Women's Anesthesia Division

Over the years, the typical pregnant patient has changed from a healthy 22 year old to an older patient with complicated coexisting diseases. Our patient population has grown as well and we are quite a busy place. About 6 years ago, we moved to a beautiful new state-of-the-art Labor and Delivery Unit. L&D is a unique place in the hospital since we are a triage/emergency area, labor floor, OR and PACU all rolled into one. Here teamwork is essential and the anesthesia team plays an integral role in the day-to-day patient management and administration of the unit. We have been leaders in creating many of the policies on L&D, including Pitocin administration following vaginal delivery and c/section, Oral Intake Policy, VTE prophylaxis, management of PP hemorrhage and care of patients in the PACU to name a few.

Division Members

Tiffany Angelo, DO
Chief of Women's Anesthesia

Drs. Anna Kogan, Bahaa Daoud, Tiffany Angelo,
Ramon Abola, Ursula Landman, and Meng Weng

  • Tiffany Angelo, DO is the Chief of the Division. She was the Director of Obstetric Anesthesiology at Walter Reed National Military Medical Center in Bethesda, MD before joining our department in 2020.
  • Ramon Abola, MD is the Director of Communication and Deputy Chief Medical Information Officer, Stony Brook Medicine. He is an Associate Editor for BMC Anesthesiology.
  • Ana Costa, MD is Assistant Residency Program Director for Resident Education and assists residents with their Senior Grand Rounds presentations.
  • Bahaa Daoud, MD joined our department in July 2020 after a fellowship in Obstetric Anesthesiology at New York-Presbyterian Hospital/Columbia University Medical Center.
  • Morgane Giordano Factor, MD joined our department in August 2020 after a fellowship in Obstetric Anesthesiology at Ichan School of Medicine, Mount Sinai Hospital.
  • Ursula Landman, DO is co-Director of the Departmental Journal Club. She is a Fellow of the American Osteopathic College of Anesthesiologists and is the recipient of the 2015 NYIT-COM Distinguished Alumni Award.
  • Jun Lin, MD, PhD, FASA directs an externally funded research program "Cancer Recurrence and Metastasis following Surgery and Anesthesia".
  • Irina Lokshina, MD.
  • Tracie A. Saunders, MD brings passion for the well being of all of our mothers and babies to the group. Dr. Saunders is an ordained as a minister; this allows her to offer a unique perspective on how we care for our patients.
  • Joy E. Schabel, MD is Vice-Chair for Education, Director of Medical Student Education and the Residency Program Director. In 2016, she was the recipient of the Teacher of the Year Award by the Society for Obstetric Anesthesia and Perinatology.
Residency Training

We provide the gold standard for obstetric anesthesia care at Stony Brook with two attendings and two residents during the weekdays and a dedicated attending and resident on nights and weekends. We now have a second attending assigned during the weekdays to ensure that our elective cases get done in a timely fashion. This also allows us to have more time for resident education as we do not always need to have a resident in the OR doing cases. We make a big effort to nurture all of our residents and value their outside lives as well as their work lives. Personally, I take on the role of everybody’s mother, making sure everyone eats properly and gets enough rest and that they clean up after their mess. L&D provides a unique environment for our anesthesia residents to interact with patients and their families on a much larger scale than in the main OR. Here, almost all of our patients are awake and c/sections are the only surgical procedures where a significant other is allowed to come into the operating room and these “others” are sitting in our space and need to be watched carefully! Plus, sometimes, L&D can be quite the Soap Opera.

It is fair to say that our resident call room is one of the nicest in the hospital, complete with bedspread, a pet fish named MAC (Minimal Alveolar Concentration), a nice TV and DVD player (this was useful in the old days), weights and a resident painted blackboard wall. It has become a resident and attending hangout and it is quite common on any given day to have people wander in and out to eat their breakfast and lunch with us in their L&D home.

CA1 Residents are advised to make frequent reference to our OB Anesthesia Survival Guide.

Recent Division Activity
We have been designated the 2021 Center of Excellence by the Society of Obstetric Anesthesia and Perinatology. Our group has been striving over the past year to make the necessary changes in order to attain this exciting new level of care.

The SOAP Center of Excellence (COE) designation was created to recognize institutions and programs that demonstrate excellence in obstetric anesthesia care and to set a benchmark of expected care to improve standards nationally and internationally. It is an annual program, with new designees announced each spring. The criteria cover all aspects of obstetric anesthesia care and include: personnel and staffing; equipment, protocols, and policies; simulation and team training; obstetric emergency management; cesarean delivery and labor analgesia care; recommendations and guidelines implementation; and quality assurance and patient follow-up systems.

Dr. Abola presenting his research at our Academic Research Evening

Resident Dr. Minxi Weng, Dr. Lixin Liu and Resident Dr. Richard Thalappillil at Dr. Wang's poster at the ASA meeting

Recent Publications
Resident authors denoted by bold type
  • Costa AC, Satalich JR, Al-Bizri E, Shodhan S, Romeiser JL, Adsumelli R, Abola RE, Steinberg ES, Bennett-Guerrero E. A ten-year retrospective study of post-dural puncture headache in 32,655 obstetric patients. Can J Anaesth. 2019 Sep 17.
  • McInerney HJ, Lee M, Saunders T, Schabel J, Adsumelli RSN. Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature. Case Rep Anesthesiol. 2020 Mar 18;.
  • Landau R, Romanelli E, Daoud B, Shatil B, Zheng X, Corradini B, Aubey J, Wu C, Ha C, Guglielminotti J. Effect of a stepwise opioid-sparing analgesic protocol on in-hospital oxycodone use and discharge prescription after cesarean delivery. Reg Anesth Pain Med. 2020 Nov 10.
  • Liu H, Dilger JP, Lin J. Lidocaine Suppresses Viability and Migration of Human Breast Cancer Cells: TRPM7 as A Target for Some Breast Cancer Cell Lines. Cancers (Basel). 2021 Jan 10;13(2):E234.
  • Winebrenner H, Gelfand H, Roman-Banegas L, Angelo T, Jabaut JM. A Case Report of the Anesthetic Management of a Parturient With Congenital Hypofibrinogenemia and Complete Placenta Previa. A A Pract. 2021 Mar 24;15(3):e01426.
  • Costa A, Chandran L, Schabel J, Abola RE, Adsumelli R, Fischel JE. Practice habits in anesthesiology resident education: The impact of feedback using data analytics. Perioperative Care and Operating Room Management 2021 24:100176.
  • Abola RE, Schwartz J, Forrester JD, Gan TJ. A Practical Guide for Anesthesia Providers on the Management of COVID-19 Patients in the Acute Care Hospital. Anesth Analg. 2021 Mar 1;132(3):594-604 epub Oct 2020.
  • Beg T, Daoud BE, Richman DC. Preoperative optimization of patients undergoing interventional procedures: infrastructure, logistics, and evidence-based medicine. Curr Opin Anaesthesiol. 2021 Aug 1;34(4):482-489.
Recent Presentations
  • Ma S, Costa AC, Al Bizri E. 49 Year Old Female with Blue Discoloration of Limb After Indigo Carmine Administration. ASA 2019
  • Barra D, Mock S, Jabaut J, Patel R, Benjamin J, Angelo T. Challenges In Obstetric Anesthesia In A Parturient With Native American Myopathy. ASA 2020
  • Banegas LR, Winebrenner H, Jabaut J, Patel R, Angelo T. Peripartum Management Of A Parturient With Congenital Hypofibrinogenemia And A Complete Placenta Previa Experiencing Vaginal Bleeding. ASA 2020
  • Tsai M, Feliciano J, Angelo T. Anesthetic Management For Cesarean Delivery In A Pregnant Woman With Previously Ruptured Cerebral Arteriovenous Malformation. ASA 2020
  • Qureshi F, Romeiser J, Abola RE. Preventing Surgical Site Infections (SSI), a QA/QI Initiative on Peri-operative Antibiotic Administration Compliance-timing and Re-dosing. ASA 2020
  • Kim B, Costa AC, Schabel JE. Changes in Practice for Obstetric Anesthesia in Parturients During the Covid-19 Pandemic. ASA 2020
  • Bracero L, Alam S, Wang E, Costa AC, Schabel JE. Subdural Hematoma Requiring Surgical Evacuation Following Dural Puncture Epidural (DPE): a Newly Reported Complication. ASA 2020
  • Alam S, Bracero LA, Costa AC, Schabel JE, Bergese SD. Subdural Hematoma Following Dural Puncture Epidural in a Patient with a Chronic Right Parietal Hemangioma. ASA 2020
  • Jin Z, Gan S, Schabel J, Gan TJ. Palonosetron-dexamethasone Combination Vs Ondansetron-dexamethasone for Ponv Prophylaxis, a Meta-analysis. ASA 2020
  • Shuaib K, Angelo T, Poppers J, Factor M. Anesthetic Considerations in a Parturient with Complex Cardiac History and Pulmonary Hypertension. PGA 2020
  • Kant I, Lokshina I, Wang E. Post Dural Puncture Headache Prevention With Abdominal Binder And Bowel Regimen. PGA 2020
  • Mena S, Gruttadauria M, Factor M, DeLemos M. Spinal Anesthesia in Suspected Brugada Syndrome. ASA 2021
  • Parikh S, Alam S, Costa A, Angelo T. Anesthesia For Cesarean Section In A Parturient With Alagille Syndrome. ASA 2021
  • Watson E, Costa A. Considerations for Endotracheal Intubation Management in COVID-19 Patients with Permissive Hypoxemia. ASA 2021
  • Jin Z, Daksla N, Schabel JE, Gan TJ. Efficacy Of Nk-1 And 5-ht 3 Antagonist Combination For Ponv Prophylaxis, A Systematic Review And Meta-analysis. ASA 2021
  • Turkiew E, Alam S, Schabel J. Peripartum Anesthetic Management Of A Patient With Glanzmanns Thrombasthenia. ASA 2021