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 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 Associate 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
  • Abola RE, Gan TJ. Preoperative Fasting Guidelines: Why Are We Not Following Them?: The Time to Act Is NOW. Anesth Analg. 2017 Apr;124(4):1041-1043.
  • Abola RE, Schabel J. The unusual use of epidural anesthesia for effective treatment of transfusion related circulatory overload in a parturient. Case Reports in Perinatal Medicine. 2017; 6(2):
  • Abola RE, Romeiser J, Grewal S, Rizwan S, Adsumelli R, Steinberg E, Bennett-Guerrero E. Association of postoperative nausea/vomiting and pain with breastfeeding success. Perioper Med (Lond). 2017 Nov 22;6:18.
  • Abola RE, Bennett-Guerrero E, Kent ML, et al.; Perioperative Quality Initiative (POQI) 2 Workgroup. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg. 2017 Dec 29.
  • Wischmeyer PE, Carli F, Evans DC, Guilbert S, Kozar R, Pryor A, Thiele RH, Everett S, Grocott M, Gan TJ, Shaw AD, Thacker JKM, Miller TE, Hedrick TL, McEvoy MD, Mythen G, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, Abola RE, Bennett-Guerrero E, Kent ML, Feldman LS, Fiore JF Jr; Perioperative Quality Initiative (POQI) 2 Workgroup. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway. Anesth Analg. 2018 Jan 23.
  • Abola RE, Gan TJ. Fluid Management in the Ambulatory, Gynecological and Obstetric Patient. In: Fluid Therapy in the Surgical Patient. Svensen C, Prough D, Feldman L and Gan TJ, editors. CRC Press 2018
Recent Presentations
  • Ni S, Hua B, Schabel J. Ephedrine-Induced Myoclonus in a Parturient. ASA 2017
  • Georges R, Schabel J, Wang M. Convulsive Syncope vs Eclampsia. ASA 2017
  • Brown A, Adrahtas D, Stanley S. Management dilemma in a Parturient with Hereditary Hemorrhagic Telangiectasia. SOAP 2017
  • Georges R, Wang E, Schabel J. Synconvulsion in a Preeclamptic Patient. PGA 2017
  • Josma J, Wang E, Schabel J, Shah S. Untreated Wolff-Parkinson-White Syndrome Management during Cesarean Section. PGA 2017
  • Ni S, Hua B, Schabel J. Myoclonus after Ephedrine Administration. PGA 2017
  • Khalili M, Adsumelli R, Azim S. Coronary Vasospasm: Implications for Treatment of Cardiac Arrest during Anesthesia. PGA 2017
  • Weng M, Gonzalez A, Brown A, Steinberg E, Kogan A, Costa A. Anesthetic Management of an Obstetric Patient With Placenta Percreta. PGA 2017
  • Abola RE, Romeiser J, Rizwa S, Gupta R, Bennett-Guerrero E.
    Randomized Controlled Trial of Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade: Impact on Measures of Early Postoperative Strength. ASA 2018
  • Abola RE, Lian X, Zhang J, Adsumelli RS, Romeiser J, Blaber J, Griffin T, Gan TJ, Bennett-Guerrero E. Evaluation of an Enhanced Recovery After Surgery (ERAS) Program for Minimally Invasive Gynecological Surgery. ASA 2018
  • Abola RE, Lian X, Zhang J, Adsumelli RS, Romeiser J, Blaber J, Griffin T, Gan TJ, Bennett-Guerrero E. Prospective Assessment of A Preoperative Carbohydrate Beverage as Part of an Enhanced Recovery After Surgery (ERAS) Program for Gynecological Surgery. ASA 2018
  • Al-Bizri E, Landman UN. Anesthesia Management Of Parturient With Pseudotumor Cerebri And Lumboperitoneal Shunt For Cesarean Section Utilizing Combined Spinal Epidural Technique. ASA 2018
  • Lee MH, McInerney H, Saunders TA, Adsumelli RS. Symptomatic Intrathecal Hematoma Following An Uneventful Epidural Blood Patch For An Obstetric Patient With Post-dural Puncture Headache. ASA 2018
  • Vojdani R, Khalili M, Adsumelli RS, Azim SA. Coronary Vasospasm: Implications For Treatment Of Cardiac Arrest During Anesthesia. ASA 2018
  • Yau G, Azim SA, Steinberg ES. Atypical Postpartum Headache: PDPH Or Preeclampsia? ASA 2018