NYSORA - Continuing Medical Education

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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.

10/12/2026

High blood pressure in the OR rarely has a one-drug-fits-all answer.

Hydralazine, nitroglycerin, labetalol, esmolol, nicardipine, sodium nitroprusside, phentolamine - each differs in mechanism, onset, duration, and titratability.

The key is matching the agent to the clinical situation:
• How quickly does the pressure need to come down?
• Is tachycardia or bradycardia present?
• Do you need a short, titratable effect?
• What does the patient’s underlying physiology allow?

Save this quick comparison for your next OR case.

Check anesthesia medications, dosing, and clinical details in NYSORA’s Anesthesia Assistant App: https://nysora.onelink.me/D0FL/v4byscc8

10/09/2026

A cervical medial branch block leaves little room for imprecision.

From patient positioning to identifying the correct target, small technical details can make a meaningful difference. Keep these practical points in mind:

• Optimize neck exposure before scanning.
• Expect greater depth at C5–C7.
• Use color Doppler to identify nearby vascular structures.
• Keep injectate volumes small for a precise diagnostic block.
• Plan the needle trajectory carefully around critical cervical anatomy.

Save this post as a quick refresher before your next cervical medial branch block.

For the complete technique - including sonoanatomy, ultrasound images, needle approach, and step-by-step guidance review Cervical Medial Branch Block in the NYSORA Ultrasound Pain App or go deeper with the NYSORA Ultrasound-Guided Interventional Pain Procedures Manual.

NYSORA Ultrasound Pain App: https://community.nysora.com/us-pain-app-OSM
NYSORA Ultrasound-Guided Interventional Pain Procedures Manual: https://community.nysora.com/us-pain-manual-osm

10/07/2026

Pulmonary embolism can deteriorate fast. The next step depends on one critical question: Is the patient hemodynamically stable?

From anticoagulation and risk stratification to reperfusion treatment and hemodynamic support, management changes with the patient’s clinical status and evidence of RV dysfunction.

In anesthesia, recognizing the trajectory early matters - especially when PE presents unexpectedly in the perioperative setting.

Save this algorithm as a quick reference for acute pulmonary embolism management.

Access the management algorithm in NYSORA’s Anesthesia Assistant App: https://nysora.onelink.me/D0FL/tbg6c79a

10/02/2026

A new knee analgesia technique has just been added to the NYSORA Nerve Blocks App: the GENIVS block.

The GENIVS block targets the periosteal plane of the distal femur, with successful injection characterized by lifting of the vastus medialis from the femoral cortex and thin spread along the periosteum.

A few technical details can make a difference:
→ Bone contact before injection
→ Confirming periosteal rather than intramuscular spread
→ Adjusting transducer position to encourage circumferential spread
→ Recognizing when a more distal approach may be useful

Have you incorporated the GENIVS block into your knee analgesia practice yet?

The GENIVS block is now available in the Nerve Blocks App, with anatomy, scanning guidance, needle positioning, injection technique, and practical tips: https://nysora.onelink.me/D0FL/wz41jcjc

09/30/2026

Malignant hyperthermia can escalate fast. Would your team be ready to act?

When MH is suspected, priorities are immediate: stop triggering agents, call for help, administer dantrolene, hyperventilate with 100% oxygen, initiate active cooling, and closely monitor response to treatment.

The challenge isn’t knowing that MH is an emergency. It’s knowing the sequence of actions when every minute matters.

How prepared is your OR team for a suspected MH crisis?

Keep critical anesthesia emergency guidance within reach with NYSORA’s Anesthesia Assistant App: https://nysora.onelink.me/D0FL/t0u0r8jz

09/28/2026

A fascial plane block can look straightforward on paper. In practice, small details in probe position, anatomy, and injectate spread can completely change what you see on screen.

The interpectoral plane block is a good example: the goal is precise placement between
pectoralis major and minor, with spread that confirms you are where you intended to be.

Swipe through for a practical technique overview and key points to keep in mind during the block.

What do you use most often to confirm you’re in the correct plane: anatomy, hydrodissection, or both?

Full technique, sonoanatomy, and procedural guidance are available in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/3vfixxdu

09/25/2026

How quickly can a routine spinal become an airway and circulation emergency?

A high or total spinal block can progress rapidly—from hypotension and bradycardia to respiratory compromise and loss of consciousness.

Management depends on recognizing the pattern early and acting in sequence:

•⁠ ⁠Call for help
•⁠ ⁠Assess airway, breathing, and circulation
•⁠ ⁠Support ventilation when needed
•⁠ ⁠Treat hypotension and bradycardia promptly
•⁠ ⁠In obstetric patients, consider maternal positioning and fetal status alongside resuscitation

When the block keeps rising, the next few decisions matter.

Save the algorithm for quick reference and use the Anesthesia Assistant App to work through similar high-stakes anesthesia scenarios: https://nysora.onelink.me/D0FL/w8rshbal

09/24/2026

A routine procedure can become a very different anesthetic challenge in a patient with Duchenne muscular dystrophy (DMD).

From avoiding triggering agents to assessing respiratory reserve and planning postoperative support, the anesthetic approach requires careful preparation before induction even begins.

Dr. Emil Bosinci highlights 5 practical considerations that can change the plan in patients with DMD.

And one question worth discussing:
If the anesthetic is completely trigger-free, does dantrolene still need to be physically available in the OR?

Take the case further with the NYSORA Anesthesia Assistant for case-specific management, planning, and next steps.

For more hands-on pediatric anesthesia education, join us at the NYSORA Pediatric Regional Anesthesia Workshop in Leuven, October 10–11.

→ Work through the case in Anesthesia Assistant: https://nysora.onelink.me/D0FL/nyjy4lob

→ Learn more about the Leuven Pediatric Workshop: https://nysora.com/event/workshops/pediatric-regional-anesthesia-boutique-workshop-4/

09/23/2026

The erector spinae plane (ESP) block looks straightforward on ultrasound, but small technical details can make a big difference.

With the ESP, the goal is to place local anesthetic in a fascial plane where it can spread across multiple vertebral levels and contribute to broader analgesic coverage.

That makes the ESP block a useful example of how regional anesthesia is often about understanding planes, spread, and anatomy together - not just identifying a single structure on ultrasound.

Save this for your next ESP block, and review the full technique in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/p10xio47

09/22/2026

Earn 10 CME credits while reviewing the clinical decisions that matter in anesthesiology.

The new Comprehensive Anesthesia Review – Module 1 on NYSORA360 is built around clinical scenarios, board-style questions, and detailed evidence-based rationales that connect knowledge with decision-making in practice.

Instead of simply checking whether an answer is right or wrong, each question helps you work through the reasoning behind the decision - what matters in the case, why one approach is preferred, and why the alternatives may be less appropriate.

Work through 400+ questions covering key areas of anesthesiology, review the reasoning behind each answer, identify gaps in your knowledge, and earn 10 CME credits along the way.

Comprehensive Anesthesia Review – Module 1 is available now on NYSORA360: https://community.nysora.com/nysora-lms-osm

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