In this episode, Dr. David Bishop, a Specialist Anesthesiologist and Head of the Clinical Unit of Anaesthesia at Edendale Hospital in Pietermaritzburg talks about a vital topic and his recent publication, Tranexamic acid at cesarean delivery: drug-error deaths. Tranexamic acid at cesarean delivery: drug-error deaths https://pubmed.ncbi.nlm.nih.gov/36300729/ Spinal tranexamic acid – a new killer in town … Read More Read More

In this episode, Dr. Thomas Klumpner, whose research interests involve using technology to detect childbirth complications before they become life-threatening, discusses with us his research titled: Use of a Novel Electronic Maternal Surveillance System and the Maternal Early Warning Criteria to Detect Severe Postpartum Hemorrhage Use of a Novel Electronic Maternal Surveillance System and the … Read More Read More

In this episode, Dr. Vishal Uppal, whose primary research interests are improving the safety and efficacy of regional anesthesia techniques in high-risk patient populations, discussed his article Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report. Consensus guidelines https://pubmed.ncbi.nlm.nih.gov/37581893/ Atypical headache following dural puncture in obstetric https://pubmed.ncbi.nlm.nih.gov/24934311/ A … Read...

In this episode, Dr. Tracey Vogel, an obstetric anesthesiologist who is very well-versed in a topic we should all know about, discusses trauma-informed care. What is trauma-informed care, and how can we become a trauma-informed care unit? These and many more questions are addressed during this Podcast. “A service that is not trauma-informed is trauma … Read More Read More

In this episode, Dr. Mark Rollins and Dr. Chatterjee, two leading experts in anesthesia for maternal-fetal intervention, share their knowledge with us. Specifically, we discussed fetal benefits and preoperative, intraoperative, and postoperative management for this delicate procedure in which two patients are undergoing surgical intervention under our care. Should we provide analgesia directly or indirectly … Read More Read More

In this episode, Dr. B Amnon Berger shared the results of his study – Epidural catheter replacement rates with dural puncture epidural labor analgesia compared with epidural analgesia without dural puncture: a retrospective cohort study. Besides, we discussed the benefits of a dural puncture epidural technique and how it differs from the combined spinal-epidural technique. … Read More Read More

In this episode, Dr. Grace Lim, Associate professor and the Chief of the Obstetric Anesthesia division at the University of Pittsburgh, whose research is aimed at eliminating pain and suffering in special populations, optimizing perioperative medication use, and personalizing patient care, discussed with us two of her articles related to pain management of patients with … Read More Read More

In this episode, Dr. Katrina Furey, a board-certified adult psychiatrist who offers psychotherapy, medication management, and expert consultation for women with depression, anxiety, premenstrual dysphoric disorder (PMDD), perinatal mood and anxiety disorders (including OCD), birth trauma, and menopausal mood and anxiety disorders. Besides, she is part of Access Mental Health for Moms CT. This consultation … Read More Read More

In this episode, Dr. Sharon Reale shares with us the results of her study titled Frequency and Risk Factors for Difficult Intubation in Women Undergoing General Anesthesia for Cesarean Delivery: A Multicenter Retrospective Cohort Analysis. As Dr. Reale pointed out during this Podcast, most of the available literature regarding the obstetric airway comes from data … Read More Read More

In this episode, Dr. Jennifer Dominguez, a leading expert in topics related to morbid obesity, particularly Obstructive Sleep Apnea (OSA), talks with us regarding the importance of early recognition and management of OSA during Pregnancy. To guide our discussion, we conversed regarding the recently published consensus statement titled- The Society of Anesthesia and Sleep Medicine … Read More Read More

In this episode, Dr. Pervez Sultan, a leading expert in creating obstetric Patient Reported Outcome Measurements (PROMs), including the validated Obstetric quality of recovery (OBsQoR-10), discusses their future in our field. And let me tell you, their future is PROMising, from using it as a benchmark score to compare amongst institutions to analyzing results between … Read More Read More

In this interview, I discuss with Dr. Perlas, the Director of the Anesthesia POCUS fellowship at the University of Toronto, the role of ultrasound for spine sonoanatomy and the future of gastric ultrasound. Dr. Perlas describes the patient population that benefits the most when using ultrasound for neuraxial analgesia and advises that we should practice … Read More Read More

n a previous interview (PPH part 1) with Dr. Michaela Farber, we discussed the importance of fibrinogen concentrate. During this interview, Dr. Collis and Dr. Bell help us understand the importance of early recognition of hypofibrinogenemia and replacement of this important coagulation factor. Our guests have over a decade of experience using viscoelastic hemostatic assays … Read More Read More

Postpartum hemorrhage remains an important and preventable cause of maternal mortality worldwide. In this interview, Dr. Michaela Farber provides us with a phenomenal timeline from the landmark study that highlighted the importance of fibrinogen as an early plasma biomarker to predict severe postpartum hemorrhage to the current evidence for the use of fibrinogen concentrate and … Read More Read More

We have tremendously increased the safety and efficacy of our Neuraxial blocks. The consequences of our success have resulted in a limited number of general anesthesia cases for trainees during their obstetric anesthesia rotation. In this episode, I discuss with Dr. Delgado, author of the review article The Current Role of General Anesthesia for Cesarean … Read More Read More

In this episode, I had the pleasure of discussing intraoperative pain with Susanna Stanford. Susanna is a patient who experienced intraoperative pain, and knowing she was not alone, she has actively raised awareness of this issue. In her own words, “Being able to feel major abdominal surgery is every bit as horrific as it sounds.” … Continue reading Intraoperative pain →

Unfortunately, the United States has the highest maternal mortality rate among developed nations, and the COVID pandemic brought to the limelight the impact of racial and ethnic disparities in health outcomes. According to the CDC, systemic racism is a public health threat. In this interview, I discuss with Dr. Lee, author of the article Causes … Continue reading Racial Disparities in Healthcare →

In this episode, we discuss the leading causes of maternal mortality in the US and our state of CT. We discuss available resources at the national (https://saferbirth.org/patient-safety-bundles/) and local level (https://www.accessmhct.com) to help us flatten the curve of the rising maternal mortality in the US. Here you can find the links to the articles mentioned … Continue reading Maternal Mortality →

In this episode, I had the pleasure of discussing the evolving disciple of cardio-obstetrics and the planning delivery framework for the Pregnant patient with cardiovascular disease with Dr. Marie-Louis Meng. Dr. Meng has authored many publications on anesthetic care for pregnant patients with cardiovascular disease. During this interview, she offers her knowledge from the perspective … Continue reading Cardio-Obstetric →