Simon Ash Profile picture
May 4 13 tweets 15 min read Twitter logo Read on Twitter
Dr Veronica Gillespie-Bell presents on Addressing the Maternal Health Crisis at #SOAPAM2023 - she speaks fast so bare with a delay 😉 ImageImage
Maternal M&M is a public health crisis. Scope of problem in USA, worst performing developed country, consistently increasing. #OBAnes #SOAPAM2023 ImageImageImageImage
Racial disparity is starkly demonstrated, it’s worsening. Maternity Care deserts is a very real problem (also in Canada). Cardiovascular conditions are leading cause of pregnancy-related deaths. #SOAPAM2023 ImageImageImageImage
Moving beyond the numbers - what do Maternal Mortality Review Committees (MMRC) do? Louisiana as example going forward. Process overview. #SOAPAM2023 ImageImageImageImage
Definitions. A Snapshot of Louisiana MMRC #OBAnes findings. Leading causes Pregnancy-associated vs Pregnancy-related. Compare to @mbrrace? #SOAPAM2023 ImageImageImageImage
Disparities in care based on race worsening for Black Americans, and similar to @mbrrace findings regarding social deprivation. #OBAnes #SOAPAM2023 ImageImage
@NOLAobgyn introduces recommendations for prevention of maternal M&M. Several places to intervene for numerous stakeholders. Priority areas list - surely #OBAnes can find something on this list? #SOAPAM2023 ImageImageImage
Using Data for action. Goals for prevention (priorities above) are more than just Maternal Mortality (the tip of the Iceberg). The pathway to improvement is through the lens of equity (@LateralTilt can check correct usage) Critical collaborations from the cogs in the machine… twitter.com/i/web/status/1… ImageImageImageImage
LaPQC support EBM to promote safe, equitable & dignified birth in the form of a partnership with local teams #SOAPAM2023 ImageImage
AIM improves quality through #patientsafety bundles, of which there are multiple. Bundles share common components for respectful care. Obstetric hemorrhage as an example. #SOAPAM2023. ImageImageImageImage
17 years for translational research to go into practice! Driver diagram explaining a change program. What does partnership look like? #SOAPAM2023 ImageImageImage
Reducing maternal morbidity (the iceberg that lies beneath the water). Some successes. LaPQC programs. #SOAPAM2023 ImageImageImage
@NOLAobgyn provides a succinct summary for a complex topic. AIM program statement. References. #SOAPAM2023 ImageImageImage

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More from @OBsleepmerchant

May 6
@hnixon147 presents a very important topic - Optimizing Intraoperative Anesthesia: What can we do to improve care? #OBAnes #SOAPAM2023 ImageImage
A case: “Jennifer” 37 week primup, for induction. Receives epidural, works well for 10h, then requires top-up which is successful.

She chuffs along but eventually stalls. A section is called.

In OR, pinprick and Alice test passed. However, she quickly becomes +++ anxious.… twitter.com/i/web/status/1… ImageImage
The patient is a physician, in same hospital. Feedback given. 9months post partum STILL having flashbacks, PTSD: #OBAnes #SOAPAM2023 ImageImageImage
Read 30 tweets
May 5
#SolShnider track begins with Dr Tiffany Angelo introducing @bscottsegal to start the protocolization in #OBAnes debate vs @HansSviggum at #SOAPAM2023 Image
@bscottsegal will lead off with the PRO argument for protocolization in #OBAnes #SOAPAM2023 ImageImage
The early years - ICU is where it started, treating critically ill patients (no #OBAnes yet) #SOAPAM2023 ImageImageImage
Read 16 tweets
May 5
Dr Vernon Ross begins Fred Hehre Lecture at #SOAPAM2023
The first African American to do so. ImageImage
The Fred Hehre story 1.
#SOAPAM2023 ImageImageImageImage
The Fred Hehre story 2.
#SOAPAM2023 ImageImageImageImage
Read 40 tweets
May 5
@MedgeOwenMD introduces Dr Vernon Ross for the Fred Hehre Lecture. #SOAPAM2023 #OBAnes Image
Fact 1. Family Man - in person, at @WakeAnesthesia and at @KybeleWorldwide #SOAPAM2023 ImageImageImage
Fact 2. His mom’s uterus endowed him with sports knowledge. #SOAPAM2023 ImageImageImageImage
Read 5 tweets
May 5
Dr Brian Bateman moderates the #SOAPAM2023 Gertie Marx Research Competition. #OBAnes Image
Number 1. @LilianeErnstMD presents The ED90 of Hyoerbaric Bupivacaine for Cesarean Delivery in Super Obese Patients #OBAnes #SOAPAM2023 Image
Background. Pre-pregnancy obesity increasing across racial groups. A large percentage in grade 3 obesity, racial differences. Super Obese patients more likely to have cesarean section. High block was more common in BMI > 50. #SOAPAM2023 #OBAnes ImageImageImageImage
Read 22 tweets
May 5
@Chronotrope presents on using pEEG for sedation at #RAUK23

Now it only took the first slide (next tweet) to draw my full attention, and mean that I will be catching up with recordings later. This raises VERY important questions for #OBAnes in light of recent #SOAPAM2023 chats ImageImage
Neuraxial anesthesia as a sedative…

Sensory deafferentation dependent sedation - an example of a full stomach being sedated that #OBAnes do routinely @VeenaGraffMD (oh wait it gets better)
#RAUK23 #SOAPAM2023

@GongGasGirl have you heard of this? Anyone at #ASM23SYD? Image
Patient age and sensory block level significantly affect relationship between propofol Ce and sedation (I added the graphs from Roh et al’s study). Regional techniques dynamically reduce neural traffic. #RAUK23 #SOAPAM2023 ImageImageImage
Read 11 tweets

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