Block It Like It’s Hot
Your hosts Amit ”I Got The” Pawa and Jeff “Tha Notorious JCG” Gadsden discuss current issues in regional anesthesia & acute pain medicine and drop some tips on how to make your regional anesthesia workflow a blocker’s delight.
Episodes
Wine, flamingos, and a glass box…this is NOT your typical BILIH episode...Amit and Jeff join you from the ASRA Spring Annual Meeting 2025 in Orlando, Florida, where they recorded live interviews with over a dozen influential thinkers in regional anesthesiology. Join us as we chat and laugh with James Kim, Sandy Kopp and Nadia Hernandez over discussions of POCUS, probe covers, catheters, the NEW anticoagulation guidelines, and much ...
Clear!!! In the exciting conclusion to our two-parter on blocks in emergency medicine, things get real as the co-hosts debate Arun and Andrew over the ideal block for hip fracture, a slick way to reduce a shoulder dislocation, cheeky femoral blocks, and the role of fascial plane blocks in the ED.
Links:
The sponsor of this episode is GE Healthcare Venue Family of Ultrasound Machines: https://tinyurl.com/gehealthcarevenue
Amit and Jeff are joined by Dr. Robbie Erskine from Daaaarrby, UK, sharing his immense wealth of knowledge and experience (and which Bond film is his fave) on spinal anesthesia technique and how to make ambulatory spinals work for everyone!
Remember to email: info@pajunk.com and put "BILIH" in the subject line to receive a free set of Block Guru posters!
Link to the BJA Education article on neuraxial anesthesia in patients wit...
Amit and Jeff are joined by two Emergency Medicine experts (and self-described Blockheads!) with a passion for keeping injured patients comfortable. Drs. Arun Nagdev and Andrew Goldsmith talk to us about the role of regional anesthesia in the ER, what blocks are high-impact, what exactly is meant by a "tube and lube rotation" for trainees, and more!
Link to the JAMA paper on regional anesthesia in the ER and complications: https...
In part 2, Amit and Jeff tackle probe positioning, needle trajectory and something called Pawa's Pleural Groan...Why is the PVB poised to have a renaissance? Should we block one level? Every level? What's the risk of pneumothorax and should this block be done in anti coagulated patients? (spoiler: 2 out of 2 hosts say YES!) Join us for all this and more as we round out this in-depth discussion into one of our FAVE block techniques....
In this episode, Amit and Jeff hold court while discussing the crown jewel of regional techniques, the paravertebral block. Join us for some controversies, debates and jokes while we give paravertebral anatomy and block technique the royal treatment.
Grab an eggnog & a mince pie or two and join Amit and Jeff for a frosty and festive finale to Season 2, featuring answers to some listener questions and a joyful round of dad jokes!
Links to things discussed:
University of Florida study on intercostobrachial nerve block: https://pubmed.ncbi.nlm.nih.gov/35308761/
Good paper explaining how regional anesthesia does NOT block ischemic pain: https://pubmed.ncbi.nlm.nih.gov/241...
In this engaging conclusion of our two-parter, we continue to share some laughs with the amazing Tanya Selak while discussing the value of SoMe collaboration, how to set boundaries when things get rough, and why she's NOT quitting Twitter (X) quite yet. In the meantime, Amit quotes Vanilla Ice, while Tanya seeks redemption as she gets another shot at the Dad-joke title.
Dope beats & phat lyrics...just two audacious dad MCs sharing the podcast origin story over some laid back West-coast flow.
Amit and Jeff welcome special guest Tanya Selak from Wooleng....Woolloongo....from Australia. Tanya shares her ideas on the role of regional anesthesia in contemporary practice, how and who we should be training procedural skills in anesthesia, and possibly wins the joke-off with the lads.
In the exciting conclusion of our abdominal wall block series, Amit and Jeff dive into QL blocks (and more!)...what's the deal with QL 1, 2 & 3? Does it REALLY get the whole abdomen? What is a Tequila block and how can I get one cuz it sounds delicious!? Join us for all this and a heapin' helping of the usual dad jokes...
Link to Jeff's QL video:
https://youtu.be/vrQ613SoQvI?si=tFzNdjNULvXbFkd_
Link to Amit's ESP video:
Is it advantageous to mix local anesthetics? Should we perform blocks in asleep patients? Why is the 'tucked vs untucked' scrub debate so fierce? 🤔 Join Amit and Jeff as they dive into these controversial issues and more!
Things we referenced during this episode:
Link to interscalene mixing study: https://pubmed.ncbi.nlm.nih.gov/21156983/
Link to interscalene sequence study: https://pubmed.ncbi.nlm.nih.gov/22798531/
Join Amit and Jeff for a continuing discussion on belly blocks--we take a deep dive on external oblique intercostal block, find out WHY rectus sheath block is just so darn easy and fun to do, and entertain offers of tummy massages...
Link to External Oblique Intercostal Block video:
https://youtu.be/EftwBnMVHOI?si=RC_ARcjCq0fuIGA1
Link to rectus sheath block videos:
Amit & Jeff are joined by special guest star Jonny Wilkinson from Northampton as we discuss the role of nerve blocks in the intensive care unit: Which blocks? Who does them? Which patients benefit? How do we best teach these? Laughs were had, sound effects were shared, but no possums were injured in the making of this episode.
The Northampton Critical Care site: https://criticalcarenorthampton.com/
Rectus, subcostal and TAP...oh my! In this episode, Amit and Jeff tackle belly blocks, and discuss anatomy, clinical decision-making, and their own tips learned the hard way for how to make the most out of abdominal fascial plane blocks.
Your patient had a latte six hours ago...is their stomach empty? BUT IS IT? Don't fret...there's a quick way to find out and in this tasty episode, Amit and Jeff digest the ins and outs of gastric point of care ultrasound (POGUS), answer some listener questions and compare finger injuries...
Links discussed in this episode:
Jeff's Gastric Pocus video: https://www.youtube.com/watch?v=4Kc5qVMGGPU
Cieslak article: https://pubmed.ncbi....
Amit and Jeff continue their tour of the upper limb, focusing on blocking the distal branches around the elbow, forearm and wrist. Also in this episode: discussion of listener questions about LAST, sharing of failed block stories, and somehow, weirdly, a reference to Paris Hilton.
Amit and Jeff take a tour of the brachial plexus, offering insights, stories, tips and "hold-nothing-back" hot takes regarding best blocks for the upper extremity.
In this Season 1 festive finale, Amit and Jeff round out the year by reflecting on previous fave moments from the podcast, answer some listener questions, and count down the 12 days of Block-mas...Happy Holidays!
What's in a name? That which we call iPACK by any other name would...well, actually, we're not sure. In this controversial episode Amit and Jeff debate (and disagree!) about proper naming conventions, the value of eponyms, and who has the right to name blocks. Stay tuned for CAPS, PECS, RAPTIR, SPANK, and more...
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