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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 22

My third #OBAnes session of #CASAM2025, a @CAS_OBSection and @cas_neuro collaboration, with @antonchau1 moderating @Ron_George, Dr. Ibukunoluwa Adedugbe & Dr. Kan Ma, speaking on Care of the Parturient with a Neurosurgical Condition. @CASUpdate

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Second #OBAnes session of #CASAM2025 with Dr Allana Munro moderating Prof Rachel Kearns, Prof Dolores McKeen and Dr Wesley Edwards, speaking on: Code OB: Navigating High-Stakes Emergencies in #OBAnes

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

First #OBAnes session of #CASAM2025, @ammunro2 moderating Dr Lesley Bautista, Dr Archana Vidyasankar and Rr Ron George, speaking on: Complications in #OBAnes and Birth Trauma. (Ron was presenting everywhere, arrived in the nick of time for his slot to test IT expertise)

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Consequences hitting closer to home. #CASAM2025

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Why bother? CO2 has natural cycles… and they continue to, just at a higher baseline. World temperatures are rising. #CASAM2025

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Speakers to come: Dr Cliff Shelton, Dr Anita Rao and Dr Gwen Morgan #CASAM2025

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Moderator Prof Kristopher Schroeder provides an introduction to the session Environment Sustainability session at #CASAM2025

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 21

Environmental sustainability and the impact of anesthesia makes a splash as the first plenary session of #CASAM2025 with an excellent group of speakers.

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · Jun 5

Opportunity knocks? @govnl.bsky.social

Reposted by Dr Simon Ash (OBsleepmerchant)

Donna Ockenden FRSA, Hon DLitt Hon DSci @dockendenltd.bsky.social · May 30

Completely disappointing progress! We are already paying out that £ and more in harm to women & babies. And of course the human & lifelong cost of harm is incalculable. We need to do much more & NOW!

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

The complete Dr Fiona Donald #OAA25ASM Bruce Scott lecture on “The Future of #OBAnes as a Subspecialty” - a 🧵

Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 16

@noolslucas.bsky.social introduces #OBAnes, PROMPT champion and past president of @rcoanews.bsky.social Dr Fiona Donald for the Bruce Scott Lecture at @oaa-anaes.bsky.social’s #OAA25ASM: “The future of #OBAnes as a subspecialty”

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Dr Fiona Donald completes her #OAA25ASM Bruce Scott lecture with a summary of who #OBAnes (indeed @OAAinfo) are and a vision of the future - and bright it is! (Belfast weather hopefully contagious)

… so! How do we makes this a reality?

Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

#OBAnes as subspecialty: SIA since 2021 (≈ Periop Med), offer post-CCT fellowships (well subscribed), own specialist society ( @oaa-anaes.bsky.social = largest spec society, trusted source of patient information {Labourpains}, official journal { @ijoajournal.bsky.social}) - ideally poised? #OAA25ASM

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

#AnyAnes & related specialties: PHEM only GMC recognised subspecialty, Pain Medicine now Faculty of @rcoanews.bsky.social, ICM separate CCT. Perioperative Medicine = growing SIA, has @cpoc.bsky.social provides a home with resources partnerships & support for high quality care #OAA25ASM

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Dr Fiona Donald begins rounding off the #OAA25ASM Bruce Scott lecture with a look towards the future. AI will come, it isn’t here already: need to embrace opportunities to teach it well so it unlearns human biases embedded in algorithms for #OBAnes - perhaps AI = parity/ equity?

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Reposted by Dr Simon Ash (OBsleepmerchant)

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · May 18

The weekly debate is going to happen from Monday this week, from a new location for me for a while.
I will use my location as a topic for the debate.
I have plenty of great topics coming up so get ready for another #ANSkyMedSkyDebate and let’s engage and have fun.
#AnSky #MedSky

a woman says " are you ready " in front of a pink wall

ALT: a woman says " are you ready " in front of a pink wall

media.tenor.com

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

The complete CON position “Sterile gowns should NOT be mandatory for spinal #OBAnes” from @ClaireAbeyseke1 at #OAA25ASM - an #OBAnes 🧵.

bsky.app/profile/obsl...

Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 16

Dr Claire Abeysekera presents the CON side of the debate: “Sterile gowns should NOT be mandatory for spinal anaesthesia” at #OAA25ASM. #OBAnes

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

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

bsky.app/profile/obsl...

Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 16

Dr Jim Bamber 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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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

The complete last session of #OAA25ASM the PRO-CON debate between @lateraltilt.bsky.social and Dr Claire Abeysekera: “Should sterile gowns be mandatory for spinal #OBAnes?”

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

The take home message from @ClaireAbeyseke1 with thanks. #OAA25ASM

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Financial implications: the organic banana rate (Cesarean section costs 12k organic bananas) #OAA25ASM #OBAnes

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Now this is more palatable: caffe latte exchange rate - something everyone can do WITHOUT flying somewhere. And perhaps something people WILL do, with less risk to patients? (Estimating risk of decaffeinated #OBAnes aside) #OAA25ASM

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Carbon costing. An annual carbon audit cycle, working back from Carbon volumes, also using London-Belfast exchange rate (slightly less carbon & different offset than @ClaireAbeyseke1 numbers). Maybe planes are different? #OAA25ASM #OBAnes

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

The environmental impact of the #OBAnes spinal gowns in Bristol alone - the equivalent of >1.5k trips to airport! Using @lateraltilt.bsky.social historic data, around 1000round trip flights to Belfast from LHR. #OAA25ASM

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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · May 18

Dr Abeysekera gets to meat of her argument: climate change. Environmental burden of sterile gowns ≠ zero. Their life cycle has its own CO2 burden over the gown itself. Reusable gowns not better, esp if laundry remote. 60 cycle limit? (Does someone count?) #OAA25ASM #OBAnes

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