Olivia Sherwood

Anaesthetic Registrar. LTFT champion. Obstetric/Regional enthusiast. Leadership. Patient safety. 💙

[Tim Cook @doctimcook]

Obstetric cardiac arrest
Let’s look at the big picture….

So among 355,000 obstetric anaesthetic interventions in a year in UK (delivered to approximately 50% of all births & at all times of day and night almost exclusively in the NHS)

Incidence of obstetric cardiac arrest
-Epidural for labour
1 in 56,500
- any anaesthesia for LSCS
1 in 8,500

-All epidurals & spinals
1 in 17,000
-all GAs
1 in 1,200

These fall into ‘big data’
They are no substitute for an RCT in assessing safety (except no such RCT exists or is likely to)
There will clearly be confounding by intention (the very highest risk cases more likely to have GA)

…..but they do provide welcome evidence of the absolute safety of obstetric epidurals& spinals (& possibly relative safety compared to GA…)

I think a credit to UK obstetric anaesthesia & wider surgical & midwifery teams.

https://t.co/g9VQr0bMRZ

[Simon Ash @OBsleepmerchant]

@DrWesleyEdwards chair of @CAS_OBSection introduces the first #OBAnes session of #CASAM2023.
Speakers: @SusannaStanford @ammunro2 @Ropivacaine

[UK Maternal Cardiology Society @theUKMCS]

@theUKMCS @BSEcho Transthoracic echo assessment of the🫀 in🤰🏽:

-Normal echo🤰🏽findings
-Echo of🤰🏽induced🫀disease.
-Echo in🤰🏽in pre-existing🫀disease
-Echo triage & surveillance during & after🤰🏽
-Practical advice on scanning🤰🏽women

#CardioObstetrics

https://t.co/VuSm7cigv1

[michael kerr @mick_kerr]

New video day. Made this as a quick tutorial for one of my previous registrars who wanted to know where I do adductor canal (more accurately apex of FT) blocks. https://t.co/z0ucVZDzN0

[Led By Donkeys @ByDonkeys]

Solidarity with Ukraine ✊
(Russian Embassy, London)

[Olivia Sherwood @olliesher]

@BarbaraVersyck Hi - I would love a copy, both pdf and paper.

[Association of Anaesthetists @Assoc_Anaes]

👶📖 We've just published 'A Guide to Parenting During Anaesthesia Training'.

Download the guide for all you need to know about pregnancy, leave and returning to work https://t.co/H4PKglX23z

#TC2022

[Olivia Sherwood @olliesher]

This. 1000x over. When collating my 14 years worth of ARCP outcomes required to CCT I had to include one I had complained about. Despite an apology and an assurance the incorrect personal and derogatory comment would be removed. Guess which version was held on file…..

[Roshana 🦴 @RoshanaMN]

@RenukaDias @NHS_HealthEdEng For every single arcp I’ve had so far there has been an error in the comments eg ‘you’ve not don’t this’ when I have and anecdotally this is very common. Were I there I could point out the error - this is PARTICULARLY pertinent for LTFT trainees where requirements are pro rata

[Dr Megan Smith @megs1970]

There’s a theme from me today at #Anaesthesia2022. Regional means you can avoid GA&opiates that contribute to post-op delirium. If you have to give GA you can reduce “dose” ++ which seems to improve post-op cognitive dysfunction. Blocks rock! @RegionalAnaesUK - Plan A blocks.

[Olivia Sherwood @olliesher]

@andyheeps Great @andyheeps but UHSussex have just refused my cycle to work application for being in first 6 months of my permanent contract. Shame - don’t want to drive and wouldn’t get a parking permit if I did. Maybe time to cut the red tape so we can all join you

[The BMJ @bmj_latest]

Ensuring that pregnant women with covid-19 receive timely and evidence based care will continue to be important for the foreseeable future.

This review provides an in depth reference guide for all clinicians who treat pregnant women with covid-19 https://t.co/Ht52ivh4Nj

[Olivia Sherwood @olliesher]

@Catarina0511 @OAAinfo Have a fantastic time!! Sad to be missing you guys. 😭

[Olivia Sherwood @olliesher]

@dastrainees @OAAinfo @dasairway @RCoANews But even if you are at one you get FOMO about the other one!!

[Dr. Glaucomflecken @DGlaucomflecken]

Couples therapy

[Olivia Sherwood @olliesher]

@gabyadkins Remember that theatre well! Happy times!! All time best view from a hospital on that ward.

[SOAP @SOAPHQ]

Mark your calendar and register for the upcoming Maternal Critical Care Lecture Series Webinar: "Maternal Sepsis and ICU Care in Pregnancy" on April 15 at 3pm ET:
https://t.co/iVcdttbZcs
#SOAP #OBAnes #criticalcare #pregnancy

[Difficult Airway Society (DAS) Residents @dasresidents]

📽️WEBINAR RECORDING NOW AVAILABLE

Anyone who missed last nights webinar can catch up via the link below! Also has links to the papers discussed and some other resources which you may find useful.

🔗https://t.co/IK7q3DJV2X

#DASeducation

[Olivia Sherwood @olliesher]

@james_ibb So true!

[University Hospitals Sussex @UHSussex]

#HappyMothersDay from all of us at UHSussex

[Royal College of Anaesthetists @RCoANews]

Happy Mother’s Day to all the mums who won’t be sharing the day with family but caring for the nation’s loved ones. 💐