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

Your hosts Amit ”I Got The” Pawa and Jeff “Tha Notorious JCG” Gadsden discuss current issues in regional anesthesia, ultrasound-guided nerve blocks, pain medicine and POCUS, while dropping some tips on how to make your regional anesthesia workflow a blocker’s delight. Each episode dives into clinical pearls, emerging research, and practical POCUS tips (along with a lot of banter and dad jokes). Ideal for anesthesiologists, pain physicians, CRNAs, and trainees—subscribe and level up your perioperative or ICU practice.
Episodes
Episodes



Sunday Jun 15, 2025
Sunday Jun 15, 2025
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!



Sunday Jun 01, 2025
S3:E7 "Live from the Block Box Part Deux ✌️"
Sunday Jun 01, 2025
Sunday Jun 01, 2025
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!



Thursday May 15, 2025
S3:E6 "Live from the GE Healthcare Block Box Part I 🎤"
Thursday May 15, 2025
Thursday May 15, 2025
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!



Tuesday Apr 15, 2025
S3:E5 "Somebody call 911! Blocks in the ER Part II 🚑"
Tuesday Apr 15, 2025
Tuesday Apr 15, 2025
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/



Wednesday Apr 02, 2025
S3:E4 "Spinal anesthesia with Robbie Erskine!"
Wednesday Apr 02, 2025
Wednesday Apr 02, 2025
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



Friday Mar 14, 2025
S3:E3 "Somebody call 911! Blocks in the ER 🚨"
Friday Mar 14, 2025
Friday Mar 14, 2025
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



Saturday Feb 15, 2025
S3:E2 "Paravertebral: The King of Blocks 🤴 (Part 2)"
Saturday Feb 15, 2025
Saturday Feb 15, 2025
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/



Wednesday Jan 15, 2025
S3:E1 "Paravertebral: The King of Blocks 👑 (Part I)"
Wednesday Jan 15, 2025
Wednesday Jan 15, 2025
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.

Block It Like It's Hot
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.