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Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
Jeff Gadsden & Amit Pawa
36 episodes
4 days ago
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Medicine
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All content for Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS is the property of Jeff Gadsden & Amit Pawa and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
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Episodes (20/36)
Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3 E12: "Emoji-ologist Dr. Jordana Garbati! 🤩🪩"
In this fascinating episode, Amit and Jeff interview Dr. Jordana Garbati, an “emoji-ologist” 😎 who has researched and lectured internationally about the use of emoji as language. For something we use every day, we sure had a lot of questions: are we using these correctly? Are there ways to be misinterpreted? Is it ok to emoji your boss? What emoji are useful in communicating with colleagues or patients? If you’ve ever wondered how emoji get chosen to be on your phone, or if you wanna understand how luxury brands and birdwatchers are using emoji, then stay tuned.  🧠💉🧊🔥🎙️🤓🧀🤦‍♂️   Dr. Garbati's University of Toronto profile: https://www.utm.utoronto.ca/isup/people/jordana-garbati Dr. Garbati's lab website: http://thescrl.com/ Dr. Garbati's LinkedIn page: https://ca.linkedin.com/in/jordana-garbati Dr. Garbati's X/Twitter: @DrGarbati   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! 
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4 days ago
1 hour 4 minutes 48 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3 E11: "Block Box 4: Our convo with Kwesi Kwofie and Kris Schroeder!"
Our two hosts sit down for a stimulating (yes, intended) conversation with Kwesi Kwofie from Dalhousie University in Halifax, Canada, who gets down and dirty about needle nerve contact and nerve injury. Where exactly should we put the needle when performing a supraclavicular brachial plexus block? Or...is the supraclav dead?!! Why is periplexus preferred over intraplexus when doing interscalene brachial plexus blocks? Oh, and Kwesi might just win the joke contest. But wait, not to outdone, we follow up with Kristopher Schroeder from the University of Wisconsin, who educates us about raaaaaanch dressing, cheese curds, and gets us thinking about artificial intelligence and anesthesiology--is it ok to use generative AI to write a reference letter for a colleague? What is 'sentiment analysis' and do we have to read the whole paper anymore? Can AI help in decision-making surrounding transfusion practices? For all this and much much more, tune in to this fascinating episode. 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! 
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2 weeks ago
55 minutes 46 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3 E10: "Our conversation with Admir Hadzic (Part 2)"
Amit and Jeff continue their fascinating dive into the mind and life of Admir Hadzic, author, innovator, founder of NYSORA, brewer of fine beer, bassist and sports car nut. In this episode we discuss standardization in regional anesthesia, the future of textbooks in medicine, how sedated DO patients really want to be for nerve blocks, what it's like to drive a Ferrari to your next gig, and (because we don't shy away from cont-rah-versy, Admir's passionate thoughts and feelings on why there IS a difference between spinal and general for hip fracture and where some of the recent data may be more harmful than helpful for patients.  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! 
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1 month ago
49 minutes 10 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E9 "Block Box part 3: A conversation with Stuart Grant, Steve Coppens & Gary Schwartz"
Amit and Jeff are still (!) sweating it out in the block box, and have the good fortune to be joined by three wonderful guests: Stuart Grant from the University of North Carolina, Steve Coppens from the Catholic University of Leuven, and Gary Schwartz from Maimonides Medical Center in NYC. We cover such topics as peripheral nerve stimulation for looooong term pain control, the value of the ESP (and where it might just be hype--I'm talking to you, bunionectomy), the struggle of teaching residents AND fellows in the same institution, and cryoanalgesia of the cuties and intercostal nerves and what that means for patients both before their operations and after. Oh, and maybe why you shouldn't let your colleagues (or your trainees) stick needles in your back...   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! 
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1 month ago
59 minutes 54 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E8 "Blocks, Books, Blues, Beer and Belgium: Our chat with Admir Hadzic (Part I)"
He's the founder of NYSORA, a rock-blues bassist, and a lover of fine beer and finer automobiles. We had a ton of fun chatting with Admir Hadzic about the his origin story, how he has been able to reinvent himself and his focus, and how to NOT live your life in "thirds". Over three decades, Admir has built a global educational brand while running a highly efficient regional anesthesia service in New York and now Belgium, and he shares his secrets on how he's been able to build a team, create value, and not get bogged down in things that aren't moving the mission forward. Cheers! 
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2 months ago
58 minutes 22 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E7 "Block Box Part 2: A conversation with Ed Mariano, Eleni Moka and Michael Bullock"
Our star-studded guest list continues live from the GE Healthcare Block Box at ASRA Spring 25! In this episode we interview Ed Mariano, Eleni Moka, and Michael Bullock, and get their answers to such questions as: What platforms work best for social media? How do we bring RA education to under-resourced parts of the globe? What is the mechanism of tourniquet hypertension and what's a clever trick to obviate that? Why is Jeff so $&*# at accents? And more! No cuts, no edits, no bleeps -- just hard-hitting investigative journalism and--oh, wait, I'm being told that's not what we do. Either way, enjoy!   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! 
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2 months ago
1 hour 6 minutes 11 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E6 "Live from the GE Healthcare Block Box Part I 🎤: A conversation with James Kim, Sandy Kopp and Nadia Hernandez"
Wine, flamingos, and a glass box…this is NOT your typical BILIH episode...Amit and Jeff join you from the ASRA Spring Annual Meeting 2025 in Orlando, Florida, where they recorded live interviews with over a dozen influential thinkers in regional anesthesiology. Join us as we chat and laugh with James Kim, Sandy Kopp and Nadia Hernandez over discussions of POCUS, probe covers, catheters, the NEW anticoagulation guidelines, and much much more!   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! 
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3 months ago
1 hour 9 minutes 52 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E5 "Somebody call 911! Nerve 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/   Blockheads website: www.blockheads-em.com   5 Minute Sono: https://coreultrasound.com/5ms/   POCUS Atlas: https://www.thepocusatlas.com/   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!   
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4 months ago
37 minutes 16 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E4 "Spinal 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 to Robbie's review article on ambulatory spinal anesthesia:   https://www.bjaed.org/article/S2058-5349(19)30107-6/fulltext  
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4 months ago
1 hour 27 minutes 28 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E3 "Somebody call 911! Nerve 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   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! 
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5 months ago
51 minutes 47 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E2 "Paravertebral: The King of Nerve 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.nih.gov/33990438/   Link to the paper on intermittent bolus vs continuous infusion for PV catheters: https://pubmed.ncbi.nlm.nih.gov/30674696/   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! 
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6 months ago
52 minutes 21 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S3:E1 "Paravertebral: The King of Nerve 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.   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! 
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7 months ago
49 minutes 12 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E12 "Season 2 Holiday Special! 🎄 (Where we discuss compartment syndrome, nerve injury, rebound pain and more!)"
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!   
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8 months ago
1 hour 16 minutes 18 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E11 "Block it Like It's Hot Down Under Part II: Social Media and Medicine"
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! 
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9 months ago
32 minutes 31 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E10 "BONUS 'Episode': How You Gonna Block It? Rap Song"
Dope beats & phat lyrics...just two audacious dad MCs sharing the podcast origin story over some laid back West-coast flow. 
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9 months ago
2 minutes 53 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E9 "Block it Like It's Hot Down Under Part I: Two Regional Anesthesia 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.    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! 
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10 months ago
49 minutes 56 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E8 "Keep 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  
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11 months ago
52 minutes 18 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E7 :Summer Regional Anesthesia 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 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! 
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1 year ago
1 hour 2 minutes 54 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E6 "It's Crunch Time: Abdominal Wall Blocks Part II"
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! 
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1 year ago
45 minutes 27 seconds

Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS
S2:E5 "I.C.U. Baby, Blocking is Class: Blocks in Intensive Care with Jonny Wilkinson"
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! 
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1 year ago
56 minutes 18 seconds

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