@noolslucas.bsky.social introduces #OBAnes, PROMPT champion and past president of @rcoanews.bsky.social Dr Fiona Donald for the Bruce Scott Lecture at @oaa-anaes.bsky.social’s #OAA25ASM: “The future of #OBAnes as a subspecialty”
Obstetric care doesn’t start in the operating theatre—neither should anesthesiologists.
#OBAnes must be embedded in every layer of the MDT - delivering safer, more coordinated care
Let’s build systems where anesthesia isn’t an add-on—but a core component
#OAA25ASM
A substantial portion of #OBAnes services is provided in non-academic hospitals, which often lack residency programs. This distribution underscores the importance of supporting anaesthetists in these settings to ensure consistent care quality
#OAA25ASM #OBAnes
#OBAnes accounted for 11% of all anesthetic activity over a 24-hour period. Notably, during evenings (6 pm–11:59 pm) and nights (12 am–7:59 am), #OBAnes represented 31% and 55% of anesthetic activity, respectively
Night work is becoming more complex
#OAA25ASM
The future is bright, and indeed orange.
Obstetric anaesthetist, former president of @rcoanews.bsky.social and utterly splendid human, Dr Fiona Donald on the future of obstetric anaesthesia.
#OAA25WSM
Obstetric anesthesia has come a long way—from ether and chloroform in the 1800s to modern epidurals & CSE... But what’s next?
We’re entering an era where safety and patient experience will be more personalized, data-driven, and equitable than ever before
#OAA25ASM #OBAnes
“Birth is traumatizing if it is perceived to compromise autonomy or safety” #OAA25ASM #OBAnes
Suicide is a leading cause of maternal mortality - 42% had pre-existing mental health problems…could there have been an opportunity to intervene…#OAA25ASM #OBAnes
Estimated numbers of women affected by perinatal mental illnesses in England each year presented by Dr. Chiara Petrosellini at #OAA25ASM #OBAnes #MentalHealthMatters #PerinatalMentalHealth
Did I hear them correctly??
Parturient with spinal cord stimulator:
❌ labour epidural analgesia
✅ EBP for PDPH
Sounds like an area in need of clear standards of practice and updates to current literature
#OAA25ASM #OBAnes
Highlighted during #OAA25ASM #OBAnes
Dexamethasone significantly reduced the incidence of spinal hypotension during cesarean
sciencedirect.com/science/articl…
?? Confirmation bias….similarly I haven’t seen any reduction in need to support BP with ondansetron
Touchdown in Chicago to talk strategy with leaders of SOAP and the #OBAnes community
2024 worst year for Ontario ER closures, CBC analysis finds. 1 out of every 5 hospitals with an ER or urgent care centre had unplanned shutdowns, by Julie Ireton, Valérie Ouellet www.cbc.ca/news/canada/... via @cbcnews.ca
Giving Tuesday is today Dec. 3! Donate to the @SOAPHQ Endowment Fund to help support important research and educational initiatives, including the SOAP / @FAERanesthesia MRTG.
Donate today - buff.ly/3TXgOrb #SOAP #ObAnes #givingtuesday
Scientists, academics, researchers: We’re excited to share that @altmetric.com is now tracking mentions of your research on Bluesky! 🧪
“No institution can function without public consent…to gain that consent we must act, and be seen to act in the public interest”
“Good care costs less”
Hugh Scully
Bridging the gap between physicians and administrators is crucial to reducing #burnout, improving outcomes, and adding value to our healthcare system
#HCLDR
Leaders need to seek alignment between their intent and perception…shrinking the pyramid
“Perception precedes reality” - Warhol
Perception influences thoughts, decisions, and outcomes, regardless of objective facts!
Today, @UHN and @SinaiHealth anesthesiologist are coming together to set strategic goals to reduce burnout and increase professional fulfillment #physicianwellness
“Burnout, lack of professional fulfillment, and other well-being factors were associated with Intention to Leave”
Anesthesia associated with low professional fulfillment and high burnout
jamanetwork.com/journals/jam...
#burnout
Bluesky may be our chance to build the type of online world that X has abandoned, by @brucearthur.bsky.social www.thestar.com/opinion/star... via @torontostar.bsky.social @bsky.app
X is Elon’s world. Threads is a mess. Is Bluesky any better? The virtual town square, once framed by Twitter, is now fragmented as people flee to bluer pastures, by @MauraJudkis www.washingtonpost.com/style/of-int... via @washingtonpost.com @bsky.app
Excited and proud to be part of the 2nd World Congress on Obstetric Anesthesia scientific committee representing @SOAPHQ & @wfsaorg
Save the date !!! Aug 28-30, 2025
#WCOA2025
Congrats to the Chairs - Drs. Jennifer Guevara & Mauricio Vasco #OBAnes #Ansky
Almost 30% of N.B. kindergartners not fully vaccinated even though 9 childhood vaccines have been mandatory for school admission since 1982. As of Nov. 20, there were 44 cases of #measles in the province, most in young people. www.theglobeandmail.com/canada/artic... via @theglobeandmail.com
Excited to finally see the @asahq.bsky.social #OBAnes committee Statement on Providing Psychological Support for Obstetric Patients.🚨 www.asahq.org/standards-an... #TraumaInformedCare
An Innovative Approach to Determine PIEB Pump Settings for Labor Analgesia: utilizing advanced techniques, this method aims to improve patient outcomes, increase efficiency, and enhance overall quality of care: @IARS_Journals Anesthesia & Analgesia buff.ly/4c8So7m #OBAnes
What's the future of #PrimaryCare in Canada? The way healthcare was delivered in the past will not be how it will be delivered in the future, by @alikamd.bsky.social ourplausiblefutures.substack.com/p/whats-the-...
Check out our newest manuscript!
We described the care of parturients 🤰🏽 w/ von Willebrand Disease who had ⬇️VWF activity but normal factor VIII activity and were treated w/ recombinant VWF
#OBAnes #AnSky #MedSky @amarshallmd.bsky.social
www.tandfonline.com/eprint/XAGHM...
