Author: Barbara Orlando, MD
Institution: Mount-Sinai West Hospital, NY, NY
This PBLD was peer-reviewed by a panel of experts from the Society of Obstetric Anesthesia and Perinatology (SOAP) and has been endorsed by the SOAP Education Committee.
Learners should identify a faculty mentor and walk through the case together, after perusing the pre-course work. Tweet your comments and questions using the buttons provided in each question, and experts will weigh in.
Required pre-work: Reading list
- Bateman BT, Polley LS. “Hypertensive Disorders.” Chestnut’s Obstetric Anesthesia: Principles and Practice. Ed. David H. Chestnut, Cynthia A. Wong, Lawrence C. Tsen, Warwick D. Ngan Kee, Yaakov Beilin, and Jill M. Mhyre. 5th ed. PA: Philadelphia, 2014. 358-79.
- Henke VG, Bateman BT, Leffert LR. Focused review: spinal anesthesia in severe pre-eclampsia. Anesth Analg. 2013 Sep;117(3):686-93.
- Orlando B, Epstein, J. “Peripheral Nerve Injury Associated with Labor.” Clinical Anesthesiology Guide: Obstetric Anesthesia. Ed. Alan C. Santos, Jonathan N. Epstein, and Kallol Chaudhuri. 1st ed. 2015. 213-20.
Videos: OB Anesthesia Fellows Virtual Grand Rounds
- Hypertension in Pregnancy: Practical Concerns with Sue Ranasinghe
- Postdural Puncture Headache and Epidural Blood Patch with Barbara Scavone
- Neurologic Complications in Obstetric Anesthesia with Mark Zakowski
Learning Objectives
At the conclusion of this session, the fellow will be able to:
- Assess risks and benefits for regional anesthesia vs general anesthesia in a pre-eclamptic patient
- Recognize the types of peripheral nerve injury associated with labor
- Identify and treat post-dural puncture headache
Instructions for Faculty Mentor
Before proceeding with the case, perform an assessment of your fellow’s prior review of the teaching materials and current understanding of the topic. Review key points of learning, clarify any questions, and identify areas for further investigation by the fellow.
