Block It Like It’s Hot

Jeff Gadsden & Amit Pawa

Your hosts Amit ”I Got The” Pawa and Jeff “Tha Notorious JCG” Gadsden discuss current issues in regional anesthesia & acute pain medicine and drop some tips on how to make your regional anesthesia workflow a blocker’s delight. read less
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POGUS or just BOGUS? Gastric Ultrasound for Hungry Regionalists!
Apr 15 2024
POGUS or just BOGUS? Gastric Ultrasound for Hungry Regionalists!
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/

Episodes

POGUS or just BOGUS? Gastric Ultrasound for Hungry Regionalists!
Apr 15 2024
POGUS or just BOGUS? Gastric Ultrasound for Hungry Regionalists!
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/
Forearmed is Forewarned: Bits and Bobs of the Plexus
Mar 15 2024
Forearmed is Forewarned: Bits and Bobs of the Plexus
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.
Numb Hands & Our Top Finger-Tips: RA for Upper Limbs
Feb 20 2024
Numb Hands & Our Top Finger-Tips: RA for Upper Limbs
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.
Jingle Gels and Merry Blockmas!
Jan 31 2024
Jingle Gels and Merry Blockmas!
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!
Say My Name, Say My Name: Nomenclature in Regional Anesthesia
Jan 12 2024
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...
Giving You the Cold Shoulder (Tips for Shoulder Surgery from Awake to Phrenic-Free)
Sep 29 2023
Giving You the Cold Shoulder (Tips for Shoulder Surgery from Awake to Phrenic-Free)
Amit & Jeff dive into blocks for shoulder surgery, going deep on innervation and exploring a variety of techniques to keep your shoulder patients happy and pain-free. Plus some shout outs, listener questions and a return of the word "gumph" (feel free to suggest alternative spellings...).
The 2023 RA-UK Roundup!
Aug 25 2023
The 2023 RA-UK Roundup!
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
Social Media, Cadavers and Workshops: Where Do We Learn RA Best?
Mar 22 2023
Social Media, Cadavers and Workshops: Where Do We Learn RA Best?
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.
Gadsden & Pawa’s Top Teaching Tips
Mar 10 2023
Gadsden & Pawa’s Top Teaching Tips
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.
Keeping A-breast of Chest Wall Blocks: Regional Anesthesia for Breast Surgery
Feb 17 2023
Keeping A-breast of Chest Wall Blocks: Regional Anesthesia for Breast Surgery
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!
Hip-Op-Hooray!
Feb 2 2023
Hip-Op-Hooray!
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.
Gadsden’s Gadgets & Pawa’s Paraphernalia: Our Fave Bits of Kit
Jan 20 2023
Gadsden’s Gadgets & Pawa’s Paraphernalia: Our Fave Bits of Kit
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.
I ”Kneed” To Know More
Jan 1 2023
I ”Kneed” To Know More
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.
ESPecially for you
Dec 15 2022
ESPecially for you
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.
Introduction to Block It Like It’s Hot: Who are Amit and Jeff?
Dec 1 2022
Introduction to Block It Like It’s Hot: Who are Amit and Jeff?
In our inaugural episode, Amit and Jeff learn a little bit about each other's backgrounds (amongst other things such as movies, Disney and fave Xmas foods) and discuss what we can expect from the podcast going forward.