Jim Bamber

Ex-polar medic/husky vet, now obstetric anaesthetist made in Scotland and Yorkshire, who works in dreamy spires fenlands

[Jim Bamber @LateralTilt]

@OAAinfo What about another high risk group for PPH - those who have assisted vaginal births? https://t.co/E5ZuCdDft3

[Jim Bamber @LateralTilt]

Experiences of obstetric anaesthesia care among minoritised ethnic groups in England: A qualitative study - International Journal of Obstetric Anesthesia. Another ⁦@OAAinfo⁩ funded #obanes research study just published https://t.co/xQz5uZbpUr

[Jim Bamber @LateralTilt]

@OBsleepmerchant @Edbuggie @noolslucas I would go where the evidence goes. The need for 1:1 nursing care may be an added benefit to the mother. @OAAinfo guidelines on remifentanil PCA to be published soon in EJA

https://t.co/nL7M57GnLx

[OAA @OAAinfo]

Explore our online archive—celebrating the people who helped shape modern obstetric anaesthesia and maternity care. Visit: https://t.co/tOGlXZaDL7 #ObAnes

[Jim Bamber @LateralTilt]

@HofkampMichael https://t.co/kYOr83sdep

[Jim Bamber @LateralTilt]

@OBsleepmerchant @Steve_Coppens @dr_tgro @KVermeylen @OAAinfo @noolslucas @Ron_George @MarcVandeVelde6 @Ropivacaine https://t.co/Qo9U3feuhP
Always good to have NICE guidance in these debates

[Simon Ash @OBsleepmerchant]

@LateralTilt presents what’s new in #ERAC at @OAAinfo’s #3DC25 - a full #OBAnes thread will follow, but take the conclusions and references as a teaser?

[Jim Bamber @LateralTilt]

@doctimcook @Anaes_Journal I have used #6 TT in men and women for elective intubation in elective surgery for years without regret. Also use #4 face masks for men and #3 women for BMV - much better seal with these sizes.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

High neuraxial block in obstetrics: are we only seeing the tip of the iceberg?

The presence of local anaesthetic in the epidural space makes the effect of subsequent intrathecal drug administration less predictable.

#anaesthesia #obstetrics #pain #MedTwitter

@AllisonLeeNYC

https://t.co/VsFaxOTxqA

[Jim Bamber @LateralTilt]

https://t.co/JwPurVoRp0
Just published. High Neuraxial Blocks requiring ventilation/CPR. Incidence 14.7/100,000. Commonest cause = spinal after LEA (48%) of which 37% were after failed LEA conversions #OBAnes @Anaes_Journal @noolslucas @Marianfknight

[Jim Bamber @LateralTilt]

Don’t start surgery before the anaesthetist says go.

https://t.co/ChwUNfuGMM

[Jim Bamber @LateralTilt]

In support of left lateral tilt done right
@IJOA_Journal #OBAnes
https://t.co/WDE0hPzVSs

[Jim Bamber @LateralTilt]

@Anaes_Journal https://t.co/Ich4ks7ek4...
How about doing what happens in France where antenatal anaesthesia consultations are mandatory by law since 1998? Just a suggestion but may require a few more anaesthetists to action. #OBAnes @OAAinfo

[Simon Ash @OBsleepmerchant]

The complete PRO position: “Sterile gowns SHOULD be mandatory for spinal #OBAnes” from @LateralTilt at #OAA25ASM - a #OBAnes 🧵

[Simon Ash @OBsleepmerchant]

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline @ClaireAbeyseke1 Probably the crux of @LateralTilt’s argument in favour of mandatory sterile gowns use - would you want YOUR (or your child’s) spinal done with a gown? Would it matter to you? Or is the risk negligible? #OAA25ASM #OBAnes

[Simon Ash @OBsleepmerchant]

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline A solid summary on the risk of CSF infection with NO sterile gown at #OBAnes spinal. Is the possibility of increased risk acceptable? (We don’t put spinals in below 50, hematology do) And, if our central ethos is improved care - avoiding preventable harm- why is it? #OAA25ASM

[Simon Ash @OBsleepmerchant]

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline Here I think @LateralTilt makes a good point - role modelling/social influence - I only stopped gowning once I joined a unit in 🇨🇦. No one else was doing it, except for COVID. I wonder how much the pandemic shapes this debate? We all value asepsis or none do? #OAA25ASM #OBAnes

[Simon Ash @OBsleepmerchant]

@LateralTilt @Assoc_Anaes @ANZCA @ASALifeline @ClaireAbeyseke1 Financial implications: the organic banana rate (Cesarean section costs 12k organic bananas) #OAA25ASM #OBAnes

[Jim Bamber @LateralTilt]

@OBsleepmerchant @OAAinfo @antonchau1 @Ron_George @ruthi_landau @noolslucas https://t.co/UvvFBKyu7j

[Simon Ash @OBsleepmerchant]

@OAAinfo @LateralTilt @antonchau1 provides background in CSE vs DPE debate: mixed bag of results. What’s new? Zang et al found NO difference between CSE & DPE with composite quality measure. Where to now? @Ron_George & @ruthi_landau - more CSE. @noolslucas & @LateralTilt - nuance is NB. #OAA25ASM