearl

Ever see two arteries on ultrasound while scanning for a femoral nerve block and wonder what’s going on? It usually means you’re a bit too distal in the femoral triangle.

At this level, the profunda femoris (deep artery of the thigh) has already branched off the femoral artery, so both vessels appear on the screen.

Typical ultrasound appearance:
• Femoral artery – more superficial and medial
• Profunda femoris artery – slightly deeper and lateral

Practical tip: Slide the probe slightly more proximal until only one artery (the femoral artery) is visible.

Why this matters: At this level, the femoral nerve is still compact and has not yet divided into branches, increasing the chance that a single injection will cover all branches effectively.

Learn more pearls like this in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/s1lzijgc

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.

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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”.