Category Archives: Regional

Episode 253: The Acute Pain Service with Drs. Segna, Rayaz, Jaremko and Barnhart

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 253: The Acute Pain Service with Drs. Segna, Rayaz, Jaremko and Barnhart
/

In this 253rd episode I welcome Drs. Segna, Rayaz, Jaremko and Barnhart to the show to discuss the acute pain service, how to formulate a multimodal acute pain regimen for a patient, and how to think about the various medications involved.

CME: Link

Dr. Barnhart is available at rbarnha3@jhmi.edu

Dr. Jaremko is on Twitter @Neuro_Kellie and email kjaremk1@jh.edu

Dr. Rayaz is on Twitter @hrayaz1 and email hrayaz1@jhmi.edu

The Regional Pain Group is on Twitter @JHH_NoPainTeam

Random Recs:

A short history of nearly everything

The Mandalorian

Mardi Gras

White Lotus

Mindset

Episode 218: The REGAIN trial with Mark Neuman

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 218: The REGAIN trial with Mark Neuman
/

In this 218th episode I welcome Dr. Mark Neuman to the show. Dr. Neuman is the PI of the REGAIN trial, published in the NEJM which compared spinal and sedation vs. GA for hip surgery. We discuss the trial and the results.

CME: https://earnc.me/3F73Hw

Show notes by Edison

Random Recs:

Women of Impact in Anesthesiology: Link

Moby Dick: https://en.wikipedia.org/wiki/Moby-Dick

Episode 201: The Simplified Adductor Canal Block with Jeff Swenson

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 201: The Simplified Adductor Canal Block with Jeff Swenson
/

In this 201st episode I welcome Dr. Jeff Swenson to the show to discuss his invention of the original adductor canal block and why he is now doing a simplified version.

CME: https://earnc.me/6TDVbA

Dr. Swenson’s email is: jeff.swenson@hsc.utah.edu

Random Recs:

Grant: https://www.amazon.com/Grant-Ron-Chernow/dp/159420487X

Depth of Anesthesia ETT size episode: https://podcasts.apple.com/us/podcast/21-should-smaller-endotracheal-tubes-be-used-for-elective/id1461664155?i=1000509350499

Episode 184: Truncal Blocks with Drs. Segna and Rayaz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 184: Truncal Blocks with Drs. Segna and Rayaz
/

In this 184th episode I welcome back Drs. Kara Segna and Hassan Rayaz to discuss truncal blocks. We discuss rectus sheath, transversus abdominis plane, quadratus lumborum and erector spinae plane blocks.

CME: https://earnc.me/nsqYPf

Random Recs:

The Wirecutter: https://www.nytimes.com/wirecutter/

How to be an anti-racist: Link

Instant Hotel: https://www.netflix.com/title/81023011

Love Island Australia: https://en.wikipedia.org/wiki/Love_Island_Australia

Episode 163: Thoracic Wall Blocks with Barbara Versyck

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 163: Thoracic Wall Blocks with Barbara Versyck
/

In this 163rd episode I welcome Dr. Barbara Versyck to the show to discuss thoracic wall blocks. We discuss the types of blocks, what they are used for, and what the evidence is for their efficacy.

CME: https://earnc.me/4hNt3X

References:

Videos: 

Pecs II: https://www.youtube.com/watch?v=YFWneF4pwOA

Serratus Anterior block: https://www.youtube.com/watch?v=K2w46jjMgfMErector

Spinae plane block: https://www.youtube.com/watch?v=EVowRjEFUfk

Literature: 

Chin, Ki Jinn. “Thoracic wall blocks: from paravertebral to retrolaminar to serratus to erector spinae and back again–a review of the evidence.” Best Practice & Research Clinical Anaesthesiology (2019).

Versyck, B., G‐J. van Geffen, and K‐J. Chin. “Analgesic efficacy of the Pecs II block: a systematic review and meta‐analysis.” Anaesthesia 74.5 (2019): 663-673.

Poster: 

https://www.bbraun.com/content/dam/catalog/bbraun/bbraunProductCatalog/S/AEM2015/en-01/b9/thoracic-wall-blocks-forbreastcancersurgery.pdf.bb-.98924081/thoracic-wall-blocks-forbreastcancersurgery.pdf

Episode 150: Keywords Part 6: Supraclavicular, Axillary and Benzos

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 150: Keywords Part 6: Supraclavicular, Axillary and Benzos
/

In this 150th episode I welcome back Dr. Gillian Isaac to do another round of ABA keywords. We discuss 2 additional upper extremity blocks (supraclavicular and axillary) and then benzodiazepines.

CME: https://earnc.me/4aBzu8

Episode 147: Lower Extremity Nerve Blocks Part 2: Front of Leg

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 147: Lower Extremity Nerve Blocks Part 2: Front of Leg
/

In this 147th episode I welcome back Drs. Segna and Rayaz to finish up our discussion of lower extremity nerve blocks. This time we cover the front of leg blocks (femoral, adductor canal, fascia iliaca and obturator).

CME: https://earnc.me/AyfE0B

Episode 139: Keywords Part 5: Succinylcholine and Interscalene Block

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 139: Keywords Part 5: Succinylcholine and Interscalene Block
/

In this 139th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, succinylcholine and interscalene brachial plexus block.

CME: https://earnc.me/WBEa4s

Episode 138: Lower Extremity Blocks Part 1: Ankle and Sciatic

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 138: Lower Extremity Blocks Part 1: Ankle and Sciatic
/

In this 138th episode I welcome Drs. Segna and Rayaz back to the show to discuss lower extremity nerve blocks. We cover the ankle block and sciatic nerve block approaches today and will cover the anterior leg in a later episode.

CME: https://earnc.me/oFIwW1

The Medium Article: https://medium.com/@admiralcloudberg/the-near-crash-of-air-canada-flight-759-c61094867d45

Episode 127: Upper Extremity Blocks with Drs. Segna and Rayaz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 127: Upper Extremity Blocks with Drs. Segna and Rayaz
/

In this 127th episode I welcome Drs. Segna and Rayaz to the show to discuss upper extremity nerve blocks. We discuss how they’re done, what they’re done for, and some high yield board style questions that may come up based on them.

CME: https://earnc.me/enjJHh

References:

Hadzic, Admir. Hadzic’s textbook of regional anesthesia and acute pain management. McGraw Hill Professional, 2017.

Hall, Brian A., and Robert C. Chantigian. Anesthesia: A Comprehensive Review E-Book. Elsevier Health Sciences, 2014.

Horlocker, Terese T., Erik Vandermeuelen, Sandra L. Kopp, Wiebke Gogarten, Lisa R. Leffert, and Honorio T. Benzon. “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines.” Regional anesthesia and pain medicine43, no. 3 (2018): 263-309.

Interscalene:

Supraclavicular:

Infraclavicular:

Axillary:

https://www.nysora.com/techniques/upper-extremity/