Dr Budds Jnr

Obstetric Anaesthetist

[Dr Budds Jnr @BuddicomEmily]

IV antihypertensives aren’t always better for acute HTN Mx in pregnant people.

Don’t forget about the ❤️ long term effects of Preeclampsia!

Thanks @noolslucas - very informative.

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Always enlightening listening to Prof @AliciaTDennis highlighting the importance of HTN and echo in pregnant people

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Thanks @katy_skier for some great tips on writing papers and getting published.

Awesome inspiration for more women to get into this sphere!

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Anaes journals doing their best to pick out false data in papers - “the more you look, the more you find” 😬 with Dr Andrew Klein

Be prepare to send your data in with your journal application!

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Iron deficiency in pregnancy w Dr Andrew Klein

Don’t focus on Hb - Symptoms are due to iron deficiency rather than anaemia.

Less is more when it comes to oral iron - half a tab every 2nd day if taking with a glass of OJ between meals

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Obstetric anaesthesia - is it a difficult airway or an airway made difficult? With @noolslucas

Let’s go back to basics - don’t underestimate the importance of positioning!

More emphasis on apnoeic oxygenation rather than different pre-O2 techniques

#ASM23SYD

[Dr Budds Jnr @BuddicomEmily]

Great Question to ask at the end of the list - How can I help you do your job better?

Thanks for the tip to take back to work @ergopropterdoc 🤗

[Dr Budds Jnr @BuddicomEmily]

Human Factors in Obstetric Anaes w @ergopropterdoc

How to improve the overlaps of what is planned & actually done…

- standardise
- independent checks
- learn from defects
- team cohesion w huddles & debriefings
- build trusts between team members

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

The future of Obstetric GA with @noolslucas

All the same reasons to use TIVA as in the non-obs patient

Beneficial over volatiles for uterine tone. But maybe slower to set up in an emergency ‼️

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Pharm Mx of uterine tone in CS with A/P Lawrence Tsen

Often significant overdose of oxytocin given with recognised SEs.

Simplified regime with “rule of 3”

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

@DrNavSidhu @GongGasGirl It seems like most of the cases or near misses have been attributed to mistaken ampoules being drawn up. So still something to be very aware of, even with the safety features of NRFit systems. 😬

[Dr Budds Jnr @BuddicomEmily]

Words that hurt, words that help by Dr Allan Cyna.

Lots to think about how we communicate.

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Great summary!

[Dr Budds Jnr @BuddicomEmily]

Comfortably numb for CS by @noolslucas …

Consent including managing expectations, options & testing explained.

Block assessment - should be straightforward but actually is incredibly complicated!

Managing intra-operative pain - “perfect blocks can fail!”

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Awesome to hear from a range of specialties about some very difficult obstetric cases

Dr Jun Kim giving us some neurosurgical guidance - still conflicting views though!

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Great insights & tips regarding BNP use in high risk pregnancies from Dr David Tanous

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Some great take home actions to avoid TXA being administered intrathecally by A/P David Bishop

#OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Maybe one of the more convincing arguments for DPE over epidurals for labour analgesia by Associate Professor Lawrence Tsen #OBSIG23SYD

[Dr Budds Jnr @BuddicomEmily]

Let’s bring back Science and aim for excellence! Thought provoking talk about what we should be focusing on. #OBSIG23SYD