Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Simon Ash Profile picture
@OBsleepmerchant
Jun 4, 2023 • 15 tweets • 21 min read • Read on X
Scrolly
#SolShnider track 3 during #SOAPAM2023 virtual #OBAnes highlights Day 2 kicks off with @antonchau1 on DPE vs other LEA options.
Next up for #SolShnider track 3: Dr Clemens Ortner on #POCUS in #OBAnes emergencies. (@KalagaraHari @AnaSjaus)
Dr Mark Zakowski, MD presents on Barriers to optimal staffing in #OBAnes (topical for @OAAinfo, @SOAPHQ & @CAS_OBSection members - indeed the worldwide shortage of #AnyAnes makes this important for @wfsaorg @ASALifeline @ANZCA @docanaesthetic @CASUpdate) #SOAPAM2023. “Adapt or… twitter.com/i/web/status/1… ImageImageImageImage
Pure numbers of epidurals & cesareans are deceptive, there are context issues as well. Do #OBAnes teach, how sick are patients? #OBAnes workforce survey: size of hospital changes how we staff. We are more than just needle jockeys. #SOAPAM2023 ImageImageImageImage
So #OBAnes includes more than technical skills. What are our expectations? #SOAPAM2023 ImageImageImage
And what of other members of the #OBAnes team including the parturient themselves? #SOAPAM2023 ImageImage
Lessons from across the pond (@OAAinfo @Assoc_Anaes) Dr Zakowski likes the @noolslucas Lucas classification - me too! #OBAnes #SOAPAM2023 ImageImage
TOLAC should probably be provided only at certain centres (or disclosure/ informed consent to patient). Management of intrapartum FHR is essential (30minutes here too) #OBAnes #SOAPAM2023 ImageImageImageImage
Nursing support is mission critical, they have a role to play in #OBAnes. What are employers concerned about? Are there regulatory concerns? #SOAPAM2023 ImageImageImageImage
What IS optimal staffing? Does depend on who you ask. Common errors - average case load is a bad idea in #OBAnes. Workload is non-linear. #SOAPAM2023 ImageImageImageImage
What does @SOAPHQ centres of excellence data show? #OBAnes #SOAPAM2023 ImageImageImageImage
Key point to #OBAnes - when it rains it pours #SOAPAM2023 Image
Economics of L&D. #OBAnes services contracting. Which service/ procedure is more expensive? Uncovered services have an important impact. #SOAPAM2023 ImageImageImageImage
Got staff? National anesthesia provider staffing - increased demand. But L&D/ #OBAnes staffing differs in several respects. #SOAPAM2023 ImageImageImage
We need to expand pool of providers, not just for work life balance. Total pools. Turnover is high. #AnyAnes staffing is supply vs demand. #OBAnes #SOAPAM2023 ImageImageImage

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Simon Ash

Simon Ash Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @OBsleepmerchant

Simon Ash Profile picture
May 9
@SQuashie presents an update on anesthesia for operative delivery. Declarations. Methodology and themes. #OAA24ASM #OBAnes

Image
Image
Image
Gastric USS. Oral rehydration has benefits over NPO wrt vasopressor use. #siptilsend safe, noting some patients have increased gastric volumes irrespective of starvation status. #OAA24ASM #OBAnes
Image
Image
@SQuashie continues at a rapid pace. To DPE or not to DPE remains a question - 16min vs 19 min, is that 3 min clinically relevant? Esketamine for supplemental analgesia - >95% had psych effects, read @rjharrison79 editorial. #OAA24ASM #OBAnes
Image
Image
Read 16 tweets
Simon Ash Profile picture
May 9
@Jamesocarroll presents an Update on Labour and Delivery. Disclosures #OAA24ASM #OBAnes

Image
Image
Image
How the lecture was put together. Screening. Themes. How to interpret the slides. Very Ostheimer-esque @Jamesocarroll #OAA24ASM #OBAnes


Image
Image
Image
Image
@Jamesocarroll Clinical practice theme: intrathecal catheters & ADP. Intrathecal catheters: No decrease in PDPH, but reduction in EBP. 10mL intrathecal saline decreased PDPH & need for EBP. Of note, the percentage of epidurals requiring multiple attempts. #OAA24ASM #OBAnes

Image
Image
Image
Read 17 tweets
Simon Ash Profile picture
May 5
8am-ish in Denver and time for a much anticipated session: PDPH beyond the guidelines. Moderated by Dr Lisa Leffert, featuring @Ropivacaine, @euklaas, @sharonOzynger and @WouterSchievink at #SOAPAM2024 #OBAnes

(HT: @Ropivacaine, bless his heart, he knows I hate missing out)

Image
Image
Image
Hot off the Press? August 2023! @JAMANetworkOpen with quite an illustrious team including @Ropivacaine @robin_russell1 @KalagaraHari @LimGrapes @claralexlobo @noolslucas @NarouzeMD (please tag others if you have their handles?) #SOAPAM2024 #OBAnes

Image
Image
Image
Introduction, Methods and the 10 questions. #SOAPAM2024 #OBAnes

Image
Image
Image
Read 11 tweets
Simon Ash Profile picture
Jun 12, 2023
Next up at #CASAM2023 - fittingly keeping the most important academic session to last: #OBAnes
@ValZaph moderating the Maternal Experience and Outcomes: Improving the care we provide. @DrWesleyEdwards

Bookends the 1st #OBAnes session, on intrapartum pain at cesarean section… twitter.com/i/web/status/1… Image
Dr Christina Lamontagne kicks off the session with: Use of Dexmedetomidine in improving maternal experience and outcomes. Nothing to disclose. Then an important disclosure: All indications discussed are OFF LABEL in Canada. Objectives.
#OBAnes #CASAM2023 ImageImageImageImage
Why does Dr Lamontagne use a lot of dexmedetomidine (not only in #OBAnes mind)? Clinical pharmacology of dexmedetomidine (1): highly selective alpha-2 agonist; sedation WITHOUT amnesia at locus coeruleus. #CASAM2023 ImageImageImage
Read 9 tweets
Simon Ash Profile picture
Jun 11, 2023
Dr Ning Nan Wang introduces @harshamd5 to open the chronic pain session: Perioperative use of opioid in the context of Opioid Epidemic. #CASAM2023 ImageImageImage
The opioid crisis isn’t new - China probably remembers the Opium wars that helped establish a British foothold on the continent. Opioids and OUR crisis. Is what we fear the real crisis? Are opioid-related deaths due to surgical prescriptions? No, mostly due to street fentanyl.… twitter.com/i/web/status/1… ImageImageImage
Opioid use around the time of surgery. Understanding nociception vs pain. Does eliminating opioids during surgery make a difference - no definitive conclusions. #CASAM2023 ImageImageImage
Read 11 tweets
Simon Ash Profile picture
Jun 10, 2023
@DrLucieFilteau introduces @CMA_Docs president @AlikaMD for his keynote address at #CASAM2023 Image
@AlikaMD starts with the state of the 🇨🇦 health system, including a little history. #CASAM2023 ImageImage
The 🇨🇦 health system approach to problems, creating new problems as a result with a dangerous lack of interoperability. #CASAM2023 ImageImageImage
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

Send Email!

:(