In this episode, Dr. Yavor Metodiev delves into the anesthetic considerations that should be taken when caring for a patient with oncological disease during pregnancy. Dr. Metodiev and colleagues concisely summarize the complexities of treating patients with oncological disease, emphasizing the crucial balance between maternal and fetal safety. With the increasing incidence of oncological disease … Read More Read More

In this episode, Dr. Blake, Reid Mergler, and Caimhe Duffy examine the crucial role of anesthesiologists in recognizing and addressing trauma during labor. Their thorough narrative review highlights the importance of trauma-informed care, which shifts the focus from “what is wrong with the patient” to “what has happened to the patient.” The trio discusses how … Read More Read More

In this episode, we explore the concept of a highly functional team, its characteristics, and the importance of fostering interdisciplinary teamwork among healthcare professionals such as anesthesiologists, obstetricians, nurses, and others. Dr. Girnius emphasizes that such collaboration enhances communication and efficiency and improves patient outcomes. Additionally, we discuss the process of identifying and implementing what … Read More Read More

In this episode, we discuss the importance of following intravenous access recommendations for cesarean deliveries with Dr. Scott Seki at his institution. How do Dr. Seki and his colleagues define adequate intravenous access? Which patients are more or less likely to receive the recommended IV access? What are the patient implications if we fail to … Read More Read More

In this episode, Dr. Landau, a renowned expert and researcher in the topic of pain, delves into the evolution of our understanding of this topic. We explore how the research and its definition have changed over the past few decades. Additionally, we discuss her study titled “Pain during cesarean delivery: a patient-related prospective observational study … Read More Read More

In this episode, Dr. Mark I. Zakowski delves into the pressing issue of pain during cesarean delivery. During our interview, we explore how our societies (ASA and SOAP) are collaborating to provide practitioners with valuable insights into managing this problem that affects approximately 15-20% of cesarean delivery patients. The ASA approved the “Statement on Pain … Read More Read More

Dr. Allana Munro and Dr. Ronald George are two obstetric anesthesia experts whose research is focused on labor analgesia. Two years ago, they demonstrated that “achieving desired pain relief” is of utmost importance to our patients. The question remains: How can we safely achieve this while minimizing workload and side effects? In this episode, they … Read More Read More

In this episode, Dr. de Carvalho discusses his article, Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: a systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials. Dr. de Carvalho’s work reiterates that using ultrasound-guided neuraxial anesthesia results in a more efficient neuraxial placement. Ultrasound-guided neuraxial use results in fewer needle … Read More Read More

In this episode, Dr. Lawrence Tsen discusses the findings of his paper on Labor Analgesia Initiation with Dural Puncture Epidural (DPE) Versus Conventional Epidural Techniques. The paper presents a randomized biased-coin sequential allocation trial to determine the effective dose for 90% of patients of Bupivacaine. We explore the benefits of using the DPE technique, if … Read More Read More

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, … Read More Read More