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May 7 6 tweets 9 min read Twitter logo Read on Twitter
Dr Jessica Ansari MD on the #SolShnider track at #SOAPAM2023 educating #OBAnes on Post Dural Puncture Headache (PDPH)

@csfleakaware @csfleakinfo @SpinalCSFCanada Image
The objectives. The goal. Definition of #PDPH. Differential diagnosis mnemonic. #OBAnes #SOAPAM2023 ImageImageImageImage
Context is everything! RED flags = imaging. Acute neurologic sequelae associated with #PDPH. SDH, cerebral venous sinus thrombosis, meningitis, oh my. #OBAnes #SOAPAM2023 ImageImageImageImage
Why does SDH follow #PDPH? A reason NOT to delay EBP. More on cerebral venous sinus thrombosis. #PDPH and cranial nerve palsies. #OBAnes #SOAPAM2023 ImageImageImageImage
Remember RED flags. Chronic headache after UDP/ #PDPH. Chronic sequelae of #PDPH. #OBAnes #SOAPAM2023 ImageImageImageImage
What can #OBAnes do? Depends on context again. A summary. The goal. #SOAPAM2023 ImageImageImageImage

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More from @OBsleepmerchant

May 7
@antonchau1 kicks off the #SolShnider track 3 with DPE vs other #OBAnes neuraxial techniques. #SOAPAM2023 ImageImage
The selection of labour analgesia options, all catheter based and similar with slight differences. Value propositions of DPE: confirmation, translocation and improved safety - value over EPL and CSE. #SOAPAM2023 ImageImage
Value proposition 1: confirmation. #DPE adds visual confirmation to LOR - midline and epidural tip.

Why do #OBAnes get equivocal LOR? There’s an anatomic basis. #SOAPAM2023 ImageImageImage
Read 18 tweets
May 7
@SOAPHQ and @ASRA_Society joint panel: A tailored approach to the management of the thrombocytopenic patient. With Dr Roulhac Toledano MD moderating Dr Lisa Leffert MD, @MelissaEBauer1 and @dr_melissabyrne Image
@MelissaEBauer1 (@DukeAnesAlumni) kicks off @SOAPHQ @ASRA_Society joint session: How low can you go? Looking at recent @SOAPHQ consensus statement. #SOAPAM2023 ImageImage
With acknowledgment that #OBAnes airway may be difficult, the use of neuraxial with lower platelet counts. 2015 sees rapid increase in literature supporting placement below 100,000. However, @SOAPHQ members requested a consensus statement as institutional policies were slow to… twitter.com/i/web/status/1… ImageImageImageImage
Read 65 tweets
May 6
The PREMIER #OBAnes event of the year: The Gerard W Ostheimer Lecture - What’s New in #OBAnes?

@FarberMichaela hands the reigns to @PervezSultanMD

Large audience beyond #SOAPAM2023 @CarolynWeiniger @DrNickB_ObAnaes @LoughreyJPR @GongGasGirl (#OBSIG23SYD & #ASM23SYD)… twitter.com/i/web/status/1… Image
Disclosures quite impressive - including the editorial reduction of a years work to 50 minutes. Methods: includes #OBAnes on Twitter! 108 articles. 32 in lecture. AND there’s an app @CarolynWeiniger! #SOAPAM2023 ImageImageImageImage
The format of the lecture! 5 #OBAnes sections to cover! Global, North America, Antenatal, Analgesia and Postnatal. #SOAPAM2023 Image
Read 29 tweets
May 6
@FarberMichaela introduces (and hands the batton to) @PervezSultanMD #SOAPAM2023 ImageImageImage
Multiple citations and prizes. Great colleague. Better family man. #SOAPAM2023 ImageImageImage
A high maintenance patient according to his wife. #SOAPAM2023 Image
Read 5 tweets
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

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