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

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! 

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! 

Dope beats & phat lyrics...just two audacious dad MCs sharing the podcast origin story over some laid back West-coast flow. 

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! 

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

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 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 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/

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! 

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. 

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! 

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!