Shows
Block It Like It’s HotSomebody call 911! Blocks in the ER Part II 🚑Clear!!! In the exciting conclusion to our two-parter on blocks in emergency medicine, things get real as the co-hosts debate Arun and Andrew over the ideal block for hip fracture, a slick way to reduce a shoulder dislocation, cheeky femoral blocks, and the role of fascial plane blocks in the ED.
Links:
The sponsor of this episode is GE Healthcare Venue Family of Ultrasound Machines: https://tinyurl.com/gehealthcarevenue
Article on spontaneous reduction hip dislocation after PENG block: https://pubmed.ncbi.nlm.nih.gov/39781033/
Blo...2025-04-1537 minBlock It Like It’s HotSpinal anesthesia with Robbie Erskine!Amit and Jeff are joined by Dr. Robbie Erskine from Daaaarrby, UK, sharing his immense wealth of knowledge and experience (and which Bond film is his fave) on spinal anesthesia technique and how to make ambulatory spinals work for everyone!
Remember to email: info@pajunk.com and put "BILIH" in the subject line to receive a free set of Block Guru posters!
Link to the BJA Education article on neuraxial anesthesia in patients with challenging anatomy:
https://www.bjaed.org/article/S2058-5349(23)00154-3/fulltext
Link...2025-04-021h 27Block It Like It’s HotSomebody call 911! Blocks in the ER 🚨Amit and Jeff are joined by two Emergency Medicine experts (and self-described Blockheads!) with a passion for keeping injured patients comfortable. Drs. Arun Nagdev and Andrew Goldsmith talk to us about the role of regional anesthesia in the ER, what blocks are high-impact, what exactly is meant by a "tube and lube rotation" for trainees, and more!
Link to the JAMA paper on regional anesthesia in the ER and complications: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2826105
2025-03-1451 minBlock It Like It’s HotParavertebral: The King of Blocks 🤴 (Part 2)In part 2, Amit and Jeff tackle probe positioning, needle trajectory and something called Pawa's Pleural Groan...Why is the PVB poised to have a renaissance? Should we block one level? Every level? What's the risk of pneumothorax and should this block be done in anti coagulated patients? (spoiler: 2 out of 2 hosts say YES!) Join us for all this and more as we round out this in-depth discussion into one of our FAVE block techniques. Oh, and jokes. Always the jokes.
Link to the Cho study on paravertebral micro-CT anatomy:
https://pubmed.ncbi.nlm...2025-02-1552 minBlock It Like It’s HotParavertebral: The King of Blocks 👑 (Part I)In this episode, Amit and Jeff hold court while discussing the crown jewel of regional techniques, the paravertebral block. Join us for some controversies, debates and jokes while we give paravertebral anatomy and block technique the royal treatment.
2025-01-1549 minBlock It Like It’s HotSeason 2 Holiday Special! 🎄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 bloc...2024-12-151h 16Block It Like It’s HotBILIH Down Under Part II: Social Media and MedicineIn 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.
2024-11-1532 minBlock It Like It’s HotBONUS "episode": How You Gonna Block It?Dope beats & phat lyrics...just two audacious dad MCs sharing the podcast origin story over some laid back West-coast flow.
2024-11-0202 minBlock It Like It’s HotBILIH Down Under Part I: Two RA Tragics and a Social Media Queen.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.
2024-10-1549 minBlock It Like It’s HotKeep It On the QL: The Secrets of Abdominal Wall Blocks (Part III)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
2024-09-1552 minBlock It Like It’s HotSummer Controversy Spectacular!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 arti...2024-08-151h 02Block It Like It’s HotIt's Crunch Time: Abdominal Blocks Part IIJoin 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...2024-07-1545 minBlock It Like It’s HotI.C.U. Baby, Blocking is Class: Blocks for IntensivistsAmit & 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/
2024-06-1556 minBlock It Like It’s HotTop Tap Tips for Tums: Abdominal Wall Blocks (Part 1)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.
2024-05-1545 minBlock It Like It’s HotPOGUS 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...2024-04-1552 minBlock It Like It’s HotForearmed is Forewarned: Bits and Bobs of the PlexusAmit 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.
2024-03-151h 00Block It Like It’s HotNumb Hands & Our Top Finger-Tips: RA for Upper LimbsAmit 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.
2024-02-201h 02Block It Like It’s HotJingle 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!
2024-01-311h 00Block It Like It’s HotSay My Name, Say My Name: Nomenclature in Regional AnesthesiaWhat'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...
2024-01-1251 minBlock It Like It’s HotGiving 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...).
2023-09-2959 minBlock It Like It’s HotThe 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 s...2023-08-2546 minBlock It Like It’s HotSocial 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.
2023-03-2248 minBlock It Like It’s HotGadsden & Pawa’s Top Teaching TipsTeaching 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.
2023-03-1048 minBlock It Like It’s HotKeeping A-breast of Chest Wall Blocks: Regional Anesthesia for Breast SurgeryIs 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!
2023-02-1753 minBlock It Like It’s HotHip-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.
2023-02-0242 minBlock It Like It’s HotGadsden’s Gadgets & Pawa’s Paraphernalia: Our Fave Bits of KitWe. 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.
2023-01-2047 minBlock It Like It’s HotI ”Kneed” To Know MoreFemoral 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.
2023-01-0157 minBlock It Like It’s HotESPecially for youAre 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.
2022-12-1545 minBlock It Like It’s HotIntroduction 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.
2022-12-0131 min