Jim Bamber

Experiences of obstetric anaesthesia care among minoritised ethnic groups in England: A qualitative study - International Journal of Obstetric Anesthesia. Another ⁦@OAAinfo⁩ funded #obanes research study just published obstetanesthesia.com/article/S0959-…

@OBsleepmerchant @Edbuggie @noolslucas I would go where the evidence goes. The need for 1:1 nursing care may be an added benefit to the mother. @OAAinfo guidelines on remifentanil PCA to be published soon in EJA thelancet.com/journals/lance…

@Edbuggie Interesting question @Edbuggie - I haven’t seen Meperidine used in labour since coming to Canada. I have zero experience with morphine. Generally it’s been nalbuphine by OB or fentanyl PCA. Remifentanil PCA limited by nursing and monitoring required. @noolslucas @LateralTilt?

@OBsleepmerchant Morphine vs Meperidine for Labour. Debate came up in your former Alma mata . I am open to both really , what are your thoughts?

Explore our online archive—celebrating the people who helped shape modern obstetric anaesthesia and maternity care. Visit: bit.ly/49p8tay #ObAnes

@HofkampMichael doi.org/10.1111/anae.1…

We were underpowered to determine high spinal rate but 1:134 (95% CI 1:37-488) had a spinal block with documented dyspnea requiring endotracheal intubation. The true “high spinal” (dyspnea, weakness not requiring intubation) rate is unknown due to retrospective data

Published TODAY in @tandfonline BUMC Proceedings: our experience with dose of spinal bupivacaine after removal of indwelling labor epidural catheter for pts who had intrapartum cesarean delivery! #OBAnes @emilysharpe @OBsleepmerchant 🧵 tandfonline.com/doi/full/10.10…

@OBsleepmerchant @Steve_Coppens @dr_tgro @KVermeylen @OAAinfo @noolslucas @Ron_George @MarcVandeVelde6 @Ropivacaine nice.org.uk/guidance/ng192… Always good to have NICE guidance in these debates

@Steve_Coppens @dr_tgro @KVermeylen @OAAinfo @noolslucas @LateralTilt @Ron_George @MarcVandeVelde6 @Ropivacaine I agree with @Steve_Coppens @dr_tgro - experientially in now a decade of clinical use, either we’re doing stellar PONV prophylaxis (which I don’t really believe) or the risk is over stated and I have not encountered delayed respiratory depression 1/2

@KVermeylen presents the 3rd 🐻 of the “Goldilocks #OBAnes in caesarean section” session - “Just right” regional anaesthesia: ilioinguinal and TAP blocks for the win! #3DC25

@LateralTilt presents what’s new in #ERAC at @OAAinfo’s #3DC25 - a full #OBAnes thread will follow, but take the conclusions and references as a teaser?

@doctimcook @Anaes_Journal I have used #6 TT in men and women for elective intubation in elective surgery for years without regret. Also use #4 face masks for men and #3 women for BMV - much better seal with these sizes.

I might well reverse the list -Always use an SGA when a TT is not indicated -Use small tubes (6.0-6.5 for men and women) Both “do less harm” Of course the type of SGA also affects the rate of sore throat - I-gel probably the lowest - whether I-gel plus will retain this advantage is currently unknown (and as its top penetrates further into the GI tract than the igel this is possible)

What strategies can be used to reduce the incidence of post operative sore throat? • Cuff pressure ≤ 30 cmH2O • IV/topical corticosteroids • Nebulised/topical ketamine • Topical NSAIDs • Smaller tube: 7.0 mm (male); 6.0 mm female • Use a SAD instead #anaesthsia #MedTwitter doi.org/10.1111/anae.7…

High neuraxial block in obstetrics: are we only seeing the tip of the iceberg? The presence of local anaesthetic in the epidural space makes the effect of subsequent intrathecal drug administration less predictable. #anaesthesia #obstetrics #pain #MedTwitter @AllisonLeeNYC doi.org/10.1111/anae.7…

…-publications.onlinelibrary.wiley.com/doi/10.1111/an… Just published. High Neuraxial Blocks requiring ventilation/CPR. Incidence 14.7/100,000. Commonest cause = spinal after LEA (48%) of which 37% were after failed LEA conversions #OBAnes @Anaes_Journal @noolslucas @Marianfknight

Don’t start surgery before the anaesthetist says go. shorturl.at/H7Sdk

In support of left lateral tilt done right @IJOA_Journal #OBAnes kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…

@Anaes_Journal doi.org/10.1016/j.jo... How about doing what happens in France where antenatal anaesthesia consultations are mandatory by law since 1998? Just a suggestion but may require a few more anaesthetists to action. #OBAnes @OAAinfo

In the context of the pain and exhaustion of labour, inadequate and untimely information provision and dialogue between women and their anaesthetists can undermine the implementation of lawful consent. #anaesthesia #MedTwitter #obstetrics #pain #consent doi.org/10.1111/anae.1…

The complete PRO position: “Sterile gowns SHOULD be mandatory for spinal #OBAnes” from @LateralTilt at #OAA25ASM - a #OBAnes 🧵

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline @ClaireAbeyseke1 Probably the crux of @LateralTilt’s argument in favour of mandatory sterile gowns use - would you want YOUR (or your child’s) spinal done with a gown? Would it matter to you? Or is the risk negligible? #OAA25ASM #OBAnes

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline A solid summary on the risk of CSF infection with NO sterile gown at #OBAnes spinal. Is the possibility of increased risk acceptable? (We don’t put spinals in below 50, hematology do) And, if our central ethos is improved care - avoiding preventable harm- why is it? #OAA25ASM

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline Here I think @LateralTilt makes a good point - role modelling/social influence - I only stopped gowning once I joined a unit in 🇨🇦. No one else was doing it, except for COVID. I wonder how much the pandemic shapes this debate? We all value asepsis or none do? #OAA25ASM #OBAnes

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline @ClaireAbeyseke1 Financial implications: the organic banana rate (Cesarean section costs 12k organic bananas) #OAA25ASM #OBAnes

@OBsleepmerchant @OAAinfo @antonchau1 @Ron_George @ruthi_landau @noolslucas doi.org/10.1111/anae.1…

@OAAinfo @LateralTilt @antonchau1 provides background in CSE vs DPE debate: mixed bag of results. What’s new? Zang et al found NO difference between CSE & DPE with composite quality measure. Where to now? @Ron_George & @ruthi_landau - more CSE. @noolslucas & @LateralTilt - nuance is NB. #OAA25ASM

Dr Robert Ffrench-O’Carroll of @_TheNMH (and @ISOA_Ireland) starts the “Recent Advances” (1st) session of #OAA25ASM with an “Update on Labour #OBAnes” (@BCWomensHosp @ubc_anes fellowship alumnus @antonchau1)

@IJOA_Journal @shyuga512 @LateralTilt welcomes all research studies about lateral tilt. Congratulations to @shyuga512 and team.

Full paper: obstetanesthesia.com/article/S0959-… #ObAnes #OpenAccess #FOAMed