

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
Jeff Gadsden & Amit Pawa
Your hosts Amit ”I Got The” Pawa and Jeff “Tha Notorious JCG” Gadsden discuss current issues in regional anesthesia, ultrasound-guided nerve blocks, pain medicine and POCUS, while dropping some tips on how to make your regional anesthesia workflow a blocker’s delight. Each episode dives into clinical pearls, emerging research, and practical POCUS tips (along with a lot of banter and dad jokes). Ideal for anesthesiologists, pain physicians, CRNAs, and trainees—subscribe and level up your perioperative or ICU practice.
Episodes
Mentioned books

10 snips
Jan 15, 2025 • 49min
S3:E1 "Paravertebral: The King of Nerve Blocks 👑 (Part I)"
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.
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!

Dec 15, 2024 • 1h 16min
S2:E12 "Season 2 Holiday Special! 🎄 (Where we discuss compartment syndrome, nerve injury, rebound pain and more!)"
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/24102987/
Puzzling paper attributing acute compartment syndrome after tibial shaft fracture to a femoral nerve block: https://pubmed.ncbi.nlm.nih.gov/8636198/
RAUK algorithm for managing nerve injury: https://www.ra-uk.org/index.php/12-guidelines/266-ra-uk-algorithm-for-management-of-nerve-injury-associated-with-regional-anaesthesia
Sternal hematoma block with catheter: https://pubmed.ncbi.nlm.nih.gov/16988309/
Paper on rebound pain (it's not a thing btw): https://pubmed.ncbi.nlm.nih.gov/33390261/
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!

Nov 15, 2024 • 33min
S2:E11 "Block it Like It's Hot Down Under Part II: Social Media and Medicine"
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.
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!

Nov 2, 2024 • 3min
S2:E10 "BONUS 'Episode': How You Gonna Block It? Rap Song"
Dope beats & phat lyrics...just two audacious dad MCs sharing the podcast origin story over some laid back West-coast flow.

Oct 15, 2024 • 50min
S2:E9 "Block it Like It's Hot Down Under Part I: Two Regional Anesthesia Tragics and a Social Media Queen"
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.
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!

6 snips
Sep 15, 2024 • 52min
S2:E8 "Keep It On the QL: The Secrets of Abdominal Wall Blocks (Part III)"
In this engaging discussion, Amit, who specializes in ESP techniques, and Jeff, a creator of instructional content on QL block procedures, explore the intricacies of quadratus lumborum blocks. They unpack the intriguing differences between QL 1, 2, and 3, and even introduce the whimsical concept of a "Tequila block." With a mix of medical insights and humor, they also share lighthearted travel tales and dad jokes, making serious topics more relatable and entertaining.

5 snips
Aug 15, 2024 • 1h 3min
S2:E7 :Summer Regional Anesthesia Controversy Spectacular!"
Join two lively hosts as they tackle intriguing medical controversies, like the pros and cons of mixing local anesthetics and the heated 'tucked vs untucked' scrub debate. They explore the challenges of performing nerve blocks on patients, whether awake or asleep, while balancing humor with technical insights. Discover the evolution of language with a generational twist and the adrenaline-fueled life of healthcare professionals. A heartfelt story and discussions on infection control add a delightful touch to this deep dive into the complexities of anesthesia and medical practices.

10 snips
Jul 15, 2024 • 45min
S2:E6 "It's Crunch Time: Abdominal Wall Blocks Part II"
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.

Jun 15, 2024 • 56min
S2:E5 "I.C.U. Baby, Blocking is Class: Blocks in Intensive Care with Jonny Wilkinson"
Special guest Jonny Wilkinson joins the hosts to discuss the role of nerve blocks in the ICU, emphasizing the benefits for patients. Topics include diverse specialists in intensive care, challenges of various blocks, and the importance of teamwork in performing ultrasound-guided nerve blocks.

9 snips
May 15, 2024 • 46min
S2:E4 "Top Tap Tips for Tums: Abdominal Wall Blocks (Part 1)"
Join hosts Amit and Jeff as they dive into the world of abdominal wall blocks, discussing anatomy, clinical decision-making, and tips for optimal outcomes. From exploring different block techniques to the evolution of analgesia methods in surgery, this episode is packed with informative and humorous banter. Learn about rectus, subcostal, and TAP blocks, and how to navigate the challenges of needle placement and continuous movement for postoperative comfort.