Brendan Carvalho, MD, FRCA 🇺🇸🇿🇦🇵🇹
553 posts
@CarvalB
Dad, Husband, Professor @StanfordMed, obstetric and regional anesthesiologist @Stanford_obanes, past president @SOAPHQ, #anesthesiologist, #OBAnes
Register & book your hotel for the #SOAPAM2024! The SOAP hotel room block is filling up quickly. Register now to receive the hotel reservation link to book a room in your registration confirmation email. buff.ly/4afnLg1 #SOAP #OBAnes #Denver
🔓Disparities relating to postpartum recovery outcomes in different socio-economic and racial ethnic groups are underexplored. We conducted a planned analysis of a large prospective caesarean delivery cohort to explore the relationship between ethnicity, socio-economic status and postpartum recovery. Eligible patients were enrolled and baseline demographic, obstetric and medical history data were collected 18 h and 30 h following delivery. Patients completed postpartum quality of life and recovery measures in person on day 1 and by telephone between day 28 and day 32 postpartum. Socio-economic group was determined according to the Index of Multiple Deprivation quintile of each patient's usual place of residence. Data from 1000 patients who underwent caesarean delivery were included. There were more patients of Asian, Black and mixed ethnicity in the more deprived quintiles. Patients of White ethnicities had shorter postpartum duration of hospital stay compared with patients of Asian and Black ethnicities. In adjusted models at day 30, patients of Asian ethnicity had a significantly greater risk of moderate to severe pain (numerical rating scale ≥ 4) at rest and on movement (odds ratio (95%CI) 2.42 (1.24–4.74) and 2.32 (1.40–3.87)), respectively). There were no differences in readmission rates or incidence of complications between groups. Patients from White ethnic backgrounds experience shorter postpartum duration of stay compared with patients from Asian and Black ethnic groups. Ethnic background impacts pain scores and recovery at day 1 postpartum and following hospital discharge, even after adjusting for socio-economic group. Further work is required to understand the underlying factors driving differences in pain and recovery and to develop strategies to reduce disparities in obstetric patients. @Jamesocarroll @lianazucco @eleanor_warwick @rmoonesinghe @elboghdadly @CarvalB @PervezSultanMD @ObsQoR 🔗…-publications.onlinelibrary.wiley.com/doi/full/10.11…
@TheMillennialMD @Stanford @StanfordHealth @NHMAmd @LmsaNational @HispanicCaucus @StanfordMed @AmericaDoctors @ColumbiaObAnes is also recruiting Spanish speaking #ObAnes - contact us 😎 youtu.be/NDIAxTgw5kw
New international collaboration! Standardizing nomenclature for upper and lower limb blocks - now published in @RAPMOnline rapm.bmj.com/content/early/… @elboghdadly @DrEAlbrecht @DrPhilipPeng @PerlasAnahi @SerkanTulgarMD @sanjibadhikary @BridgetPulos @Ropivacaine @nelkassabany
Best treatments for opioid induced pruritus during cesarean delivery: ▫️Propofol ▫️Opioid agonist-antagonists ▫️Opioid antagonists ▫️Serotonin antagonists Research priorities: ▫️Optimum dosing strategy ▫️Efficacy of combination treatments #OBANes sciencedirect.com/science/articl…
