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Rapid sequence induction is one of the most familiar techniques in anesthesia, but what clinicians actually do during RSI is changing. In this episode, we discuss a 2026 Anesthesiology study by Marcus and colleagues examining more than 9,000 RSI cases across 13 U.S. hospitals. The study discusses changing patterns in neuromuscular blockade, induction agents, cricoid ...


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How can we preserve respiratory function without compromising shoulder analgesia? We discuss Nanda’s et al. 2026 review on phrenic-sparing regional anesthesia, from modified interscalene techniques to distal block strategies, and how to match the approach to the patient’s respiratory reserve.

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A patient may have followed fasting instructions perfectly, but does that mean the stomach is actually empty? In this episode, we discuss the ASRA Pain Medicine narrative review and expert practice recommendations by Haskins and colleagues examining gastric point-of-care ultrasound in medically complex patients. We explore when fasting history may be unreliable, which patient...


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New pediatric neuromuscular blockade guidelines are reshaping everyday anesthesia practice. We unpack what they mean for intubation, quantitative monitoring, sugammadex reversal, and high-risk patients, with clinical insights from guideline lead author Professor Veyckemans.

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