Afleveringen
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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 choices, and postoperative strategies to optimize recovery and preserve independence. Key highlights include:
✅ The importance of screening for frailty and cognitive impairment
✅ Neuraxial vs. general anesthesia—what does the latest evidence say?
✅ Dexmedetomidine for delirium prevention: promising or problematic?
✅ Medications to avoid in older adults
✅ The future of prehabilitation in perioperative medicineJoin us as we break down the latest evidence and how to apply it in clinical practice. Don’t miss this essential update for anesthesiologists, surgeons, and perioperative care providers!
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Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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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!
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#nysora#regionalanesthesia#anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Zijn er afleveringen die ontbreken?
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Neuraxial morphine remains the absolute go-to for managing post-cesarean pain. But if your patient is healthy and receiving low doses, the SOAP Society suggests you don’t need super-intensive respiratory monitoring. Hear this episode of NYSORA’s Anesthesia Updates Podcast for complete summary and latest recommendations on dosing and guidance.
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---------------------------------------------------------
#nysora#regionalanesthesia#anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Performing regional anesthesia (RA) in patients on antithrombotic therapy poses a significant challenge due to the increased risk of bleeding complications, including spinal or epidural hematomas. Neuraxial and deep peripheral nerve blocks can lead to catastrophic consequences if performed without appropriate timing and management of anticoagulant and antiplatelet medications. The latest joint guidelines from the European Society of Anesthesiology and Intensive Care (ESAIC) and the European Society of Regional Anesthesia (ESRA) provide evidence-based recommendations to reduce these risks and guide anesthetists in making safe and informed decisions.
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#nysora#regionalanesthesia#anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Oxygen therapy is a lifesaving intervention, but are we using it optimally? In this episode, Dr. Hadzic breaks down the latest SRLF-SFMU Consensus Guidelines on managing acute hypoxemic respiratory failure (ARF)—when to start oxygen, the ideal SpO2 target, choosing between HFNC, CPAP, or NIV, and when to escalate to mechanical ventilation. Tune in for practical, evidence-based insights to improve patient outcomes in critical care!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Join Dr. Hadzic as he summarizes the uniquely important International Pannel’s recommendation on infection control guidelines, published by ASRA’s RAPM Pain Medicine Journal. Learn why sterile probe covers are now the gold standard, why Tegaderm falls short, and how these recommendations are shaping global practices in regional anesthesia. Stay ahead in delivering safe, efficient patient care!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of Updates in Anesthesiology, Dr. Hadzic breaks down a AN 2024 study on the addition of liposomal bupivacaine (EXPAREL) to standard bupivacaine for supraclavicular brachial plexus blocks. Discover how the addition of EXPAREL improves postoperative pain, and its effects on opioid use after distal radial fracture surgeries. Is it worth the cost? Tune in to find out!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of the NYSORA Podcast, Dr. Hadzic unpacks the complex relationship between anesthesia practices and greenhouse gas emissions. Are anesthetic gases like desflurane and nitrous oxide truly major climate culprits, or is their impact overstated? Learn the science, the controversies, and actionable strategies to balance patient care with environmental responsibility. Stay informed, make smarter choices, and join the conversation on sustainable anesthesia.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of Updates in Anesthesiology, we dive into how GLP-1 receptor agonists are reshaping obesity management, impacting bariatric surgery volumes, and altering the landscape of anesthesia practice. From managing perioperative risks to understanding evolving patient profiles and multidisciplinary collaboration, this episode offers critical insights to help anesthesiologists adapt to these changing dynamics. Tune in to stay ahead in your practice!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode, Dr. Hadzic explores the surprising connection between gut health and cardiovascular disease, focusing on how probiotics might help reduce heart risks by lowering levels of the harmful compound TMAO. Backed by recent research, we’ll discuss which probiotic strains show promise, practical ways to integrate them into patient care, and how they fit alongside diet and lifestyle changes. Tune in to learn how gut health could become a game-changer in cardiovascular care!
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Facebook- facebook.com/nysora
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Facing a lawsuit as a clinician can be overwhelming, but you’re not alone. In this episode of NYSORA’s Updates in Anesthesiology podcast, Dr. Hadzic shares expert insights and actionable strategies to handle legal challenges with confidence. Learn how to advocate for yourself, prepare your legal team, manage stress, and turn adversity into an opportunity for growth. Whether you're currently navigating a lawsuit or preparing for the unexpected, this episode provides the tools you need to stay resilient and focused on your career.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of Updates in Anesthesiology, Dr. Hadzic explores groundbreaking findings from a 2024 study by Dr. Angela Lucia Balocco and colleagues, published in Regional Anesthesia and Pain Medicine. Using 3D CT imaging, the study investigates how the injectate of the pericapsular nerve group (PENG) block actually spreads in live patients undergoing hip surgery. The findings challenge prior cadaver-based assumptions, revealing a predominant focus on femoral nerve branches within the iliopsoas muscle rather than the obturator nerve or hip capsule.
We discuss what this means for technique, patient outcomes, and the broader implications for motor-sparing analgesia. Plus, hear why The NYSORA Anesthesia Updates Book is your go-to resource for staying at the forefront of anesthesiology. Don’t miss this concise, data-driven guide to improving your practice!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of "UPDATES IN ANESTHESIOLOGY," Dr. Hadzic explores to topic of whether lumbar back bracing is helpful or counterproductive for chronic low back pain. Discover how the powerful combination of back bracing and physical therapy reduces pain, improves functionality, and challenges long-held myths about muscle atrophy and dependency. Tune in to learn actionable insights that could revolutionize your clinical practice!
Keep an eye on NYSORA’s Newsletter this Thursday that will further dissect the controversy of the value of back brace in patients with lower back pain. And be sure to get your own copy of NYSORA’s Anesthesia Updates from Amazon and be ahead of the curve!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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GLP-1 receptor agonists, like Semaglutide, are transforming diabetes and obesity management—but their effects on gastric emptying are disrupting perioperative care. In this episode of the NYSORA Podcast, Dr. Hadzic dives into the conflicting guidelines, the latest evidence, and how tools like point-of-care ultrasound (POCUS) can save the day. Learn how to minimize aspiration risks, avoid case cancellations, and keep your OR running smoothly with practical, patient-focused strategies.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Refresh your knowledge on Perioperative Blood Transfusions by hearing this podcast on how perioperative blood transfusions impact outcomes in elective major abdominal surgeries. Hear why Patient Blood Management (PBM) is transforming surgical care and learn actionable strategies to optimize your practice.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Timing is everything—even in surgery. In this episode, we explore groundbreaking research on how the time of day impacts elective surgery outcomes. Learn why nighttime surgeries carry higher risks, what makes mornings a safer bet for certain procedures, and how you can optimize scheduling to improve patient safety. Practical tips and actionable insights await to keep your practice ahead of the curve!
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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In this episode of the NYSORA podcast series, Updates in Anesthesiology, Dr. Hadzic discusses the opioid-free anesthesia (OFA) and its potential benefits and challenges in postoperative recovery. He examines OFA's effectiveness and safety in major elective surgeries, shedding light on recovery quality, pain management, and hemodynamic stability. This episode offers anesthesiologists valuable insights into the real-world applications of OFA protocols. Discover when and how OFA might fit into clinical practice, while considering both its promise and limitations. Don’t miss this essential update in anesthesia care, and find more on this topic in NYSORA’s Anesthesia Updates 2025, available on Amazon.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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This podcast episode dives into the nuances of intraoperative ventilation during laparoscopic and robot-assisted surgeries. The discussion covers the unique respiratory challenges posed by CO₂ insufflation and patient positioning, examining lung-protective strategies like low tidal volumes, personalized PEEP, and mechanical power control to reduce postoperative complications.
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Join Dr. Hadzic as he breaks down the latest strategies in perioperative management for complex spine fusion surgeries based on the latest literature updates. From preoperative optimization to advanced intraoperative monitoring and effective pain management, this episode delivers actionable insights to optimize patient outcomes and streamline care for high-risk spine surgery patients.
Where else to find us:
Web- http://www.nysora.comInstagram- instagram.com/nysora.inc/
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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Join Dr. Hadzic in this episode of "UPDATES IN ANESTHESIOLOGY" as we discuss into the latest consensus guidelines from the PeriOperative Quality Initiative (POQI) on perioperative fluid management, led by Dr. Ostermann and published in the British Journal of Anaesthesia. We will discuss the evidence-based recommendations for fluid therapy across various surgeries and critical conditions, and learn how these guidelines can enhance patient outcomes in your practice. From intraoperative hydration to preventing postoperative complications, this episode equips you with practical strategies for better perioperative care.
Where else to find us: Web- http://www.nysora.com
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---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Podcast is accurate.
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