Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS

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! 

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.

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.

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! 

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! 

Shoulder surgery blocks and techniques are explored in this episode, including innervation, brachial plexus blocks, and the controversy surrounding terminology. Pain management techniques and the use of adjuvants are also discussed, along with awake shoulder surgery techniques and monitoring methods.

Amit & Jeff are back to dissect (yes, intended) the amazing lineup of speakers, talks, workshops and live demos at the 2023 RA-UK Annual Scientific Meeting that was held in Newcastle, UK in May. Couldn't make it but want to hear the highlights? Want to know who won the long-awaited pro-con debate? Ok, ok, we'll leave that one to you to decide...but tune in to hear our thoughts on the rest of the exciting meeting!   Links: RA-UK Meetings website: https://www.ra-ukmeetings.com Amit & Jeff's pro-con debate on the value of nerve stimulation: https://www.youtube.com/watch?v=oRiPOnX_cWs   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! 

What’s the best source for RA education? Are textbooks dead? Is it all YouTube and Insta? What about live scanning and cadaver labs? In this episode, Part two of our three-part series on education and teaching, Amit and Jeff discuss the best methods for imparting regional anesthesia wisdom (ironic, given the hosts) in 2023. No jellies were harmed in the making of this episode.    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! 

Teaching regional anesthesia knowledge and skills is a huge and rewarding part of our practice. This episode is the first in a special three-part series aimed at discussing how best to educate the next generation of regional anesthesiologists. Oh, and the usual tomfoolery, accents and jokes.   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! 

Is PVB the answer? Or does PECS suffice? Do we need to get the anterior cutaneous branches? How about the axilla? In this episode, Amit & Jeff discuss how to provide top-notch anesthesia and analgesia for breast surgery, including a step-by-step, how-to recipe for awake mastectomy cases. Featuring a special guest appearance by Holt Gadsden!   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!