Block It Like It’s Hot

In the exciting conclusion of our abdominal wall block series, Amit and Jeff dive into QL blocks (and more!)...what's the deal with QL 1, 2 & 3? Does it REALLY get the whole abdomen? What is a Tequila block and how can I get one cuz it sounds delicious!? Join us for all this and a heapin' helping of the usual dad jokes...

Link to Jeff's QL video:

https://youtu.be/vrQ613SoQvI?si=tFzNdjNULvXbFkd_

Link to Amit's ESP video:

https://youtu.be/EJDBnzOfmms?si=QnDGjxTWzuffW0gP

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 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

Amit & Jeff are joined by special guest star Jonny Wilkinson from Northampton as we discuss the role of nerve blocks in the intensive care unit: Which blocks? Who does them? Which patients benefit? How do we best teach these? Laughs were had, sound effects were shared, but no possums were injured in the making of this episode.

The Northampton Critical Care site: https://criticalcarenorthampton.com/

Rectus, subcostal and TAP...oh my! In this episode, Amit and Jeff tackle belly blocks, and discuss anatomy, clinical decision-making, and their own tips learned the hard way for how to make the most out of abdominal fascial plane blocks. 

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 and in this tasty episode, Amit and Jeff digest the ins and outs of gastric point of care ultrasound (POGUS), 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/

Amit and Jeff continue their tour of the upper limb, focusing on blocking the distal branches around the elbow, forearm and wrist. Also in this episode: discussion of listener questions about LAST, sharing of failed block stories, and somehow, weirdly, a reference to Paris Hilton.

Amit and Jeff take a tour of the brachial plexus, offering insights, stories, tips and "hold-nothing-back" hot takes regarding best blocks for the upper extremity. 

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!

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...