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Description
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.
23 Episodes
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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.
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.
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...
1Amit & 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...).
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
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.
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.
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!
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.
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.
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Thinking about Joel's case, I think that the 'safety margin' afforded by the adrenaline doesn't apply to perivascular local anaesthetic. The adrenaline is supposed to slow resorption via capillaries and small vessels, but that won't work next to a big artery/vein.