AnesthesiaConsiderations

@NicholasChrimes Haha you make a very good point.

Is this an algorithm for how to cancel every elective patient? 😂

@RAPMOnline This is one our favorite techniques for the appropriate plastic surgery hand cases

✋Can regional anesthesia preserve finger movement during hand surgery? Motor-sparing forearm blocks allow intraoperative motor testing while providing surgical anesthesia supporting better functional outcomes. 🔗 doi.org/10.1136/rapm-2… #RegionalAnesthesia #HandSurgery #RAPM

@anesthesianews Its an exciting time for regional anesthesia with excellent ultrasound devices and so many new nerve block options

Regional anesthesia can play a key role in trauma care—reducing pain, chronic complications & systemic effects, UC Davis experts say. Read more 👉 anesthesiologynews.com/a/KjIBAA/t #RegionalAnesthesia #PainManagement #TraumaCare #UCDAvis

Systematic review and meta-analysis: Prophylactic TXA use was associated with lower intraoperative blood loss, transfusion requirements, and major bleeding without an observed increase in thromboembolic or mortality risk. ja.ma/4595K1L

@JAMASurgery It seems the indications for TXA keep expanding. Thanks for sharing this important study.

@mick_kerr Do you try to also block the nerve to vastus medialis?

A very rewarding day in ortho 🏥 Joined by a registrar today to walk through their first knee blocks focusing on the Adductor Canal Block and geniculars. In this tutorial, we demonstrate the needle approach required to avoid cutaneous nerves while ensuring the appropriate spread

@dr_imranahmad @elboghdadly @gunjeet99 @altgm @iliff_helen @Elle_OSullivan @BJAJournals Very important guideline. Thank you.

bjanaesthesia.org/article/S0007-… @elboghdadly @gunjeet99 @altgm @iliff_helen @Elle_OSullivan @BJAJournals Some stats after 1 month since launch: ➡️>100k paper downloads ➡️>50k visits on DAS website ➡️>17k downloads of education package ➡️50% visits from overseas Wow! global impact

@nelkassabany @UVARegional @EMARIANOMD @society_asa @_Anesthesiology @anesthesianews @ASRA_Society @ESRA_Society @NarouzeMD @MonicaHarbellMD @SanthanamSuresh @UVaAnesthesia High-yield guideline Would you recommend ESP block at minimum in all mastectomies if resources allow it?

Hot off the press !!Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries for the American Society of Anesthesiologists® is now published @UVARegional pubmed.ncbi.nlm.nih.gov/41363869/

@camilium26 @_Anesthesiology yes for sure. Low MAP has been associated with poorer outcomes. However, there are now several RCT studies showing no benefit to keeping MAP simply >65 vs higher MAPS for patients with serious risk factors

@AnesthesiaCons1 @_Anesthesiology Even short durations of MAP<55 were associated with AKI and myocardial injury. Perhaps what was measured in this study is not measuring the harm. I’d also be curious to see cognitive tests on patients post BP disturbances. pubmed.ncbi.nlm.nih.gov/23835589/#:~:t….

Read a summary of "Proactive vs reactive treatment of hypotension during surgery: The PRETREAT randomized clinical trial," in the January 2026 Science, Medicine, and the Anesthesiologist: ow.ly/caBo50XGxO5

Another reason to use Sugammadex more frequently esp now that it is generic and cheaper #Anesthesia #surgery

@anesthesianews yes caution is warranted and it can be highly unpredictable

⚠️ Study: >90% of patients ≥65 had hypotension after propofol induction—even at low doses. No truly “safe” dose found. Opioids & preinduction hypertension increased risk anesthesiologynews.com/a/LzIBAA/t #Anesthesiology #PatientSafety #Propofol

A new review examines the chemical, pharmacologic, and clinical implications of local anesthetic and/or adjuvant mixtures, illustrates data on efficacy and safety concerns, and maps out a risk vs. benefit relationship with evidence-based recommendations: ow.ly/y1vf50XGwMC

@_Anesthesiology Very interesting. Even more reason to avoid mixing.

@amit_pawa @ESRA_Society @ASRA_Society @RegionalAnaesUK @Assoc_Anaes @Anaes_Residents @ESRA_trainees @ANZCA @ANZRA_X @ASA_Australia @AoraIndia Excellent educational material. Thank you!

Just released an update to my Rectus Sheath block Video including a real block injection Check it out and let me know what you think! Video link 👇🏽 youtu.be/MMsHci7kzIo?si… #RegionalAnaesthesia #RegionalAnesthesia

@CJA_Journal Great CPD review article. Thank you.

Continuing Professional Development Postdural puncture headache in obstetrics - Canadian Journal of Anesthesia #CJA #CJA2025 #Anesthesia #Anesthesiology buff.ly/FAlsCZR #CPD #ProfessionalDevelopment #OBAnes #PDPH

@_Anesthesiology This is great news Less need to worry about the safety of perineural Dexamethasone as its use is not required and IV is sufficient

A new randomized controlled trial explores whether combining systemic with perineural dexamethasone yields any additive or synergistic effect on the characteristics and analgesic effects of peripheral nerve blocks. Read the article by Hussain et al.: ow.ly/71tU50W4c50

@IARS_Journals @RobertGaiser1 Lots of exciting changes ahead If used correctly, AI will allow anesthesiologists to delivery safer, more efficient, and higher-quality care

Don't miss this editorial from Dr. Robert Gaiser on the role of AI and virtual reality in #MedicalEducation "A Beautiful Tomorrow in the World of Graduate Medical Education and Assessment " @RobertGaiser1 buff.ly/QdUS7MU

@amit_pawa @jeffgadsden @BlockIt_Hot_Pod @EMARIANOMD @dr_rajgupta @ASRA_Society @ESRA_Society @RegionalAnaesUK @BelgianBara @ANZCA @AoraIndia @ASA_Australia @ANZRA_X Amazing block videos & conversations. Thank you.

A massive massive thank you to all of our listeners from @jeffgadsden and I! In our 3rd Season since starting @BlockIt_Hot_Pod #BILIH #BlockItLikeItsHot & over 75,000 downloads! Thanks for the support & encouragement- whilst there are listeners, we’ll keep producing content!

@CJA_Journal What is the best way to do this? Patch or SC injection? And if injection, what concentration to use?

Local nitroglycerin to facilitate radial arterial catheterization in adults: a systematic review and meta-analysis - Canadian Journal of Anesthesia #CJA #Anesthesia #Anesthesiology buff.ly/mrHe12M