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SAAP Meetings Calendar

Scheduling

You can subscribe to our private partnership meetings calendar with the following link. After subscription, meetings dates / times / Zoom links and other details will be automatically synced to your own calendar. https://calendar.google.com/calendar/ical/sbka...

meetings
zoom
calendar subscription
meetings calendar

Obstetric Anesthesia Rotation Plan

Obstetrics Residents Resources

Focus Of This Rotation Providing peripartum anesthetic management for high-risk parturients including all complex cases of labour analgesia, caesarean section and other operative deliveries. This includes patient assessment, identification of contraindication...

ob rotation objectives
ob rotation plan

Quick Guide

Obstetrics Residents Resources

Dr. David Maclean is the OB Anesthesia Rotation Coordinator. Please contact him with any questions. For any vacation and time off during the rotation, you should also let Dr. Devin Singh, our site Residents Co-ordinator, know after you have received approval f...

M5
ob orientation
ob rotation

Suggested Dosages

Obstetrics Residents Resources

The following are suggested protocols for labour analgesia and anaesthesia for operative delivery. Ultimately, actual dosage depends on multiple factors and sound clinical judgement. Initiation Of Labour Epidural (all doses should be fractionated) Test dos...

CSE
PCEA
epimorph
spinal dose
epidural dose

Core Topics & Suggested Readings

Obstetrics Residents Resources

The following are essential obstetric anesthesia topics, some of which will be encountered during your rotation at Sunnybrook. Note that maternal cardiac diseases will be covered during your Ob rotation at MSH. A collection of articles on some of the essentia...

ob articles
dropbox articles
ob topics

Educational Videos

Obstetrics Residents Resources

Dr. Fragneto - Ob Anesthesia Review 1/3 Dr. Fragneto - Ob Anesthesia Review 2/3 Dr. Fragneto - Ob Anesthesia Review 3/3 Dr. Fragneto - Parturients with High Risk Non Obstetric Diseases Dr. Fragneto - Obstetric Hemorrhage Dr. Markley ...

video
SOAP lectures
video lectures

Call Schedule

Obstetrics Residents Resources

Residents call schedule can be found on our TeamUp calendar.

ob resident call schedule

Phone Numbers

Obstetrics Residents Resources

Some important phone numbers on M5 L&D Floor   L&D Nursing Station 6995 Nursing Team Leader 87063    Triage Room 5600 High Risk Ob 5625 Ob Anesthesia Staff phone 85167 Main OR Anesthesia Co-ordinator 7878 Anesthesia Assistant 6290 Blood bank 4051 L...

M5 phone numbers
L&D phone number

Percreta C/S Hysterectomy Protocol

Obstetrics Cognitive Aids

Generally with Placenta Accreta Spectrum (PAS), the obstetrical plan is Cesarean section with / without hysterectomy. If possible, these cases are done electively in main OR on M2 Key Players: Main OR Anesthesia, OB anesthesia, Obstetrics, Gynecology, Urogyne...

Accreta
Increta
Percreta
C-hysterectomy

Post Partum Hemorrhage / Code Transfusion

Obstetrics Cognitive Aids

uterine atony
code transfusion
PPH

LAST Management

Obstetrics Cognitive Aids

Stanford Obstetric Anesthesia Emergency Manual

Obstetrics Cognitive Aids

ob emergency
stanford manual

Obstetric Anesthesia Considerations

Obstetrics Cognitive Aids

General Considerations Two patients i.e. mother and fetus Maternal physiologic changes: Cardiac output increases by 50% by 2nd trimester w/ increased HR & SV Blood volume increases by 45% --> dilutional anemia Hypercoagulable state -...

cord prolapse
twins
uterine inversion
sepsis
thrombocytopenia
abruption
Increta
percreta
accreta
PAS
APH
eclampsia
AFE
PPH
considerations
ob anesthesia considerations

M5 L&D Floor Plan

Obstetrics Residents Resources

Courtesy of Dr. Massouh

L&D map
birthing unit map
M5 map

Holland Centre Location

Holland Centre Resident Resources

Sunnybrook's Holland Centre is located at 43 Wellesley St. East, Toronto. Main phone number is 416-967-8500. ORs are located on 5th floor, take the West wing elevators near the hospital main entrance to get to change rooms and ORs.  TTC Yonge Subw...

Holland map
Holland where

Educational Videos (Lower Extremities)

Holland Centre Resident Resources

A selection of instructional videos on commonly performed lower extremities blocks at Holland Centre Hip Surgeries Knee Surgeries Lower leg / ankle / foot surgeries Note that sensory innervation of medial aspect of lower leg is by s...

femoral nerve block
adductor canal block
PENG block
fascia iliacus
suprainguinal fascia iliacus block
SIFI
popliteal nerve block
ankle block

Educational Videos (Upper Extremities)

Holland Centre Resident Resources

A selection of instructional videos of commonly performed upper extremities blocks at Holland   Shoulder / Proximal Humerus Surgeries Arm / Elbow / Hand Surgeries

supraclavicular block
superior trunk block
infraclavicular block
upper extremities
axillary block
phrenic nerve sparing
interscalene block

OB Billing Change - April 1st, 2023

Obstetrics

Sent on behalf of Dr. Tarshis As of April 1st, 2023 there have been major changes to the OB billing codes. The blue cards will be revised, but in the meantime please note the following. 1. CSE code E111 no longer exists: DO NOT BILL E111   2. Neurax...

Labour Epidural - Risks

Obstetrics Residents Resources

To give valid consent, a patient must be informed of the potential risks of regional anesthesia. That includes information that a reasonable patient would expect to receive from the anesthesia team. Serious risks are rare and benefits (improved pain control /...

epidural risks
meningitis
hypotension
dural puncture
hematoma
infection
paralysis
headache

April 17, 2023 iPro Updates

iPro

Sent on behalf of Stephanie Ward Today you will notice a few small changes to the iPro environment. Labs was a part of this update as well, however, they will not appear in iPro for another week or so as we get the interface up and running.   PAC Module ...

patches
updates