NYSORA - Continuing Medical Education

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 t

he 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.

06/05/2026

One common spinal anesthesia setup mistake: placing the drape too high.

When only a small portion of the lower back is exposed, it becomes harder to assess the spine, identify the midline, and choose the correct interspace.

Before you start:
• Expose the full lumbar spine
• Find the midline
• Identify your landmarks
• Then choose your insertion level
Sometimes the simplest adjustments make the biggest difference.

Do you routinely use ultrasound to confirm spinal landmarks, or do you rely primarily on surface anatomy?

Let us know in the comments below!

Built by anesthesiologists for anesthesiologists. Access medication support, emergencies, and more in the NYSORA Anesthesia Assistant App: https://nysora.onelink.me/D0FL/4x6wk30u

06/03/2026

The secret to the Erector Spinae Plane Block is simple: don't chase perfection.

Find the transverse process and use it as your safety landmark. Advance the needle until you contact bone, then inject in the plane between the erector spinae muscle and the transverse process. That's the beauty of this block.

The transverse process tells you where you are, protects you from going too deep, and gives you a reliable target.

See the full technique in the NYSORA Nerve Blocks App. Animations, ultrasound anatomy, and step-by-step guidance.

Download the app. Block with confidence: https://nysora.onelink.me/igLl/uymbeoo2

Not all cervical plexus blocks are the same. Same region, but very different implications.A “cervical plexus block” coul...
05/29/2026

Not all cervical plexus blocks are the same. Same region, but very different implications.

A “cervical plexus block” could mean:
→ superficial
→ intermediate
→ deep

The “deep” cervical plexus block is essentially a cervical paravertebral technique, which is why precision and risk awareness matter. For many indications, the intermediate approach provides practical coverage with a simpler safety profile.

Explore the full cervical plexus block in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/0n7odsse

05/28/2026

Before spinal anesthesia, how do you disinfect the back?

A. Start at the intended puncture site and work outward
B. Start from the periphery and move inward
C. Use a back-and-forth technique across the whole field
D. No fixed pattern - just make sure the area is well covered

This step is often less standardized than we think.

Should the intended puncture site be treated as the “cleanest” area: meaning we prep from the center outward and avoid dragging solution back toward the needle entry site?

What were you taught? What do you teach now? And should this be standardized? Drop your answer: A, B, C, or D - and tell us why.

Residency programs: standardize your regional anesthesia teaching with NYSORA360 + the Nerve Blocks Manual : A complete training ecosystem for modern RA education.

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

Tomorrow’s case looks straightforward. Until you start thinking through the details.68-year-old. TKA. BMI 34. OSA.Contin...
05/27/2026

Tomorrow’s case looks straightforward. Until you start thinking through the details.

68-year-old. TKA. BMI 34. OSA.
Continuous adductor canal catheter planned.

Anterior coverage? Likely covered.
Posterior knee pain? That’s where planning gets more nuanced.

Do you add IPACK? Popliteal plexus block? Account for tibial contribution?
Or does another intervention add complexity without enough benefit?

This is exactly where case preparation matters.

With the NYSORA Anesthesia Assistant, you can simulate anesthesia cases before the OR, pressure-test your plan, and work through real clinical decision points with structured guidance.

Simulate Anesthesia Case Scenarios like this in NYSORA's Anesthesia Assistant App: https://nysora.onelink.me/D0FL/ov6rme8i

05/26/2026

The case is moving. Then something changes.

A dose question. A hemodynamic shift. An unexpected intraoperative issue.
You don’t need a textbook. You need fast, structured support.

The NYSORA Anesthesia Assistant helps with:
• Case planning
• Drug dosing & medication checks
• Emergency protocols
• Practical anesthesia guidance
Describe the case as it unfolds. Type or dictate it.
Get structured case guidance with the Anesthesia Assistant App.

Simulate Anesthesia Case Scenarios in NYSORA’s Anesthesia Assistant App:

https://nysora.onelink.me/D0FL/mryb89y1

05/25/2026

Before genicular radiofrequency ablation, what’s your go-to diagnostic block strategy?

Some still rely on the classic 3 targets.
Others expand to 4.
Some skip the diagnostic block altogether.

Practice patterns vary - and that’s exactly why these discussions matter.

Tell us your choice and why in the comments.

Want to review the anatomy, targets, and ultrasound guidance before your next case? Find the full technique in the NYSORA Nerve Blocks App:

https://nysora.onelink.me/igLl/xd6cuath

You’ve just intubated. Everything looks stable - until it’s not.•⁠ ⁠ETCO₂ drops.•⁠ ⁠BP starts falling.•⁠ ⁠SpO₂ slowly...
05/22/2026

You’ve just intubated. Everything looks stable - until it’s not.

•⁠ ⁠ETCO₂ drops.
•⁠ ⁠BP starts falling.
•⁠ ⁠SpO₂ slowly follows.

You pause. A falling ETCO₂ isn’t one diagnosis. It could signal ventilation failure, reduced perfusion, or equipment issues.

What matters is thinking through the possibilities - fast.
The Anesthesia Assistant App helps you structure the next steps. Type or dictate the case exactly as you’d present it to a colleague.

Simulate Anesthesia Case Scenarios like this in NYSORA’s Anesthesia Assistant App: https://nysora.onelink.me/D0FL/py7sdytu

You’ve just intubated. Everything looks stable - until it’s not.•⁠ ⁠ETCO₂ drops.•⁠ ⁠BP starts falling.•⁠ ⁠SpO₂ slowly...
05/22/2026

You’ve just intubated. Everything looks stable - until it’s not.

•⁠ ⁠ETCO₂ drops.
•⁠ ⁠BP starts falling.
•⁠ ⁠SpO₂ slowly follows.

You pause. A falling ETCO₂ isn’t one diagnosis. It could signal ventilation failure, reduced perfusion, or equipment issues.

What matters is thinking through the possibilities - fast.
The Anesthesia Assistant App helps you structure the next steps. Type or dictate the case exactly as you’d present it to a colleague.

Simulate Anesthesia Case Scenarios like this in NYSORA’s Anesthesia Assistant App. The link is in our bio!

Not every TAP block is the same.Coverage depends on anatomy, technique, and understanding what you’re actually targeting...
05/20/2026

Not every TAP block is the same.

Coverage depends on anatomy, technique, and understanding what you’re actually targeting.

Anterior TAP is primarily a midline somatic block - useful when that’s exactly what you need, but not a substitute for broader abdominal wall coverage or visceral analgesia.

Choosing the right block starts with knowing what each block actually does. Explore anatomy, dermatomes, and step-by-step techniques in the NYSORA Nerve Blocks App: https://nysora.onelink.me/igLl/e5ab88gp

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