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Congrats to Dr. Arissa Torrie, anesthesiologist & COIRI mentee, on receiving the NIA GEMSSTAR R03 award. Her research will evaluate how peripheral nerve blocks impact postoperative outcomes & readmissions in older adults with hip fractures. #anesthesiology #NIA #orthotwitter

On-arrival blocks provide excellent pain relief, decrease waiting time to surgery and are associated with lower incidence of persistent postsurgical pain. journals.lww.com/jtrauma/abstra…

Endothelial microcultures were subjected to shock conditions. TXA was perfused and glycocalyx thickness, degradation products and platelet adhesion was measured. TXA protected the glycocalyx from degradation after shock and platelet adhesion was reduced. journals.lww.com/jtrauma/abstra…

"🔍Why the Dual Subsartorial Block (DSB) Stands Apart" Anatomically Accurate, Mechanistically Superior, & Clinically Purposeful. #DualSubsartorialBlock #FemoralTriangleBlock #AdductorCanalBlock #RegionalAnesthesia #UltrasoundGuidedBlock #MotorSparingAnesthesia #AnatomyMatters #ProcedureSpecificBlock #InnovativeAnesthesia #ERASProtocol #TKARecovery #SmartBlocking #TipoftheDay #MyRATips Tip of the Day: 📚The Dual Subsartorial Block (DSB) is not simply a blend or variant of the Femoral Triangle Block (FTB) or Adductor Canal Block (ACB). 📚It is a purpose-designed, dual-injection technique offering multi-plexus level analgesia while preserving motor function - something neither FTB nor ACB can fully achieve. ✅Key Distinctions: DSB vs FTB & ACB 💉1. Injection Location and Planes 🔹FTB: Injected within the femoral triangle, just below the inguinal crease, directly near the femoral nerve trunk → potential motor involvement. 🔹ACB: Injected within the mid-thigh adductor canal, distal and narrow in reach. 🔹 DSB: Both injections are subsartorial. 🟢First injection is between Sartorius Tendon Medially (STM) and Vastus Medialis Muscle (VMM) - not inside the true femoral triangle. 🟢Second injection is in the true adductor canal. 🌊2. Spread Pattern 💉FTB: Drug spreads directly inside the FT, over iliopsoas, often reaching motor branches. 💉ACB: Localized spread, minimal cephalad extension, limited knee coverage. 💉 DSB: Volume-dependent spread: 🎯Directly reaches NVM and SN in the STM–VMM plane. 🔄 Indirectly spreads proximally into the FT, engaging peripatellar plexus. 🔽 Distally spreads under sartorius, engaging the subsartorial plexus. 🎯3. Nerve Coverage 🔸 FTB: Femoral nerve and its branches, trunk, SN, ± Obturator/LFCN. 🔸 ACB: SN, ± NVM (if done more proximally). 🟢 DSB: SN, NVM, ± indirect femoral branches → multi-plexus level block (Peripatellar + Subsartorial plexus). 🦵4. Motor-Sparing Profile ❌FTB: Risk of quadriceps weakness due to proximity to femoral nerve. ✅ACB: Low risk - but insufficient for full knee coverage. 🟢DSB: Designed for motor preservation - avoids direct contact with femoral trunk while achieving broad sensory coverage. 🏥5. Clinical Application 🧠FTB: Broad analgesia, acceptable when motor loss isn't a concern. 🔻ACB: Good for distal medial leg, but incomplete for knee surgeries. 🚶‍♂️DSB: TKA-specific block under ERAS protocols - maximizes pain relief, preserves strength, supports early ambulation. ✨Take-Home Message ✅ DSB is a strategically designed, plane-specific technique, not a true hybrid or extension of FTB or ACB. ✅It targets STM–VMM interfascial plane and true adductor canal, enabling volume-driven, multi-plexus coverage without compromising motor function. ✅Unlike FTB (which risks motor block) or ACB (which lacks full coverage), DSB uniquely balances analgesia and mobility, making it the ideal block for TKA and anterior knee procedures. For more details about its innovation, Click the following link: x.com/KartikBSonawan…

Can we break the cycle of addiction starting with how we treat pain? @marylandnursing Prof Luana Colloca is investigating how pain treatment and brain responses are linked to opioid misuse. Her NIH-funded research aims to help people find freedom from dependence. #BreakthroughsCantWaitUMB #NIHResearch #PlaceboEffect

Our very own UMSON researcher, Luana Colloca, MD, PhD, MS, is pioneering groundbreaking studies on how immersive virtual reality can reduce pain and potentially replace the need for opioid medications in some patients. Learn more: umaryland.edu/breakthroughs/… #breakthroughscantwait

This past weekend, the Annual VANA District 2 Cherry Blossom Meeting was held in Ashburn, Virginia. 🌸 Thank you to all the speakers and attendees who helped make the event a success!

@cliffreid Don’t forget the possibility to use Droperidol in really problematic cases jem-journal.com/article/S0736-…

great to have Dr. Scalea as our Alton Ochsner visiting professor @ShockTrauma_CC @shocktrauma

Yesterday, U.S. Representatives @RepUnderwood and @RepJenKiggans introduced the Ensuring Veterans Timely Access to Anesthesia Care Act of 2025 to secure veterans’ ability to access to high quality anesthesia care within the Veterans Health Administration (VHA). aana.com/news/aana-stro… #aana

A new essential airway tool that should be included in every airway bag/cart and anesthesia cart. Simplicity meets effectiveness in the moments that matter most. 💡 Discover more about the McMurray Enhanced Airway (MEA) and its life-saving benefits at mcmurraymed.com. #CriticalCare #EMS #anesthesia #anesthesiology #patientsafet

What is a Problem Statement ??

Achievement of hemostasis is associated with coagulation, transfusion volumes and mortality benefits. Early whole blood resuscitation is associated with a greater independent odds of achieving hemostasis & at an earlier time point over the first 4 hours. journals.lww.com/jtrauma/fullte…

❇️Best of Trauma❇️ Achieving hemostasis improves coagulation, reduces transfusions, and lowers mortality. Early whole blood resuscitation increases the likelihood and speed of hemostasis within the first 4 hours. @jjasonsperrymd journals.lww.com/jtrauma/fullte…

❇️Best of SCC❇️ This algorithm provides a stepwise approach to the initial management of hemorrhagic shock resuscitation based on current recommendations and is intended to be used in conjunction with damage control surgery. #UFSurgery #WesternTrauma journals.lww.com/jtrauma/fullte…

For blocks in the Paraspinal region, it’s important to identify the correct level in order to get the maximum benefit. We could guess, but even better we can count with ultrasound! #RegionalAnaesthesia #RegionalAnesthesia Here is the video link 👇🏼 youtu.be/JqbS-eqxEss?si…

Nice job, @RishiKundiMD

Happy National #CRNAWeek! 🎉 To all the nurse anesthetists and student nurse anesthetists who provide exceptional care and innovative leadership during patients’ most vulnerable moments and who contribute to making #UMSON a vibrant community: Thank you for all that you do! 🩺

⭐ Success Stories Sunday : It all starts here - #crnas have been providing anesthesia in the US for more than 150 YEARS and going strong!! We would love to hear and celebrate your professional wins, accomplishments, & moments of pride in the comments! #crnaweek #nurseanesthesia

PhD Students – At some point in your PhD, you will write a literature review. Use these 5 tools to 10x your literature review process. 𝐅𝐢𝐧𝐝𝐢𝐧𝐠 𝐩𝐚𝐩𝐞𝐫𝐬 𝐟𝐨𝐫 𝐲𝐨𝐮𝐫 𝐥𝐢𝐭𝐞𝐫𝐚𝐭𝐮𝐫𝐞 𝐫𝐞𝐯𝐢𝐞𝐰 1. 𝐑 𝐃𝐢𝐬𝐜𝐨𝐯𝐞𝐫𝐲 → Notifies you as soon as a relevant paper is published. → Audio stream paper for you to listen to instead of reading. → Translate papers automatically to your native language. → Offers automatic integration with Zotero and Mendeley. Link: lnkd.in/g7jZ6hzg 𝐋𝐢𝐭𝐞𝐫𝐚𝐭𝐮𝐫𝐞 𝐑𝐞𝐯𝐢𝐞𝐰 𝐖𝐫𝐢𝐭𝐢𝐧𝐠 2. 𝐏𝐚𝐩𝐞𝐫𝐏𝐚𝐥 → Specifically designed for assisting in scientific writing. → Rephrase confusing sentences. → Offers real-time suggestions for smooth writing. → Simple and very easy to use. Link: paperpal.com/?linkId=lp_726… 𝟑. 𝐌𝐢𝐧𝐝 𝐭𝐡𝐞 𝐆𝐫𝐚𝐩𝐡 → Help you to easily draw very professional diagrams. → Offers tons of icons and templates that you can use in your diagrams. Link: lnkd.in/dejqgxcp 𝐋𝐢𝐭𝐞𝐫𝐚𝐭𝐮𝐫𝐞 𝐑𝐞𝐯𝐢𝐞𝐰 𝐄𝐯𝐚𝐥𝐮𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐒𝐮𝐛𝐦𝐢𝐬𝐬𝐢𝐨𝐧 𝟒. Review My Paper → Identifies the strengths and weaknesses of your paper. → Increase the chances of your paper acceptance. Link: bit.ly/3ZlegqJ 𝟓. 𝐉𝐨𝐮𝐫𝐧𝐚𝐥 𝐅𝐢𝐧𝐝𝐞𝐫 → Help you find the right journal based on your manuscript. → Find papers for the related work section of your paper. Link: lnkd.in/dJRSVknx