Simon Ash
@obsleepmerchant
Passionate about #OBAnes and #patientsafety (#OBcritcare special interest). Father of 2 future Jedi. Views my own. he/his #heforshe 🇿🇦🇮🇪🇨🇦
ID: 734417775180009472
http://www.soap.org/www.oaa-anaes.ac.uk 22-05-2016 16:16:57
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#ESRA2024 workshops in action!! Clara Lobo 🇵🇹🇺🇦🇪🇺🇦🇪 ESRA | European Society of Regional Anaesthesia
I was absolutely flabbergasted at this amazing poster presentation. Facial plane blocks might not work due to fast injection and kinetic energy making turbulation and no spread. #ESRA2024 ESRA | European Society of Regional Anaesthesia Friendrich Lirsch 👏🏻👍🏻
#ASRA2024 Incredible panel on #AI in RA chaired by James Bowness! Raj Gupta, MD, FASRA brilliantly highlighted the transformative opportunities AI presents in RA, while Alex Sia explored AI's role in shaping the future of healthcare. Xiao Liu shed light on ethics and regulations🤖💉
Our meta-analysis out now in Anesthesia&Analgesia which reports an effect of regional anesthesia in reducing persistent opioid use and chronic post-surgical pain after elective noncardiac surgery
In mourning… RIP James Earl Jones Condolences to Mark Hamill and rest of his #StarWars family
Michael Hofkamp, MD, FASA Emily Sharpe, MD, FASA International Journal of Obstetric Anesthesia Simon Ash Susanna Stanford 💙 Keltz did a good job with describing a very good standard of anaesthesia good dose & testing protocol. But They gave long questionnaires to patients in PACU - I don’t know how this would be received by patients & what amount of care is done filling out such things in the moment
Michael Hofkamp, MD, FASA Emily Sharpe, MD, FASA International Journal of Obstetric Anesthesia Simon Ash Susanna Stanford 💙 I genuinely think it’s a very hard thing to study. Whatever the exact incidence is every case is very important to each individual patient. It emphasises that we need to very vigilant for intraop pain.
Michael Hofkamp, MD, FASA Emily Sharpe, MD, FASA International Journal of Obstetric Anesthesia Simon Ash Susanna Stanford 💙 We need accept & even expect that spinals can fail We need to be prepared to respond to pain & treat it appropriately including advocating for conversion to GA
Well, exactly. And I suspect for women it will vary as well- is this about a universal definition or rather a willingness to listen and treat. Is some pain acceptable? And is the #OBAnes the right arbiter? Susanna Stanford 💙
Simon Ash Susanna Stanford 💙 Great dialogue. I think the first step is to separate the actual construct (pain) from proxies that might be measured in studies or data (fentanyl dose, GA conversion). What constitutes pain and what is too much is up to the patient--their (by definition) subjective experience.
Published TODAY in Taylor & Francis Research Insights BUMC Proceedings: Implementation of a standardized epidural top-up algorithm In this study, we found that implementation of a standardized algorithm was NOT associated with catheter replacement 🧵#OBAnes tandfonline.com/doi/full/10.10…
Michael Hofkamp, MD, FASA Taylor & Francis Research Insights Simon Ash Holly Ende, MD ObsAnaesthetist Emily Sharpe, MD, FASA Interesting. The second epidural almost always works. Patients frequently have to wait far too long before a poorly functioning epidural is replaced.
Michael Hofkamp, MD, FASA Imran Sharieff Taylor & Francis Research Insights Simon Ash Holly Ende, MD Emily Sharpe, MD, FASA Did you look at level of the initial epidural? When I was a fellow I replaced more than a few resident epidurals - a common finding was they had placed them low l5-S1 maybe it was excessive caution these were usually epidurals that kinda worked but needed lots of bolus doses