Dr. Joanne douglas

BC Women's Hospital & Health Centre

1Q72 - 4500 Oak Street
Vancouver, BC V6H 3N1

Obstetric Anesthesia

Pain

Complex Obstetric Patients

Epidural Needle Study

This is a multicentre randomized controlled trial which is looking at the incidence and nature of headaches that may occur following epidural analgesia for labor pain.  It compares two epidural needles and catheters - a larger, more traditional needle & catheter with a smaller epidural needle and cathether.

Transversus Abdominis Plane (TAP) Block

This is a randomized, controlled trial comparing the use of a TAP block with standard intrathecal morphine for post cesarean delivery pain.  This is being done in patients having elective cesarean sections under spinal anesthesia.  They all receive standard postoperative analgesia orders and the primary outcome is the number of morphine equivalents received for postoperative pain.

Obstructive Sleep Apnea (OSA) Study

This observational study is looking at the incidence of OSA in the obstetric population being admitted to BCW int he third trimester.  This is being correlated with an airway examination.  A validated screening tool (STOP BANG) is being used to determine the incidence of OSA and those women with OSA symptoms are being followed postpartum to see whether their sympstoms change postpartum.

PIERS Preeclampsia Integrated Estimate of Risk Model

This is a multicentre trial which aims to predict combined maternal adverse outcomes using certain defined variables.

Peter EA, Janssen PA, Grange CS, Douglas MJ.  Ibuprofen versus acetaminophen with codeine for the relief of perineal pain after childbirth: a ramdomized controlled trial.  CMAJ 2001;165:1203-9.

Choi DMA, Kliffer AP, Douglas MJ. Oral dextromethorphan and intrathecal morphine for analgesia after cesarean section.  Br J Anaesth 2003;90:653-8.

Halpern SH, Darani R, Douglas MJ, Wight W, Yee J. Compliance with the CONSORT checklist in obstetrical anaesthesia randomized controlled trials.  Int J Obstet Anesth 2004;13:207-14.

von Dadelszen P, Menzies J, Gilgoff S, Xie F, Douglas MJ, Sawchuck D, Magee LA.  Evidence-based management for preeclampsia.  Frontiers in Bioscience 2007;12:2876-89.

Menzies J, Magee LA, MacNab YC, Ansermino JM, Li J, Douglas MJ, et al.  Current CHS and NHBPEP criteria for severe preeclampsia do not uniformly predict adverse maternal or perinatal outcomes.  Hypertension in Pregnancy 2007.

Magee LA, Helewa M, Moutquin JM, von Dadelszen P, Cardew S, Cote AM, Douglas MJ, Firoz T, Gobson P, Gruslin A, Lange I, Leduc L, Logan AG, Rey E, Senikas V, Smith GN, Bainbridge S, Chen XK, Xu H, Hutcheon J, Menzies J, Sankaralingam S, Xie F.  SOGC Guidelines: diagnosis, evaluation and management of the hypertensive disorders of pregnancy.  J Ogstet Gynaecol Can 2008;30 (Suppl 1):S1-48.

Agaram R, Douglas MJ, McTaggart RA, Gunka V.  Inadequate pain relief with labor epidurals: a multivariate analysis of associated factors.  Int J Obstet Anesth 2009;18:10-14.

Halpern SH, Douglas MJ (editors). Evidence-based Obstetrical Anesthesia. Blackwell Publishing Ltd. 2005

Gambling DR, Douglas MJ, McKay RSF (Eds.) Obstetric Anesthesia and Uncommon Disorders. 2nd edition. Cambridge University Press 2008.