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.
Echogenic needles improve ultrasound visibility through corner-reflector design, particularly at steep insertion angles. Better needle localisation may help during regional anaesthesia, but increased brightness and operator confidence do not establish fewer nerve injuries or improved procedural safety.
Inflammation and immune signalling underpin proposed regenerative approaches to joint pain and peripheral neuropathy, with nerve hydrodissection, platelet-rich plasma and exosome-based treatments illustrating the important distinction between symptom improvement, tissue repair and evidence of genuine regeneration.
Ultrasound-guided regional anaesthesia training should prioritise transferable scanning and needle-control skills, a manageable core set of Plan A blocks and supervised hands-on practice, while recognising that absent nerve stimulation does not exclude close needle–nerve proximity.
Anaesthesia, perioperative and regional-block teams get a practical discussion of transmuscular quadratus lumborum block, ultrasound endpoints, hydrodissection, nerve stimulation and block-room flow. The safety thread is immediate and practical: the final side check should happen just before needle insertion, with an empowered assistant and a restart after interruption.
Regional anaesthesia is framed as a team process, not just a block technique. The focus is on pre-operative messaging, block-room workflow, trauma analgesia for pelvic, rib and long-bone fractures, and practical scanning habits for knee and axillary block practice.
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