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Simon Ash Profile picture
@OBsleepmerchant
Jun 4 • 15 tweets • 21 min read Twitter logo Read on Twitter
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#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

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More from @OBsleepmerchant

Simon Ash Profile picture
Jun 4
Novel Content No.2 at #SOAPAM2023 virtual #OBAnes highlights Day 2: @DoctorStahl speaks on Obstetric Critical Care #OBCritCare ImageImage
@DoctorStahl is an intensive care bear, who loves #OBAnes. QR code to references. #OBCritCare #SOAPAM2023 ImageImageImage
Pregnancy-associated mortality ≈ maternal mortality. #OBAnes 0.2% - doing well (wonder what the denominator is?), so Elmo could ask why are we worried? #SOAPAM2023 ImageImageImage
Read 18 tweets
Simon Ash Profile picture
Jun 4
@matmedicine presents the first NOVEL content session of #SOAPAM2023 virtual #OBAnes highlights: Trauma in Pregnancy for the Non-Obstetric Provider. Objectives. Goals. All live from Italy - somewhat jealous @matmedicine ImageImageImage
Physiological changes during pregnancy (1): Cardiac/ hemodynamic changes. Haematological changes. Are these protective? #OBAnes #SOAPAM2023 ImageImage
Physiological changes during pregnancy (2): Respiratory effects - displacement of diaphragm is key? ABG changes important - lactate the same in pregnant and non-pregnant @matmedicine? #OBAnes #SOAPAM2023 ImageImageImage
Read 18 tweets
Simon Ash Profile picture
Jun 4
@JenDominguezMD kicks off first session of #SOAPAM2023 virtual #OBAnes highlights Day 2 with the best case reports. Learning objectives. #SoMe embargo on content (@AnaSjaus ahem). Divided into 4 topics. ImageImageImageImage
Distinguished judges! Image
Cardiac: 2 cases of PHTN in #OBAnes - interesting cases, here are the allowed #SoMe slides. ImageImage
Read 6 tweets
Simon Ash Profile picture
Jun 4
Back to #SOAPAM2023 virtual #OBAnes highlights with the #Solshnider track 1
It starts with the @bscottsegal vs @HansSviggum debate on protocolization. #OBAnes
@SparklesSpinals then proceeded to speak on opioids in pregnancy and beyond #OBAnes
Read 4 tweets
Simon Ash Profile picture
May 24
Just off great @dasairway @OAAinfo #OBAnes airway masterclass webinar with @silv24 chairing, @ProfEllenO @noolslucas @Chakladar_A and @DesireOnwochei giving expert opinions - lots of notes taken, tweets to follow twitter.com/i/web/status/1… Image
Right, let’s get to it. The #OBAnes airway - shifting the paradigm; a @dasairway & @OAAinfo masterclass. Two Profs in the corner… this should be interesting. @noolslucas kicks off the webinar. Image
What is a difficult airway? @ASALifeline definition: a clinical situation, conventionally trained anesthesiologist, difficult face mask ventilation/ intubation/ both.

Complications - hypoxemia: @MariePierreBon2 et al @BJAJournals 2020, @DavidGray37 @rosshofmeyr and co, SAJAA… twitter.com/i/web/status/1… ImageImageImageImage
Read 38 tweets
Simon Ash Profile picture
May 24
@rr_metabolicmed presents the Bruce Scott Lecture 2023 at #OAA23ASM: Obesity & diabetes in pregnancy - legacy for the child. #OBAnes Image
Study of 1.3 million pregnant women reveals global obesity crisis: 75% pregnant women fail to achieve healthy weight gain during pregnancy, leading to preventable adverse health consequences for both the women and their babies. Obesity has strong evidence for increased risk of… twitter.com/i/web/status/1… ImageImageImage
Maternal obesity and offspring cardiovascular disease: maternal obesity increases offspring cardiovascular death (Hazard ratio [all cause mortality] = 1.35). At current UK maternal obesity rates, this equates to extra 650 deaths before age 50 each year. The Hazard ratio for type… twitter.com/i/web/status/1… ImageImageImage
Read 14 tweets

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