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In this episode, Dr. Holly Ende discusses her article, Implementation of an Epidural Rounding Reminder in the Electronic Medical Record Improves Performance of Standardized Patient Assessments during Labor.
Dr. Ende’s work underscores the necessity of regular assessments of the effectiveness of neuraxial labor analgesia. This proactive approach is crucial for the timely identification of malfunction, ensuring the best possible outcomes for patients.

Implementation of an Epidural Rounding Reminder in the Electronic Medical Record Improves Performance of Standardized Patient Assessments during Labor
https://pubmed.ncbi.nlm.nih.gov/36634697/
Centers of Excellence for Anesthesia Care of Obstetric Patients
https://pubmed.ncbi.nlm.nih.gov/30994544/

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In this episode, Dr. Rachel Kearns discussed the findings from her study -Epidural analgesia during labour and severe maternal morbidity: population-based study. This study solidifies that anesthesiologists bring more to the table than “just” labor pain management.

Epidural analgesia during labour and severe maternal morbidity: population-based study.
https://www.bmj.com/content/385/bmj-2023-077190
Unlocking maternal health: labour epidurals and severe morbidity
https://www.bmj.com/content/385/bmj.q1053
Use of Labor Neuraxial Analgesia for Vaginal Delivery and Severe Maternal Morbidity
https://pubmed.ncbi.nlm.nih.gov/35191971/

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In this episode, Dr. Vishal Uppal and Allana Munro discussed with us the findings from their study -The Incidence and Predictors of Failed Spinal Anesthesia After Intrathecal Injection of Local Anesthetic for Cesarean Delivery: A Single-Center, 9-Year Retrospective Review.
https://pubmed.ncbi.nlm.nih.gov/37014966/

Anesthesia-Related Maternal Mortality in the United States: 1979–2002
https://pubmed.ncbi.nlm.nih.gov/21173646/

Can epidurals as a quality marker
Epidural analgesia during labour and severe maternal morbidity: population based study
https://pubmed.ncbi.nlm.nih.gov/38777357/

Use of Labor Neuraxial Analgesia for Vaginal Delivery and Severe Maternal Morbidity
https://pubmed.ncbi.nlm.nih.gov/35191971/

Raising the Standards: RCOA Quality Improvement Compendium. Accessed March 1, 2023. https://rcoa.ac.uk/sites/default/files/documents/2020-08/21075%20RCoA%20Audit%20Recipe%20Book_16%20Section%20B.7_p241-268_AW.pdf

Mechanism and Management of Failed Spinal Anesthesia – NYSORA
https://www.nysora.com/topics/complications/mechanisms-management-failed-spinal-anesthesia/

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In this episode, Dr. Allison Mootz, an obstetric anesthesiology fellow at Brigham and Women, discusses her thought-provoking article titled- The Accuracy of ChatGPT-Generated Responses in Answering Commonly Asked Patient Questions About Labor Epidurals: A Survey-Based Study.
https://pubmed.ncbi.nlm.nih.gov/38180897/
Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum
https://pubmed.ncbi.nlm.nih.gov/37115527/

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In this episode, Dr. Ron George provides a tour de force of our past and present labor analgesia management. We discuss his recent publication, Modern Labor Epidural Analgesia: Implications for Labor Outcomes and Maternal-Fetal Health.
https://pubmed.ncbi.nlm.nih.gov/37164496/
The Most Influential Publications in Obstetric Anesthesiology, 1998–2017: Utilizing the Delphi Method for Expert Consensus
https://pubmed.ncbi.nlm.nih.gov/32282388/
Effect of low-dose mobile versus traditional epidural techniques on mode of delivery: a randomised controlled trial
https://pubmed.ncbi.nlm.nih.gov/11454372/
A comparison of a basal infusion with automated mandatory boluses in parturient-controlled epidural analgesia during labor
https://pubmed.ncbi.nlm.nih.gov/17312228/
The risk of cesarean delivery with neuraxial analgesia given early versus late in labor
https://pubmed.ncbi.nlm.nih.gov/15716559/

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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

https://pubmed.ncbi.nlm.nih.gov/30985919/

YouTube publication (Tranexamic acid during CS: Drug error warning (https://www.youtube.com/watch?v=jeFtFWeMwkw&t=184s)

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

https://pubmed.ncbi.nlm.nih.gov/28456509/

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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 Maternal Early Warning Criteria to Detect Severe Postpartum Hemorrhage https://pubmed.ncbi.nlm.nih.gov/32022745/

Singh et al., A validation study of the CEMACH recommended modified early obstetric warning system (MEOWS) https://pubmed.ncbi.nlm.nih.gov/22066604/

Klumpner, T, stal. User Perceptions of an Electronic Maternal Alerting System. A A Pract. 2020;14(11):e01308 – https://pubmed.ncbi.nlm.nih.gov/32935951/

Use of a novel electronic maternal surveillance system to generate automated alerts on the labor and delivery unit https://pubmed.ncbi.nlm.nih.gov/29945569/

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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 prospective controlled study of continuous spinal analgesia versus repeat epidural analgesia after accidental dural puncture in labour
https://pubmed.ncbi.nlm.nih.gov/22153280/
One patch or more? Defining success in treatment of post-dural puncture headache
https://pubmed.ncbi.nlm.nih.gov/28089183/
Sphenopalatine ganglion block for postdural puncture headache
https://pubmed.ncbi.nlm.nih.gov/19413836/
Major Neurologic Complications Associated With Postdural Puncture Headache in Obstetrics: A Retrospective Cohort Study
https://pubmed.ncbi.nlm.nih.gov/31335402/
The volume of blood for epidural blood patch in obstetrics: a randomized, blinded clinical trial
https://pubmed.ncbi.nlm.nih.gov/21596867/

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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 denied.”

Trauma-Informed Care on Labor and Delivery
https://pubmed.ncbi.nlm.nih.gov/34776109/
Antepartum and intrapartum risk factors and the impact of PTSD on mother and child
https://pubmed.ncbi.nlm.nih.gov/33456935/
Nocebo-induced hyperalgesia during local anesthetic injection
https://pubmed.ncbi.nlm.nih.gov/20042440/
The relationship between women’s intention to request labor epidural analgesia, actually delivering with labor epidural analgesia, and Postpartum depression at six weeks
https://pubmed.ncbi.nlm.nih.gov/28930940/
Impact of patient choice
https://pubmed.ncbi.nlm.nih.gov/30867278/
Patient choice compared to no choice (“Deception study”)
https://pubmed.ncbi.nlm.nih.gov/28486595/
Trauma-Informed Care During Pregnancy and Birth
Pain during cesarean delivery: A patient-related prospective observational study assessing the incidence and risk factors for intraoperative pain and intravenous medication administration
https://pubmed.ncbi.nlm.nih.gov/37865217/

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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 to the fetus? How can we achieve the tenet goal of excellent uterine relaxation without compromising placental perfusion? Is the use of Sugammadex warranted for midgestation fetal interventions? These and much more were discussed during this Podcast.

Anesthesia for Maternal-Fetal Interventions: A Consensus Statement
https://pubmed.ncbi.nlm.nih.gov/33048913/

Survey of Fetal Therapy Centers in the North American Fetal Therapy Network.

https://pubmed.ncbi.nlm.nih.gov/33827094/

Sugammadex Administration in Pregnant Women and Women of Reproductive Potential: A Narrative Review

https://pubmed.ncbi.nlm.nih.gov/31283616/

Society for Obstetric Anesthesia and Perinatology
Statement on Sugammadex during pregnancy and lactation
https://www.soap.org/assets/docs/SOAP_Statement_Sugammadex_During_Pregnancy_Lactation_APPROVED.pdf

Sugammadex Use for Reversal in Nonobstetric
Surgery During Pregnancy: A Reexamination of the
Evidence

https://pubmed.ncbi.nlm.nih.gov/37205805/

A Randomized Trial of Prenatal versus Postnatal Repair of Myelomeningocele (MOMs trial)

https://pubmed.ncbi.nlm.nih.gov/21306277/