It was a privilege to give grand rounds at Advocate Illinois Masonic Medical Center last week in Chicago. I presented “What’s New in #OBAnes “
I enjoyed catching up with friends and making new connections. Thank you for the invitation and the hospitality! #Ostheimer2025
I enjoyed catching up with friends and making new connections. Thank you for the invitation and the hospitality! #Ostheimer2025
September 21, 2025 at 3:27 AM
It was a privilege to give grand rounds at Advocate Illinois Masonic Medical Center last week in Chicago. I presented “What’s New in #OBAnes “
I enjoyed catching up with friends and making new connections. Thank you for the invitation and the hospitality! #Ostheimer2025
I enjoyed catching up with friends and making new connections. Thank you for the invitation and the hospitality! #Ostheimer2025
Such an honor to give Grand Rounds at Brigham & Woman’s Hospital (MGB) this past week. Loved reconnecting with my #OBAnes friends and meeting new ones. Thanks for the invitation!
#Ostheimer2025
#Ostheimer2025
September 10, 2025 at 7:52 PM
Such an honor to give Grand Rounds at Brigham & Woman’s Hospital (MGB) this past week. Loved reconnecting with my #OBAnes friends and meeting new ones. Thanks for the invitation!
#Ostheimer2025
#Ostheimer2025
The complete 2025 Gerard W. Ostheimer Lecture “What’s new in #OBAnes?” from #SOAPAM2025 as presented by @emilysharpe.bsky.social
#ostheimer2025
#ostheimer2025
@emilysharpe.bsky.social presented the #Ostheimer2025 lecture at #SOAPAM2025 last night and it seems the most fitting opportunity to test BlueSky’s #OBAnes 🧵 capability. @oaa-anaes.bsky.social, a test run for Belfast?
May 4, 2025 at 1:31 PM
The complete 2025 Gerard W. Ostheimer Lecture “What’s new in #OBAnes?” from #SOAPAM2025 as presented by @emilysharpe.bsky.social
#ostheimer2025
#ostheimer2025
Ah! Nick Barrett’s favourite #OBAnes subject #SipTilSend makes it into #Ostheimer2025. A #POCUS comparison of residual gastric volumes in fasted vs #SipTilSend liberal water drinking protocol. #SipTilSend non-inferior to standard fasting.🙌 🥳🎉
May 4, 2025 at 11:44 AM
Ah! Nick Barrett’s favourite #OBAnes subject #SipTilSend makes it into #Ostheimer2025. A #POCUS comparison of residual gastric volumes in fasted vs #SipTilSend liberal water drinking protocol. #SipTilSend non-inferior to standard fasting.🙌 🥳🎉
Ansari returns to #Ostheimer2025 with a RCT on IV calcium to decrease EBL at caesarean: IV calcium well tolerated, may reduce EBL related to uterine atony (NB: remember calcium gluconate & CaCl2 dose relationship - 🇨🇦 doesn’t always have CaCl2 in theatre/OR) #OBAnes
May 4, 2025 at 10:42 AM
Ansari returns to #Ostheimer2025 with a RCT on IV calcium to decrease EBL at caesarean: IV calcium well tolerated, may reduce EBL related to uterine atony (NB: remember calcium gluconate & CaCl2 dose relationship - 🇨🇦 doesn’t always have CaCl2 in theatre/OR) #OBAnes
@rjharrison79.bsky.social makes her debut in an #Ostheimer2025 lecture with her awesome #OBAnes work on LEA and SMM. LEA was associated with a 35% reduction in severe maternal morbidity, particularly in parturients with increased risk. Worth the read, more at #CASAM25 in June!
May 4, 2025 at 10:01 AM
@rjharrison79.bsky.social makes her debut in an #Ostheimer2025 lecture with her awesome #OBAnes work on LEA and SMM. LEA was associated with a 35% reduction in severe maternal morbidity, particularly in parturients with increased risk. Worth the read, more at #CASAM25 in June!
Anyone who has followed #OBAnes knows the drill now that Stanford AIM lab provides excellent support for #SOAPAM2025 and the #Ostheimer2025 lecture - access the entire syllabus at Ostheimer.app
May 4, 2025 at 9:09 AM
Anyone who has followed #OBAnes knows the drill now that Stanford AIM lab provides excellent support for #SOAPAM2025 and the #Ostheimer2025 lecture - access the entire syllabus at Ostheimer.app
@emilysharpe.bsky.social presented the #Ostheimer2025 lecture at #SOAPAM2025 last night and it seems the most fitting opportunity to test BlueSky’s #OBAnes 🧵 capability. @oaa-anaes.bsky.social, a test run for Belfast?
May 4, 2025 at 9:09 AM
@emilysharpe.bsky.social presented the #Ostheimer2025 lecture at #SOAPAM2025 last night and it seems the most fitting opportunity to test BlueSky’s #OBAnes 🧵 capability. @oaa-anaes.bsky.social, a test run for Belfast?
Wearable technology may provide a digital biomarker for preterm delivery by screening for changes in nighttime maternal heart rate variability throughout pregnancy.
#Ostheimer2025 #OBAnes #SOAPAM2025
journals.plos.org/plosone/arti...
#Ostheimer2025 #OBAnes #SOAPAM2025
journals.plos.org/plosone/arti...
May 3, 2025 at 9:44 PM
Wearable technology may provide a digital biomarker for preterm delivery by screening for changes in nighttime maternal heart rate variability throughout pregnancy.
#Ostheimer2025 #OBAnes #SOAPAM2025
journals.plos.org/plosone/arti...
#Ostheimer2025 #OBAnes #SOAPAM2025
journals.plos.org/plosone/arti...
🩺 AI-guided screening using a digital stethoscope doubled diagnosis of pregnancy-related cardiomyopathy vs usual obstetric care
🩺 Identified 🤰 who may have remained undiagnosed
#SOAPAM2025 #OBAnes #Ostheimer2025
www.nature.com/articles/s41...
🩺 Identified 🤰 who may have remained undiagnosed
#SOAPAM2025 #OBAnes #Ostheimer2025
www.nature.com/articles/s41...
May 3, 2025 at 9:43 PM
🩺 AI-guided screening using a digital stethoscope doubled diagnosis of pregnancy-related cardiomyopathy vs usual obstetric care
🩺 Identified 🤰 who may have remained undiagnosed
#SOAPAM2025 #OBAnes #Ostheimer2025
www.nature.com/articles/s41...
🩺 Identified 🤰 who may have remained undiagnosed
#SOAPAM2025 #OBAnes #Ostheimer2025
www.nature.com/articles/s41...
RCT compared first pass success of VL vs DL in neonates:
✅ Video laryngoscopy increases the success rate for first-attempt intubation.
✅ NRP should be updated to include recommendations for VL for intubation
#Ostheimer2025 #OBAnes #SOAPAM2025
www.nejm.org/doi/full/10....
✅ Video laryngoscopy increases the success rate for first-attempt intubation.
✅ NRP should be updated to include recommendations for VL for intubation
#Ostheimer2025 #OBAnes #SOAPAM2025
www.nejm.org/doi/full/10....
May 3, 2025 at 9:42 PM
RCT compared first pass success of VL vs DL in neonates:
✅ Video laryngoscopy increases the success rate for first-attempt intubation.
✅ NRP should be updated to include recommendations for VL for intubation
#Ostheimer2025 #OBAnes #SOAPAM2025
www.nejm.org/doi/full/10....
✅ Video laryngoscopy increases the success rate for first-attempt intubation.
✅ NRP should be updated to include recommendations for VL for intubation
#Ostheimer2025 #OBAnes #SOAPAM2025
www.nejm.org/doi/full/10....
This model incorporating SSDOH variables performed as well as models including race, demonstrating that SSDOH can likely be used in other clinical algorithms in place of race or ethnicity.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.ajog.org/article/S000...
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.ajog.org/article/S000...
May 3, 2025 at 9:42 PM
This model incorporating SSDOH variables performed as well as models including race, demonstrating that SSDOH can likely be used in other clinical algorithms in place of race or ethnicity.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.ajog.org/article/S000...
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.ajog.org/article/S000...
Ende et al successfully developed & validated a PPH prediction model that outperformed the CMQCC tool
✅ Model has potential for improving clinical care by providing accurate & timely risk assessments
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/greenjournal...
✅ Model has potential for improving clinical care by providing accurate & timely risk assessments
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/greenjournal...
May 3, 2025 at 9:41 PM
Ende et al successfully developed & validated a PPH prediction model that outperformed the CMQCC tool
✅ Model has potential for improving clinical care by providing accurate & timely risk assessments
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/greenjournal...
✅ Model has potential for improving clinical care by providing accurate & timely risk assessments
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/greenjournal...
Systematic review & individual pt data meta-analysis of >55,000 pts
✅ TXA reduces risk of life-threatening postpartum hemorrhage
✅ No increased risk of thrombosis
✅ Data do not support TXA to all to prevent PPH
#Ostheimer2025 #OBAnes #SOAPAM2025
www.sciencedirect.com/science/arti...
✅ TXA reduces risk of life-threatening postpartum hemorrhage
✅ No increased risk of thrombosis
✅ Data do not support TXA to all to prevent PPH
#Ostheimer2025 #OBAnes #SOAPAM2025
www.sciencedirect.com/science/arti...
May 3, 2025 at 9:40 PM
Systematic review & individual pt data meta-analysis of >55,000 pts
✅ TXA reduces risk of life-threatening postpartum hemorrhage
✅ No increased risk of thrombosis
✅ Data do not support TXA to all to prevent PPH
#Ostheimer2025 #OBAnes #SOAPAM2025
www.sciencedirect.com/science/arti...
✅ TXA reduces risk of life-threatening postpartum hemorrhage
✅ No increased risk of thrombosis
✅ Data do not support TXA to all to prevent PPH
#Ostheimer2025 #OBAnes #SOAPAM2025
www.sciencedirect.com/science/arti...
Study compared residual gastric volumes in fasted vs ‘Sip Til Send’ with water liberal drinking protocol.
‘Sip Til Send’ was noninferior to fully fasting in in terms of the antral CSA.
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/ejanaesthesi...
‘Sip Til Send’ was noninferior to fully fasting in in terms of the antral CSA.
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/ejanaesthesi...
May 3, 2025 at 9:39 PM
Study compared residual gastric volumes in fasted vs ‘Sip Til Send’ with water liberal drinking protocol.
‘Sip Til Send’ was noninferior to fully fasting in in terms of the antral CSA.
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/ejanaesthesi...
‘Sip Til Send’ was noninferior to fully fasting in in terms of the antral CSA.
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/ejanaesthesi...
Observational study that evaluated incidence of patient-reported intraoperative pain:
✅ 12 percent of patients reported pain
✅ Mismatch between reported pain and supplemental analgesia administration
#SOAPAM2025 #OBAnes #Ostheimer2025
www.sciencedirect.com/science/arti...
✅ 12 percent of patients reported pain
✅ Mismatch between reported pain and supplemental analgesia administration
#SOAPAM2025 #OBAnes #Ostheimer2025
www.sciencedirect.com/science/arti...
May 3, 2025 at 9:38 PM
Observational study that evaluated incidence of patient-reported intraoperative pain:
✅ 12 percent of patients reported pain
✅ Mismatch between reported pain and supplemental analgesia administration
#SOAPAM2025 #OBAnes #Ostheimer2025
www.sciencedirect.com/science/arti...
✅ 12 percent of patients reported pain
✅ Mismatch between reported pain and supplemental analgesia administration
#SOAPAM2025 #OBAnes #Ostheimer2025
www.sciencedirect.com/science/arti...
RCT methergonovine vs carboprost:
✅ No difference detected in uterine tone score 10 minutes after administration of methylergonovine maleate or carboprost tromethamine as second-line uterotonic
#OBAnes #Ostheimer2025 #SOAPAM2025
journals.lww.com/greenjournal...
✅ No difference detected in uterine tone score 10 minutes after administration of methylergonovine maleate or carboprost tromethamine as second-line uterotonic
#OBAnes #Ostheimer2025 #SOAPAM2025
journals.lww.com/greenjournal...
May 3, 2025 at 9:37 PM
RCT methergonovine vs carboprost:
✅ No difference detected in uterine tone score 10 minutes after administration of methylergonovine maleate or carboprost tromethamine as second-line uterotonic
#OBAnes #Ostheimer2025 #SOAPAM2025
journals.lww.com/greenjournal...
✅ No difference detected in uterine tone score 10 minutes after administration of methylergonovine maleate or carboprost tromethamine as second-line uterotonic
#OBAnes #Ostheimer2025 #SOAPAM2025
journals.lww.com/greenjournal...
👉 People with twin pregnancy require a 10x higher loading dose of oxytocin than those with singleton pregnancies,
👉 Consider an initial 5 IU bolus at elective CD under neuraxial anesthesia.
#Ostheimer2025 #SOAPAM2025 #OBAnes
journals.lww.com/anesthesia-a...
👉 Consider an initial 5 IU bolus at elective CD under neuraxial anesthesia.
#Ostheimer2025 #SOAPAM2025 #OBAnes
journals.lww.com/anesthesia-a...
May 3, 2025 at 9:36 PM
👉 People with twin pregnancy require a 10x higher loading dose of oxytocin than those with singleton pregnancies,
👉 Consider an initial 5 IU bolus at elective CD under neuraxial anesthesia.
#Ostheimer2025 #SOAPAM2025 #OBAnes
journals.lww.com/anesthesia-a...
👉 Consider an initial 5 IU bolus at elective CD under neuraxial anesthesia.
#Ostheimer2025 #SOAPAM2025 #OBAnes
journals.lww.com/anesthesia-a...
🔵 Dose-finding study to determine ED90 of oxytocin infusion to maintain tone after an initial 1 IU oxytocin bolus
🔵 Maintenance infusion of 4.5 units/hour provides continued uterine tone in scheduled CD
#SOAPAM2025 #Ostheimer2025 #OBAnes
link.springer.com/article/10.1...
🔵 Maintenance infusion of 4.5 units/hour provides continued uterine tone in scheduled CD
#SOAPAM2025 #Ostheimer2025 #OBAnes
link.springer.com/article/10.1...
May 3, 2025 at 9:33 PM
🔵 Dose-finding study to determine ED90 of oxytocin infusion to maintain tone after an initial 1 IU oxytocin bolus
🔵 Maintenance infusion of 4.5 units/hour provides continued uterine tone in scheduled CD
#SOAPAM2025 #Ostheimer2025 #OBAnes
link.springer.com/article/10.1...
🔵 Maintenance infusion of 4.5 units/hour provides continued uterine tone in scheduled CD
#SOAPAM2025 #Ostheimer2025 #OBAnes
link.springer.com/article/10.1...
RCT of IV Calcium chloride vs placebo demonstrated:
✅ IV calcium was well tolerated
✅ may reduce blood loss during intrapartum cesarean delivery with uterine atony
#SOAPAM2025 #OBAnes #Ostheimer2025
journals.lww.com/greenjournal...
✅ IV calcium was well tolerated
✅ may reduce blood loss during intrapartum cesarean delivery with uterine atony
#SOAPAM2025 #OBAnes #Ostheimer2025
journals.lww.com/greenjournal...
May 3, 2025 at 9:30 PM
RCT of IV Calcium chloride vs placebo demonstrated:
✅ IV calcium was well tolerated
✅ may reduce blood loss during intrapartum cesarean delivery with uterine atony
#SOAPAM2025 #OBAnes #Ostheimer2025
journals.lww.com/greenjournal...
✅ IV calcium was well tolerated
✅ may reduce blood loss during intrapartum cesarean delivery with uterine atony
#SOAPAM2025 #OBAnes #Ostheimer2025
journals.lww.com/greenjournal...
🤰 This multidisciplinary consensus statement provides practical and concise clinical guidance to optimize pain management for pregnant people with OUD to improve maternal and perinatal outcomes
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/anesthesia-a...
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/anesthesia-a...
May 3, 2025 at 9:24 PM
🤰 This multidisciplinary consensus statement provides practical and concise clinical guidance to optimize pain management for pregnant people with OUD to improve maternal and perinatal outcomes
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/anesthesia-a...
#SOAPAM2025 #Ostheimer2025 #OBAnes
journals.lww.com/anesthesia-a...
✅ Intrathecal catheters can provide excellent labor analgesia & CD anesthesia
✅ Significant drug errors may result in high-spinal
✅ Clear guidelines needed on the use of IT catheters
#SOAPAM2025 #Ostheimer2025 #OBAnes
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
✅ Significant drug errors may result in high-spinal
✅ Clear guidelines needed on the use of IT catheters
#SOAPAM2025 #Ostheimer2025 #OBAnes
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
May 3, 2025 at 9:20 PM
✅ Intrathecal catheters can provide excellent labor analgesia & CD anesthesia
✅ Significant drug errors may result in high-spinal
✅ Clear guidelines needed on the use of IT catheters
#SOAPAM2025 #Ostheimer2025 #OBAnes
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
✅ Significant drug errors may result in high-spinal
✅ Clear guidelines needed on the use of IT catheters
#SOAPAM2025 #Ostheimer2025 #OBAnes
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
Ansari et al evaluated anesthetic management for postpartum tubal ligation
✅ Labor epidural catheter reactivation failure rates was 35%
✅De novo spinal anesthesia failed in 15% of PPTLs.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
✅ Labor epidural catheter reactivation failure rates was 35%
✅De novo spinal anesthesia failed in 15% of PPTLs.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
May 3, 2025 at 9:17 PM
Ansari et al evaluated anesthetic management for postpartum tubal ligation
✅ Labor epidural catheter reactivation failure rates was 35%
✅De novo spinal anesthesia failed in 15% of PPTLs.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
✅ Labor epidural catheter reactivation failure rates was 35%
✅De novo spinal anesthesia failed in 15% of PPTLs.
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
Can you perform DPE with 27g?
✅ DPE with a 27g spinal needle had higher incidence of sacral blockade than epidural within an hour after placement.
✅ Time to adequate analgesia did not differ
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
✅ DPE with a 27g spinal needle had higher incidence of sacral blockade than epidural within an hour after placement.
✅ Time to adequate analgesia did not differ
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
May 3, 2025 at 9:14 PM
Can you perform DPE with 27g?
✅ DPE with a 27g spinal needle had higher incidence of sacral blockade than epidural within an hour after placement.
✅ Time to adequate analgesia did not differ
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
✅ DPE with a 27g spinal needle had higher incidence of sacral blockade than epidural within an hour after placement.
✅ Time to adequate analgesia did not differ
#SOAPAM2025 #Ostheimer2025 #OBAnes
www.obstetanesthesia.com/article/S095...
Labor #epidural analgesia was associated with a 35% reduction in severe maternal morbidity and particularly noticeable among women at increased risk
@bmj_latest #SOAPAM2025 #Ostheimer2025 #OBAnes
www.bmj.com/content/385/...
@bmj_latest #SOAPAM2025 #Ostheimer2025 #OBAnes
www.bmj.com/content/385/...
May 3, 2025 at 9:10 PM
Labor #epidural analgesia was associated with a 35% reduction in severe maternal morbidity and particularly noticeable among women at increased risk
@bmj_latest #SOAPAM2025 #Ostheimer2025 #OBAnes
www.bmj.com/content/385/...
@bmj_latest #SOAPAM2025 #Ostheimer2025 #OBAnes
www.bmj.com/content/385/...