Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S2:E6 "It's Crunch Time: Abdominal Wall Blocks Part II"
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Jul 15, 2024 Join the hosts as they dive into belly blocks, including external oblique intercostal and rectus sheath blocks. They discuss surgeon attitudes towards regional anesthesia, share a good salmon recipe, and explore advanced techniques for optimizing pain management in abdominal blocks.
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Speed With Safety In Training
- Geoff timed fellows performing knee injections and praised a fellow who completed a full protocol in under six minutes.
- He emphasized safety and efficiency, encouraging trainees to streamline techniques responsibly.
Surgeon Resistance Is Often About Time
- Surgeons' resistance to blocks is often driven by time concerns rather than clinical value.
- Engaging teams and streamlining block workflows improves acceptance without sacrificing safety.
External Oblique Intercostal Block Technique
- Place the probe at the xiphoid then laterally just past the nipple line to identify the rib and external oblique muscle.
- Inject 25–30 mL per side in-plane from cephalad→caudad and take care with breast tissue and shallow trajectory.