New Hampshire Anesthesia Services

09/08/2026

In the field of medicine, the volume of trials, systematic reviews, and society guidelines far exceeds what any clinician can hold in working memory, and much of it changes from year to year. This abundance of information is especially acute in perioperative care, where recommendations may rest on a shifting and sometimes thin evidence base.

08/03/2026

Postoperative cognitive dysfunction (POCD) is part of a broader group of perioperative neurocognitive disorders that are well-recognized complications after major surgery. POCD occurs most often in older adults and in patients with underlying vascular or neurologic disease.

Although the cause of postoperative cognitive dysfunction is complex, reduced intraoperative cerebral perfusion is thought to be an...

06/30/2026

Shoulder surgery is frequently associated with substantial postoperative pain, making regional anesthesia an important component of perioperative analgesia.

However, phrenic nerve sparing strategies in regional anesthesia for shoulder surgery may be used to reduce the risk of impairing...

05/26/2026

Superior trunk block (STB) is an increasingly utilized regional anesthesia technique for shoulder and upper extremity surgery that provides effective postoperative analgesia while potentially reducing respiratory complications associated with interscalene brachial plexus block (ISB).

Superior trunk block (STB) is an increasingly utilized regional anesthesia technique for shoulder and upper extremity surgery that...

04/28/2026

The expansion of point-of-care ultrasound in recent years has increased interest in ultrasound airway evaluation before anesthesia and surgery, offering real-time, noninvasive visualization of airway anatomy and improving perioperative decision-making.

The expansion of point-of-care ultrasound in recent years has increased interest in ultrasound airway evaluation before anesthesia and...

01/14/2026

Although patients may be discharged home on the same day as procedures involving sedation or general anesthesia, they may not be allowed to drive themselves home due to safety concerns, as the cognitive skills necessary for safe driving remain impaired even after other functions return to normal.

Clinical uncertainty exists regarding when it is safe to resume driving following anesthesia, with discharge instructions generally...

12/15/2025

Effective communication is one of the most important elements of high-quality healthcare. Patients are more likely to make informed decisions and achieve better outcomes when they clearly understand their conditions, treatment options, and follow-up instructions.

One of the most impactful ways to improve health communication is by using plain-language resources, which help providers simplify medical...

07/07/2025

As the U.S. continues to confront an opioid epidemic, anesthesiologists and perioperative care teams—including CRNAs and PACU nurses—occupy a key role in the shift toward safer, evidence-based pain management. From OR decision-making to post-discharge tapering, anesthesiology can have a significant impact in minimizing opioid exposure, with guidelines and practice needing to adapt to trends as the crisis evolves.

As the U.S. continues to confront an opioid epidemic, anesthesiologists and perioperative care teams—including CRNAs and PACU nurses—occupy a key...

06/04/2025

Colonoscopy remains the gold standard for screening and diagnosing a wide range of colorectal conditions, including cancer. However, patient experience can differ significantly based on the level of anesthesia administered during colonoscopy.

Colonoscopy remains the gold standard for screening and diagnosing a wide range of colorectal conditions, including cancer.

02/03/2025

In the wake of manufacturing and supply chain issues stemming from Hurricane Helene, the Baxter IV fluid shortage continues to present significant challenges for the healthcare system in 2025.

In the wake of manufacturing and supply chain issues stemming from Hurricane Helene, the Baxter IV fluid shortage continues to...