Quick Hits in Obstetric Anesthesia

Roshan Fernando was educated at the University College of Wales Medical School, Cardiff, South Wales, UK before completing his advanced anesthesia training at the Hammersmith and Queen Charlotte’s Hospitals in London. He has been a consultant anaesthetist since 1994 initially working at the Royal Free Hospital in London and transferring in 2008 to University College London Hospital where he coordinated mainly clinical research in obstetric anaesthesia until June 2017. He served as the Honorary Treasurer for the 2,500 member Obstetric Anaesthetists’ Association (OAA) for 6 years, chaired its Scientific & Educational Meetings subcommittee for a further 6 years, and took over as OAA President for a 3-year term from May 2014 until May 2017. He has also worked for 6 years as part of the Obstetric Anaesthesia subcommittee of the European Society of Anaesthesiology (ESA), for 10 years as an examiner for the Royal College of Anaesthetists, finishing his duties in June 2013 as well as a 4-year term (2013-16) on the Council of the Association of Anaesthetists of GB and Ireland (AAGBI). Roshan is on the editorial boards of 2 journals including the International Journal of Obstetric Anaesthesia and lectures extensively both within the UK and abroad. He is the co-editor of 2 international obstetric anaesthesia textbooks including the recently published, “Oxford Textbook of Obstetric Anaesthesia” and “Obstetric Anesthesiology: an illustrated case-based approach”. He has published multiple peer reviewed original research papers. He has recently taken up a challenging post as a senior consultant in obstetric anaesthesiology at the Women’s Wellness and Research Centre in Doha, Qatar, a women’s hospital which delivers over 20,000 deliveries each year, including 550 caesarean deliveries each month. He is currently responsible for leading the clinical obstetric anaesthesia research at the Women’s Wellness and Research Centre and for supporting the obstetric anaesthesia fellowship training program. Roshan also holds a post as an Honorary Associate Professor in Anaesthesia within the Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK. Pervez Sultan was awarded his medical degree from the University of Edinburgh in 2003. He completed a MD (Research) degree from University College London in 2016. He is currently an Associate Professor of the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine and also holds an Honorary Faculty position as an Associate Professor at University College London. Pervez currently serves on the Society for Obstetric Anesthesia and Perinatology (SOAP) Research Committee and the American Society of Anesthesiologists' subcommittee for Obstetric Anesthesia. He is a former recipient of the National Institute of Academic Anesthesia Research Award within the United Kingdom. Pervez is currently an Arline and Pete Harman Endowed Faculty Scholar of the Stanford Maternal and Child Health Research Institute at Stanford University. Sioned Phillips received her medical degree from Guy’s, Kings and St Thomas’ Medical School in 2005. She has completed the MRCP, MCEM, FRCA and European Diploma of Regional Anaesthesia qualifications and is a member of the Academy of Medical Educators. Sioned undertook a research fellowship in obstetric anaesthesia at University College Hospital London and a Fellowship in Regional Anaesthesia at Frimley Park Hospital. She is an instructor for the Managing Medical and Obstetric Emergencies in Trauma and Advanced Life Support courses. Sioned is a Consultant Anaesthetist with an interest in obstetric and regional anaesthesia.

Epidural Analgesia for Labour.- Combined Spinal Epidural Analgesia for Labour.- Non-Neuraxial Techniques for Labour Analgesia.- Analgesia for Intrauterine Fetal Demise.- Category 4 Caesarean Delivery .- Spinal Anaesthesia for Caesarean Delivery.- Combined Spinal Epidural Anaesthesia for Caesarean Delivery.- Epidural TopUp for Caesarean Delivery.- General Anaesthesia for Caesarean Delivery.- Management of Spinal Anaesthesia Induced Hypotension during Caesarean Delivery.- Analgesia after Caesarean Delivery.- Anaesthesia for Manual Removal of Placenta.- Anaesthesia for Cervical Cerclage.- External Cephalic Version.- Artificial Rupture of Membranes.- Consent for Anaesthesia.- Documentation Standards for Anaesthesia.- Umbilical Cord Prolapse.- Expedited and Emergency Caesarean Delivery.- Operative Vaginal Delivery.- Massive Obstetric Haemorrhage.- Management of Uterine Atony.- Uterine Inversion.- Amniotic Fluid Embolus.- Vaginal Birth After Caesarean Delivery.- Shoulder Dystocia.- NormalLabour.- Cardiotocography.- Antenatal Monitoring.- Partogram.- Induction of Labour.- Augmentation of Labour.- Preterm labour and delivery.- Fetal malpresentations.- Placenta Praevia.- Placenta Accreta Syndrome.- Intrauterine Fetal Growth Restriction.- Multiple Gestation.- Preeclampsia and HELLP syndrome.- Cholestasis of Pregnancy.- Gestational Diabetes.- Venous Thromboembolism.- Obesity.- Peripartum Cardiomyopathy.- Complex Congenital Heart Disease in Pregnancy.- Thrombophilas.- Haemophilas.- Von Willebrand Disease.- Low molecular heparin, unfractionated heparin and neuraxial    anaesthesia.- Accidental Dural Puncture.- Post Dural Puncture Headache.- Epidural Blood Patch.- Intrapartum Fever.- Failed Epidural Analgesia during Labour.- Failed Spinal Anaesthesia for Caesarean Delivery.- Management of Pain and Distress during Caesarean Delivery.- Backache after Neuraxial Anaesthesia.- Peripheral Nerve Lesions after Central Neuraxial Anaesthesia.- Spinal Cord Lesions after Neuraxial Anaesthesia.- Obstetric Nerve Palsies.- Reported Awareness under General Anaesthesia.- Neuraxial Anaesthesia after Previous Spinal Surgery.- Breastfeeding and Anaesthesia.- Difficult and Failed Intubation in Obstetric Anaesthesia.- Recognition and Management of High Spinal Anaesthesia.- Aspiration of Gastric Contents.- Local Anaesthetic Toxicity.- Anaphylaxis.- Malignant Hyperthermia.- Maternal Resuscitation.- Intrauterine Resuscitation.- Neonatal Resuscitation.- Anaesthetic Management of Pregnant Patients with Novel Coronavirus.