Secrets of Short-Spinal Anesthesia: In this enlightening video, delve into the world of short-spinal anesthesia and its groundbreaking impact on modern surgery. Discover how it revolutionizes joint replacement procedures by enhancing safety, reducing complications like deep vein thrombosis and pulmonary embolism, and facilitating faster patient recovery. Learn about the efficiency it brings to the operating room, reducing delays and improving overall surgical workflow. We also explore the advantages of short-acting local anesthetics such as chloroprocaine and prilocaine, their rapid action, and how they contribute to a smoother, more predictable recovery. Plus, understand the critical role of multimodal analgesia in managing post-anesthesia pain effectively. This video is an essential watch for healthcare professionals seeking to advance their knowledge and practice in anesthesia.

The success and safety of epidural anesthesia depend on accurate identification of the epidural space, which is traditionally done using the loss of resistance technique, based on the operators “feel” of the loss of resistance, but not on objective measuring of that pressure change. Recently, I was introduced to a potentially game-changing epidural syringe that objectively streamlines epidural space localization. Let’s review it in this video! The new syringe system actually monitors the loss of resistance objectively during needle advancement. As the needle tip enters the epidural space, the sudden drop in pressure—known as the "loss of resistance" occurs. With the loss of resistance, a color indicator ring is activated. As you see in the video, this mimics the loss of resistance with a traditional epidural syringe, objectively indicating to the operator that the syringe is in the epidural space, even if the operator is fails to perceive that pressure change manually.

What does Bier block have to do with Beer? Nothing, of course, except that it is pronounced the same. In this video we summarize in bullet points for success and safety for Bier block. Why are we pulling this off from the dust? Well, the Bier Block is appreciated for its straightforwardness, effectiveness, and the swift recovery it allows following minor surgical procedures on the limbs. However, its success hinges on meticulous patient and surgical procedure selection and strict adherence to the technique. So – watch the video and see if it could be beneficial in your practice! Cheers!

Clinicians, master the ESP block technique and bring superior analgesia to your patients undergoing thoracic and abdominal surgeries. This innovative method, crucial for treating rib fractures and enhancing recovery for back and chest wall surgeries, promises targeted pain relief, minimized opioid use, and improved postoperative outcomes. Introduced in 2016 by Forero et al., the ESP block is now a cornerstone in regional anesthesia. Ready to advance your practice? Dive into our one-minute video review and enrich your expertise.

This video provides a short and complete instruction – review of the supraclavicular brachial plexus block. Watch the video to find out WHY, HOW, WHERE, and LATEST Research DIGEST on SCB! The supraclavicular block, frequently termed the "spinal anesthesia of the arm," remains one of the most effective and adaptable regional anesthesia techniques for surgeries of the upper limb. This block zeroes in on the brachial plexus nestled within the supraclavicular fossa, offering comprehensive anesthesia from the humerus to the hand.

A few weeks ago, just for a lighthearted experiment, we posted a poll on NYSORA's community asking who excels more in anesthesiology: MEN or WOMEN. The intention wasn't to promote any specific agenda, especially in this era of diversity and inclusion; there's no way you'd catch us taking sides, no matter the incentive! However, it's clear from the feedback that we unintentionally stirred up some strong feelings. While anesthesiology societies trumpet their advocy for diversity, the responses to our poll revealed interesting opinions. Some were all for female anesthetists, crediting them with exceptional skills, while others believed men are more attentive. A handful even painted women as more emotional and men as somewhat sloppy. What's evident from the reactions is the existence of strong biases and preferences. But, if you're curious about my perspective, you’ll get this in this video!

This video is no brain science. But it is a MUST watch for anyone who opens vials with local anesthetics or other medications. This is the ultimate guide for busy practitioners on how to open local anesthetic vials safely. And if you watch it to the end, you will learn a pro technique on how to safely and quickly open medication vials with “a twist” using a pro opener from Amazon.com.

In this video, we feature 3 most common mistakes when attempting to cannulate veins you will NOT find in books!

Take a front-row seat as I tackle the pressing debates surrounding Spinal Anesthesia vs. General for hip fracture surgery, discuss the complications of Interscalene Block and the effectiveness of interscalene catheters. Fresh from the ESRA WORLD conference in Paris in September 2023, I bring insights straight from the leaders in Regional Anesthesia. Join me as I unpack the latest findings from RAPM and discuss why certain stances might be more hindering than helping Regional Anesthesia.

Discover the top 8 reasons why IV Ibuprofen should be your go-to choice for perioperative analgesia, especially for orthopedic surgery patients. Dive into the benefits of a seamless transition from IV to oral ibuprofen and the perks of avoiding polypharmacy. Despite its global presence and proven effectiveness, find out why IV Ibuprofen remains overlooked by many. Time to re-evaluate its place in our practices!

In this video, I'll make a compelling case for pairing nerve stimulation with ultrasound-guided nerve blocks. Consider this analogy: even though car drivers can see the road ahead, the automobile industry still introduced distance control sensors for added safety. Similarly, while you might trust your ultrasound alone, nerve stimulators act as those crucial sensors, detecting needle-nerve contact even before a potential miss on ultrasound. Remember the introduction of ASA standard monitors? They made general anesthesia safer, despite no concrete evidence that tools like pulse oximetry or capnography directly improve patient outcomes. By the end of this video, you'll understand why, occasionally, nerve stimulation offers insights that ultrasound alone might miss.

Dodging the Burnout Bullet in the Digital Age! Dr Hadzic break down the causes of additional stress to anesthesiologists with increased digitalization of the anesthesia care. You can think of the video as ""Dr. Hadzic's Guide to Surviving the Digital Overload: No Anesthesiologist Left Behind!"" The digital transformation carries the risk of increased workload and potential burnout. The constant connectivity that technology enables can blur the lines between work and personal time, leading to an ""always-on"" work culture. This can exacerbate stress and contribute to burnout among healthcare professionals, including anesthesiologists. Additionally, the time and cognitive load required to manage EHRs and other digital tools can be significant, potentially taking away from patient care and increasing work hours. Digital technology can improve efficiency, accessibility, and precision in anesthesiology. The electronic health records (EHRs) can streamline patient information management, digital monitoring systems can track patient status more accurately, and telemedicine can allow for remote consultations.

In this engaging video, Dr. Hadzic shares essential techniques and insights on successfully inserting an IV in the foot. This challenging procedure requires precision and expertise, and Dr. Hadzic reveals one crucial element for success: Determination and Speed of IV insertion. Throughout the video, he also explains several must-know technique details. By highlighting these key aspects, viewers gain valuable knowledge and practical tips that can significantly enhance their proficiency in performing foot IV insertions. Watch until the end, and you'll discover how to increase you own success rate with foot IV insertion. Subscribe to NYSORA's YouTube channel and stay tuned for more educational content that empowers healthcare professionals and learners in the field of regional anesthesia.

From Anesthesiologist to Patient: The Truth About Doctors as Patients! Find out why anesthesiologists can be the worst patients, why treating family members may not be the best idea, and discover if I was a terrible patient during my own shoulder surgery.

Anesthesia carries some risks, but modern techniques and vigilant monitoring by anesthesiologists have significantly reduced the likelihood of complications. Patient safety is a top priority, and individual factors are considered to minimize risks. Watch the video to find out the truth told backstage and what you, as a patient can do to make your anesthesia safer.

Welcome to ANESTHESIA FOR THE VIPs (Very Important Patients) Most doctors have, at some point, been called upon to care for a VIP patient. Taking care of VIP however, may happen more often to anesthesiologists, given the terror of the general public at the prospect of “going under”. The rich or celebrity client is no different and, from their perspective, they may request “special” treatment, as a strategy to enhance their chances of coming off from the anesthesia. However, medical professionals may be often held to higher standards when caring for VIP patients, as the stakes may be higher and the potential for public scrutiny is greater. When I say - celebrity patient. Who comes to mind? Singers, Actors, Top Athletes, influencers? So: what an anesthesiologist can do in this case? What is the best anesthesia for a VIP Who is the best anesthesiologist for a VIP Should celebrities be treated differently? Watch until the end to find out who I would choose as my anesthesiologist?

Femoral Nerve Block: Common Mistakes In this video Dr. Hadzic discusses the most common misconceptions and technique flaws in performing the femoral nerve block. Femoral nerve block remains the main stain as analgesia for the knee in patients who are not expected to be ambulatory. The technique can also be used for a number of surgical operations on the knee patella and patellar tendon as the sole anesthesia technique. In discussing, Dr. Hadzic points out the importance of identifying fascia iliaca and its two layers that envelop the femoral nerve. Instead of injecting on the nerve, under the nerve, or around the nerve, he teaches the safer, simpler and more anatomical technique of injecting a local anesthetic between the two layers of the fascia daily are cut away from the femoral nerve, and he then demonstrates in the ultrasound video in NYSORA’s practice the correct distribution of the local anesthetic in order to block the femoral nerve. He also stresses out the importance of needle being distant from the femoral nerve to avoid injury and using the displacement of the femoral nerve between the two layers of factually accurate as an indication of the correct injection.

This video demonstrates common mistakes that are often made when an IV (VEIN) must be started in the foot. In particular, the video will focus on the correct and wrong techniques when the veins in the food are thick-walled and when they tend to roll. The video also features the most common mistakes that sometimes make IV axis in the foot difficult, painful, and inconvenient for the patient.

In this video I will demonstrate a technique for IV access in a patient in whom several previous attempts by different personnel failed. While we could use an ultrasound to insert a central venous catheter or a deeper seated IV, such as a brachial vein, here we demonstrate a simple technique of using an Esmarch that can be very effective for peripheral venous access in most patients with difficult veins.

In this Members-exclusive video, Dr. Hadzic takes you step-by-step through the process of accomplishing complete anesthesia for the hallux valgus osteotomy. You will learn that: 1. You need to block only 3 nerves and not perform the complete ankle block 2. A small amount of local anesthetic is sufficient 3. You should always start with the posterior tibial nerve block, as the tibial nerve is the largest, most important for anesthesia and takes the longest time to onset 4. The patterns of local anesthetic spread result in fast onset and successful block