This is real issue in every L&D I have ever worked in !!
Huge medico legal implications

Is there ANYWHERE in the world where clocks are correct? Other than once/ twice a day. Our digital clocks are definitely not 100%, otherwise likely same results. How hard can it be?!? #OAA24ASM #OBAnes

James O'Carroll NICE Where did sterile water injections come from? RCT sterile water vs saline injection. No significant effect on cesarean rate (no surprise). NB self reported reduction in BACK PAIN - and considering patient blinding incomplete as SWI burns more than NS, ?accuracy. #OAA24ASM #OBAnes

James O'Carroll NICE … then the bad. I think #MedTwitter has already had a field day with this, and I know NICE has taken a credibility hit in several sectors as a result (even with the statement issued concurrently regarding the recommendation. #OAA24ASM #OBAnes

James O'Carroll NICE Summary (several sources) - our duty as #OBAnes to support patients in EVIDENCE-based decision making. Too little data beyond back pain for SWI (and even then 😣) #OAA24ASM #OBAnes

Thanks Simon Ash for keeping those of us who couldn’t make the #OAA24ASM from missing out.
Looks like a great talk !!

Hemorrhage. TXA cost effective (sorta). Prophylactic IV calcium not reduce EBL, but useful to monitor and maintain during hemorrhage. Placenta Accreta Spectrum: a lot of recent guidance in 2023 & 2024. #OAA24ASM #OBAnes

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

Emphasis on team work. No matter how bad the day is at the L&D, communication among team members is the key to success. #OAA24ASM

The complete #SOAPAM2024 #Ostheimer lecture from Melissa E Bauer, D.O., FASA on “What’s new in #OBAnes ?” 🧵… so begins a whirlwind year of speaking for Melissa E Bauer, D.O., FASA and the countdown for Emily Sharpe, MD, FASA when she takes the reigns at #SOAPAM2025 .

Nice to see #siptilsend / #siptilsection getting more attention!
Great 🧵 agree with all these points

Since 1974, vaccines have have saved 9 billion years of human life

(The following vaccines included: diphtheria, Hib, hep B, Japanese encephalitis, measles, men A, pertussis, pneumococcal, polio, rotavirus, rubella, tetanus, TB, and yellow fever)

Shattock et al:

We remain very concerned for our lovely colleague, Manuela's, safety. Please, it would be greatly appreciated if people could continue to share. 🙏🙏
#MISSING #MISSING PERSON

Excited for #SOAPAM2024 - starts tomorrow!!!

The #OBAnes community comes together to learn, innovate, celebrate, and plan for the future

Great to highlight more research coming from Ireland 🇮🇪

Article in press in International Journal of Obstetric Anesthesia with work from The Rotunda Hospital

obstetanesthesia.com/article/S0959-…

Narrative review on total spinals (😱) following obstetric neuraxial blockade!

#obanes

Perhaps clumsy wording here …
But agree 100% don’t use anything bigger than 25g whitacre for diagnostic LP - the flow is fine (it really is!)
And you won’t have to call someone like me to fix the headache 🤕
Be nice to your patients (& your anaesthesiologist )

This broke my heart!
Pls help & RT!

Yesterday, I met a Psych Trainee whose family visa got rejected. He has been waiting to meet his 3 year old child & spouse since COVID.

He was in depression, crying like a child and begging for help😓

He came to Ireland in 2016 1/5

One of our anaesthetic colleagues Dr Manuela Afrasinei is missing, please share and contact the helpline listed if you have any information.
irishexaminer.com/news/arid-4138…

Will we be seeing you back this year Simon Ash ???
#ObAnaes #ObAnes

📅 SAVE THE DATE

ISOA annual meeting

THURSDAY 28th NOVEMBER 2024

Venue: College of Anaesthesiologists of Ireland

Excellent speakers, free papers session, poster competition.

More details coming soon!

#obanes