Society for Obstetric Anesthesia and Perinatology 2014 Meeting Report

The 46th Annual Meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP), held in Toronto, Ontario, Canada, at the Sheraton Centre Toronto Hotel from May 14 to 18, 2014, attracted 630 attendees from 23 countries. The meeting kicked off after premeeting workshops with a welcome reception in a quintessentially Canadian backdrop: the Hockey Hall of Fame. Scientific Chair, Robert Gaiser, MD (University of Pennsylvania), gave the opening remarks, and meeting host Jose Carvalho, MD, PhD, FANZCA, FRCP (University of Toronto), welcomed SOAP members to his city. The scientific sessions began Thursday morning with the Gertie Marx Research Competition, moderated by Gerard Bassell, MD (University of Kansas), in which the 6 best abstracts submitted by trainees were presented (see Table 1 for the list of winning abstracts).Table 1: SOAP 46th Annual Meeting Award WinnersVeteran SOAP member, Alan Santos, MD, MPH (St. Luke’s-Roosevelt Hospital Center), received the 2014 Distinguished Service Award. Presenter, David Wlody, MD (State University of New York Downstate Medical Center), reminded the audience of Dr. Santos’ tremendous contributions to SOAP, in particular, his pivotal role in securing accreditation for the Obstetric Anesthesiology fellowship by the Accreditation Council for Graduate Medical Education. A thought-provoking special lecture titled, “Preeclampsia: What Patients Want You to Know,” was delivered by Eleni Tsigas, Executive Director of the Preeclampsia Foundation. Ms. Tsigas gave a wrenching description of her 2 experiences with preeclampsia and recalled her meaningful interactions with her anesthesiologist. During the Research Hour of Power, Brian Bateman, MD, MSc (Harvard University Medical School), addressed the topic, “Big Data for Use in OB Research Including Methodological Considerations,” in which he emphasized the strengths and limitations of using large data sets. Alexander Butwick, MB, BS, FRCA, MS (Stanford University School of Medicine), discussed “What Big Data Has Taught Us About Postpartum Hemorrhage.” Stephanie Goodman, MD (Columbia University), oversaw 5 presenters sharing current peer-reviewed research in the first of 2 Oral Presentation sessions. The first Poster Session of the meeting was moderated by Yehuda Ginosar, BSc, MB, BS (Hebrew University, Jerusalem), who guided the audience through a selection of poster abstracts. The debut of the Obstetric Anesthesia “American Idol” competition introduced 3 junior faculty contestants who presented didactic lectures on self-selected topics. Participants were judged on style and substance. Judges Joy Hawkins, MD (University of Colorado School of Medicine), Kenneth “Steven Tyler” Nelson, MD (Wake Forest University), and Scott “Simon Cowell” Segal, MD (Tufts Medical Center), formed the panel for the lighthearted session. The winning speaker will present at the 2015 Sol Shnider Meeting in San Francisco, CA. The final period was devoted to remembrances of SOAP luminaries who passed away in the past year. Lawrence Tsen, MD (Harvard University Medical School), reminisced about the career of Sanjay Datta, MD, past Director of Obstetric Anesthesia at Brigham and Women’s Hospital, recalling Dr. Datta’s service to medicine, notably, his development of the short-handled laryngoscope. Manuel Vallejo, MD, spoke about Ezzat Abouleish, MD, recounting his distinguished career at Magee-Womens Hospital, Pittsburgh, PA, and the University of Texas, Houston, TX. Current President of the Obstetric Anaesthetists’ Association, David Bogod, MB, BS, FRCA, LLM, fondly memorialized the life of former Obstetric Anaesthetists’ Association President, Geraldine O’Sullivan, MB, BCh, BAO, MD, FRCPsych. The Friday program began with the Best Paper Competition, moderated by Paloma Toledo, MD, MPH (Northwestern University), with 5 investigators sharing the findings of cutting-edge animal and human studies. The following session was the first of 2 dedicated to patient safety, “Caring for Our Own: Focusing on the Care Provider to Optimize Safety for Our Patients.” Lawrence Tsen, MD, discussed the effects of the disruptive coworker on patient safety and advised the audience on techniques to address negative behavior in the workplace. May Pian-Smith, MD, MS (Harvard University Medical School), explained how communication failures contribute to mishaps and provided a roadmap for generating culture change. Stephen Pratt, MD (Harvard University Medical School), raised a highly underrecognized issue: the suffering of clinicians in the aftermath of a medical error. The annual “What’s New in Obstetrics?” lecture focused on “Pathogenesis, Prevention and Management of Severe Preeclampsia.” Dr. Jose Carvalho introduced speaker, Professor John Kingdom, MD (University of Toronto), whose work concentrates on the molecular basis of placental dysfunction. Professor Kingdom gave a brilliant exposition on the placental basis of severe preeclampsia before delving into potential avenues for diagnosis and prevention. The second Poster Session of the meeting was led by Richard Month, MD (University of Pennsylvania). Dr. Robert Gaiser moderated the final abstract session of the day, which was devoted to the presentation of 3 meta-analyses. The Saturday schedule commenced with Klaus Kjaer, MD (Cornell University), moderating the second Oral Presentations session. The 2014 Fred Hehre Lecture was given by David Wlody, MD, past President of SOAP and Vice Chair of Education at State University of New York Downstate Medical Center. Dr. Wlody memorialized Dr. Hehre’s outstanding achievements and shared his own observations about the dramatic shifts that have taken place in the subspecialty since the beginning of his career. The “Gerard W. Ostheimer Lecture: What’s New in OB Anesthesia?” was delivered by Lisa Leffert, MD (Harvard University Medical School), who had the considerable task of leading the audience through the body of literature pertaining to obstetric anesthesiology and perinatology published between January 2013 and December 2013. (A summary of this lecture is published elsewhere in this issue of Anesthesia & Analgesia.) The host’s panel titled, “Getting New Moms Ready to Rock in the Postpartum: Obstetric Anesthesia Beyond Labor and Delivery,” shed light on issues over which obstetric anesthesiologists may have some influence. As the first speaker, Jose Carvalho, MD, PhD, FANZCA, FRCP, emphasized the importance of recovery of maternal functional ability in the postpartum period. Robin Russell, MD, FRCA (Oxford University), addressed the concern of maternal anemia. Mood issues were discussed by Beverly Young, MD, FRCPC, a psychiatrist from the Toronto Mount Sinai Hospital Perinatal Health Program. Finally, postpartum maternal and neonatal infection were discussed by Allison McGeer MD, MSc, FRCPC, Director of Infection Control at Mount Sinai Hospital, Toronto. The third Poster Session was moderated by Michaela Farber, MD, MS (Harvard University Medical School), who summed up the last set of abstracts. The Gertie Marx Grant Recipients from 2012 and 2013, Mrinalini Balki, MB, BS, MD (University of Toronto), and Terrence Allen, MB, BS (Duke University), shared their journey thus far in their respective research paths. McCallum Hoyt, MD, MBA (The Cleveland Clinic Foundation), gave the preamble for the passionate Pro-Con Debate: “Remifentanil Should Be Routinely Offered for Labor Analgesia.” The pro argument was brought by David Bogod, MD, BS, FRCA, LLM (Nottingham University). Dr. Bogod cited the negative aspects of neuraxial analgesia as well as the safety record of systemic opioid analgesia. The con position was taken by Mark Zakowski, MD (Cedars-Sinai Medical Center), who pointed out the diminished analgesic efficacy of remifentanil compared with neuraxial techniques and the potential complications associated with its use. The day ended with the annual SOAP Banquet, an elegant affair held at the Sheraton Centre Toronto Hotel. The Sunday morning program opened with optional Breakfast Panels in which attendees met with and gained the perspective of experts on the topics, “Legends Remembered” (Speakers: Gerard Bassell, MD, Brenda Bucklin, MD [University of Colorado School of Medicine], Patricia Dailey, MD [Anesthesia Care Associates], Robert Gaiser, MD, Richard Smiley, MD, PhD [Columbia University], Lawrence Tsen, MD), “Publication in Obstetric Anesthesia” (Speakers: Pamela Flood, MD [Stanford University], Robin Russell, MD, FRCA, Cynthia Wong, MD [Northwestern University]), and “A Career in Obstetric Anesthesia” (Speakers: Craig Palmer, MD [University of Arizona], Edward Yaghmour, MD [Northwestern University], Paloma Toledo, MD, MPH). The final session addressing patient safety issues was entitled, “Practical Suggestions for Improving Safety in Your Unit,” moderated by Yaakov Beilin, MD (Icahn School of Medicine at Mount Sinai, New York, NY). Dr. Beilin gave the first presentation, “Safety Rounds Beyond Board Sign Out,” in which he detailed the process of instituting the TeamSTEPPS® program in his institution. David Hepner, MD, MPH (Harvard University Medical School), spoke about “Team Training: Emergency Manuals Implementation, Crisis Simulation and Critical Event Debriefing.” He promoted the benefits of checklists, cognitive aids, and identifying roles during obstetric crises. Edward McGonigal, MD (Creighton University School of Medicine), presented “Equipment Rounds: Ways to Be Sure the Suction Works When You Need It,” in which he reminded the audience about the basic preparation of the operating room in the labor and delivery suite. Klaus Kjaer, MD, introduced speaker Jeffrey Perlman, MB, ChB, Professor of Pediatrics and Chief of the Division of Newborn Medicine at Weill Cornell Medical College. In his lecture, “What’s New In Neonatology? Avoiding Hypothermia/Hyperthermia in the Delivery Room in the Newly Born Infant Has Significant Beneficial Downstream Consequences,” Professor Perlman spoke about the deleterious consequences of hypothermia and hyperthermia in the mother and newborn and how implementing interventions to minimize these problems resulted in a successful quality improvement initiative at his institution. The final session, Best Case Reports Review, moderated by Manuel Vallejo, Jr., MD, DMD, comprised an array of interesting cases, which proved to be instructive for the audience. Brenda Bucklin, MD, the 2015 SOAP Annual Meeting host, joined Dr. Vallejo (2015 Scientific Program Chair) at the podium, giving a plug for next year’s Annual Meeting, which will be held at The Broadmoor in Colorado Springs, Colorado, May 13 to 17, 2015. Allison Lee, MD Department of Anesthesiology Columbia University Medical Center Columbia University New York, New York [email protected]

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