@LateralTilt

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

 East, England
Joined January 2022
  • Tweets76
  • Following25
  • Followers89
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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 obstetanesthesia.com/article…

Experiences of obstetric anaesthesia care among minoritised ethnic groups in England: a qualitative...

Maternity inequalities are well documented. Evidence consistently shows that women from minoritised ethnic and socially disadvantaged groups experience poorer care and outcomes than White women and...

obstetanesthesia.com
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Jim Bamber retweeted
OAA@OAAinfo20 Nov 2025
Explore our online archive—celebrating the people who helped shape modern obstetric anaesthesia and maternity care. Visit: bit.ly/49p8tay #ObAnes
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Replying to @LateralTilt
@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?
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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 doi.org/10.1111/anae.70045
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associationofanaesthetists-p… 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

Incidence, risk factors, management and outcomes of high neuraxial block in obstetric anaesthetic...

Introduction High neuraxial block has been identified as a leading cause of maternal cardiac arrest in the UK. There is a need to investigate the potential risk factors and causes of high neuraxial...

associationofanaesthetists-publications.onlinelibrary.wiley.com
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Don’t start surgery before the anaesthetist says go. shorturl.at/H7Sdk
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In support of left lateral tilt done right @IJOA_Journal #OBAnes kwnsfk27.r.eu-west-1.awstrac…
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The complete PRO position: “Sterile gowns SHOULD be mandatory for spinal #OBAnes” from @LateralTilt at #OAA25ASM - a #OBAnes 🧵
Simon Ash@OBsleepmerchant16 May 2025
Replying to @LateralTilt
@LateralTilt kicks off the final session of #OAA25ASM by presenting the PRO side of the “Gowns should be mandatory for spinal #OBAnes” - a conflict of interest?
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Replying to @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
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Replying to @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
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Replying to @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
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Replying to @OBsleepmerchant @LateralTilt @Assoc_Anaes @ANZCA @ASALifeline @ClaireAbeyseke1
Financial implications: the organic banana rate (Cesarean section costs 12k organic bananas) #OAA25ASM #OBAnes
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Replying to @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
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Having trained #OBAnes to provide anaesthetic care can make a difference to maternal outcomes authors.elsevier.com/a/1km1x… @OAAinfo @mbrrace
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Worried X will get more raucous after November 5th? More difficult to have a conversation amidst the din? Too much noise not enough signal? Try ‘Twitter circa 10y ago’ lookalike on Bluesky. It’s a quiet room now but slowly filling up @lateraltilt.bsky.social
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'Quality', 'Measure', 'Metric', 'Indicator' - what do these all really mean? Read our #BJAEd article by @LateralTilt and @PervezSultanMD to clearly understand the above and read about QI in Obs Anaesthesia. #Obs @OaaNews @AllisonLeeNYC bjaed.org/article/S2058-5349…
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A podcast of our recent bjaed.org “ QI in #OBAnes “ article. ⁦@PervezSultanMD⁩ pca.st/episode/f8a38e54-8a19…
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Why US maternal mortality data or its trends 2003-2018 cannot be trusted pca.st/episode/4d3856b7-d212…
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Interested in QI in #OBAnes? We hope that you might find our @BjaEducation article useful. @PervezSultanMD authors.elsevier.com/a/1jKzi…
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One in three mothers endure traumatic births. It happened to me “..for the next year, every Monday at 7.32am, I would stop whatever I was doing and cry. My daughter was born at 8.45am. But 7.32am?…” thetimes.co.uk/article/18de2…
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“That was when the anaesthetist finally administered an epidural that worked” #OBAnes is essential for quality maternity care as demonstrated by @rjharrison79 important @bmj_latest study
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