This week is #maternalsepsisweek . Sepsis remains a leading cause of preventable maternal mortality. Please watch April’s story (our valued research team member) highlighting missed opportunities and educational resources. Please share: m.youtube.com/watch?v=BLRAHp…

Birth Trauma Inquiry: Report calls for overhaul of maternity care - BBC News. Many of these themes were discussed at #OAA24ASM bbc.co.uk/news/articles/…

Simon Ash Yavor Metodiev 🏳️‍🌈🏴󠁧󠁢󠁷󠁬󠁳󠁿🇧🇬 *For clarity that was 40% across multiple deliveries in paper cited earlier. We research CS as if it’s a one off but for many it isn’t.

I agree with Simon Ash - patient choice is central, and for that we need patients to be well informed beforehand.

Now I agree at least partly with Yavor Metodiev 🏳️‍🌈🏴󠁧󠁢󠁷󠁬󠁳󠁿🇧🇬 that it’d be nice to know why people chose GA. BUT the most important part was that they were 1. given a choice and 2. it was respected. No matter where you sit on the “when in doubt put them out” debate, patient choice is central. It…

OAA and #OAA24ASM salutes the phenomenal Simon Ash for your indefatigable commitment to keeping the global #OBAnes community informed. Take a well-deserved bow. 👏👏👏 We look forward to welcoming you back to #OAA3DC24

Imagine if #anesthesia manuscript rejections came with this message!

Kudos to Emily Sharpe, MD, FASA for an excellent #SOAPAM2024 meeting
✅Thanks Xandra Schyns Lisa Leffert for the outstanding #PDPH Panel featuring שרון זינגר WouterSchievink
✅Inspiring #Ostheimer lecturer @MelissaEBauer
✅Pleasure catching up with friends
✅C u soon at #CASAM2024 #ANES24

The complete #SOAPAM2024 #Ostheimer lecture from Melissa E Bauer, D.O., FASA on “What’s new in #OBAnes ?” 🧵… so begins a whirlwind year of speaking for Melissa E Bauer, D.O., FASA and the countdown for Emily Sharpe, MD, FASA when she takes the reigns at #SOAPAM2025 .

Thanks so much for doing this!! You were missed at #SOAPAM2024 !

My last editorial board meeting as co-EIC w/ ObAnesthesiaDigest

The board is amazing & had so many great ideas to grow readership.

Do you subscribe and read OAD? The journal summarizes relevant #OBAnes literature and then features commentaries written by OB experts

#SOAPAM2024

So fun to see the rest of our Mayo Clinic Department of Anesthesiology projects to close out #SOAPAM2024

Katie Arendt MayoAnesthesiaResMN

#Anesthesiologist on annual #ACLS recertification?

I loved the neurosurgical perspective on the panel!

Great work Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 WouterSchievink שרון זינגר Xandra Schyns and Lisa Leffert for this excellent submisssion!

#SOAPAM2024

#SOAPAM2024

#PDPH the guidelines by Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿

jamanetwork.com/journals/jaman…

What conservative measures may be used to prevent or treat #PDPH (keep it simple!!!)

✅ 💊
✅ ☕️

8am-ish in Denver and time for a much anticipated session: PDPH beyond the guidelines. Moderated by Dr Lisa Leffert, featuring Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿, Xandra Schyns, שרון זינגר and WouterSchievink at #SOAPAM2024 #OBAnes

(HT: Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿, bless his heart, he knows I hate missing out)

#SOAPAM2024

The one and only Dr. Sharon Orbach Zinger on managing the cases with intrathecal catheters

Beyond the guidelines

✅ IT saline
✅ cosyntropin
✅ blocks
✅ epidural blood patch
✅ imaging
✅ long term follow up (how??)
✅ chronic back pain & mental health

#SOAPAM2024

Xandra Schyns on long term effects after #PDPH

😤 chronic back pain
😤 postpartum depression
😤 PTSD
😤 health related quality of life

Samer Narouze,MD,PhD,MMM What procedural interventions may be used in #PDPH ? Greater Occipital Nerve Block (GONB) has a moderate level of evidence. Fibrin glue may have a place. Is imaging required? Context specific! Especially if focal signs or changed level of consciousness. #SOAPAM2024 #OBAnes

Samer Narouze,MD,PhD,MMM EBP still the firm favourite in #OBAnes at #SOAPAM2024 . Contraindications? Risk of epidural hematoma is low (platelets >70k), no prophylactic antibiotics required. When and how? One space below, refractory to conservative +/- severe neurological symptoms, 15-20mL, strict aseptic…

#SOAPAM2024

“No guidelines for surgical approach to #PDPH with persistent CSF leak” WouterSchievink

✅ persistent symptoms (sometimes with normal imaging)
✅ ventral leaks (thru & thru dural punctures)
✅ cortical vein/dural sinus thrombosis
✅ chronic leaks