Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS – Details, episodes & analysis

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/

Link to Jeff's "Mythbusters" video on mixing local anesthetics: https://youtu.be/RIDTp7OmR8s?si=WPf6IGcW2RRc_cpl

Link to article on risk associated with blocks under GA, sedated and awake: https://pubmed.ncbi.nlm.nih.gov/27355866/

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! 

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:

https://youtu.be/8jZG-w94srQ?si=wKUZbwn0zlztNSdl

https://youtu.be/De1hjejTLBY?si=5pDKU_xAW62KJ5Wi

Article on surgeon's attitudes towards regional anesthesia: https://pubmed.ncbi.nlm.nih.gov/15105236/

Article on rectus sheath vs. thoracic epidural: https://pubmed.ncbi.nlm.nih.gov/26414363/

Good salmon recipe: https://tinyurl.com/mr3rd49e

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 & 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! 

Hips don't lie, and Amit & Jeff are here to tell the truth (or at least...share their unvarnished thoughts) about how best to provide anesthesia and analgesia for hip arthroplasty. Whether you're a fan of spinal, GA, lumbar plexus, QL or PENG, there's something for everyone in this episode to keep us true to our hip-ocratic oath to keep patients safe and comfy.

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! 

We. Love. Tech. And all the fun gadgets and cool pieces of cutting-edge equipment that make learning, teaching and practicing regional anesthesia fun and safe. In this episode, Amit & Jeff discuss the innovative and useful bits of gear that they use in their practice, as well as several more that they can't wait to get their hands on.

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! 

Femoral triangle vs. adductor? iPACK vs. surgical infiltration? Wait...geniculars, what?! In this episode, Amit & Jeff discuss ALL the ways to keep total knee patients comfortable while reducing side effects and getting these patients moving and out the door. Listen in to hear the anatomic basis for why we do these blocks and some tips and tricks for making them work for you.

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! 

Are you an ESP lover or hater? In this episode, Amit and Jeff discuss all things erector spinae plane block and manage to touch on mechanisms, the controversy about ventral spread, which surgical procedures it works best for, and most importantly, share some tips and tricks to make sure that it DOES work for you in your practice. 

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!