Jim Bamber (@LateralTilt) profile picture

Jim Bamber

@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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Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)Photo by Jim Bamber (@LateralTilt)
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 (@OAAinfo) profile picture
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
Image from OAA (@OAAinfo)
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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?
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
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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
Image from 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@Anaes_Journal)
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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...

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 (@OBsleepmerchant) profile pictureSimon 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?
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
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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
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
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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
Image from Simon Ash (@OBsleepmerchant)
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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
Image from Simon Ash (@OBsleepmerchant)
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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
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
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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
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
Image from Simon Ash (@OBsleepmerchant)
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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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