

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

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.

Apr 15, 2024 • 52min
S2:E3 "POGUS or BOGUS? Gastric Ultrasound for Hungry Doctors!"
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. In this tasty episode, Amit and Jeff digest the ins and outs of gastric point of care ultrasound (POGUS), how to reduce the risk of aspiration, discuss challenges with fasting guidelines, and 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.nlm.nih.gov/32234201/
Baettig article: https://pubmed.ncbi.nlm.nih.gov/37587543/
History of fasting guidelines article (gastric fistula observation!): https://pubmed.ncbi.nlm.nih.gov/17080690/
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, patient safety and perioperative care!

18 snips
Mar 15, 2024 • 1h
S2:E2 "Forearmed is Forewarned: Nerve blocks for median, ulnar, radial and other distal nerves of the upper limb"
Amit and Jeff discuss nerve blocks in the upper limb, including around the elbow, forearm, and wrist. They share failed block stories, address listener questions about LAST, and somehow bring up Paris Hilton. Also, they touch on challenges of moving to electronic consent forms in medical practices.

11 snips
Feb 20, 2024 • 1h 2min
S2:E1 "Numb Hands & Our Top Finger-Tips: Nerve Blocks for Upper Limbs"
Hosts discuss nerve block options for upper limb surgeries, optimizing techniques for precision and safety. They explore ultrasound guidance, tourniquet pain, opioid-free anesthesia, and the decision-making process for selecting nerve block techniques.

Jan 31, 2024 • 1h
S1:E12 "Jingle Gels and Merry Blockmas! Season 1 Holiday Special"
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!
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, patient safety and perioperative care!

Jan 12, 2024 • 52min
S1:E11 "Say My Name, Say My Name: Nomenclature in Regional Anesthesia"
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...
Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, patient safety and perioperative care!