December 2025 - Hsc-clinicians-anesthesia - University of Manitoba Mailing Lists

HSC Anesthesia Site Lead Coverage
by Marshall Tenenbein, Dr. 24 Dec '25

24 Dec '25

Hello, I will be away from Dec 25th to January 5th inclusive. During this time, HSC Anesthesia site leadership coverage will be provided by Dr. Renate Singh. She can be reached at rsingh2(a)hsc.mb.ca or via TigerConnect. Marshall Tenenbein, MD, FRCPC Site Specialty Lead - Anesthesia, Health Sciences Centre Assistant Professor Department of Anesthesiology, Perioperative, and Pain Medicine Max Rady College of Medicine, University of Manitoba Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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A9 Default Settings
by Marshall Tenenbein, Dr. 24 Dec '25

24 Dec '25

Hi everyone, In follow-up to our recent discussion on A9 default settings, please see response below from BomiMed. For pressure support triggering: On the surface, I think it makes more sense to have a less sensitive trigger (pressure) in the OR, but I don't feel strongly either way. I also don't feel strongly about I:E vs Ti as the default variable. Sounds like both are used across the country. Either way, increasing the default respiratory rate from 8 to 12 will improve the I:E. If we do switch to I:E as the default variable, the preferred ratio was 1:2.5 I'll be putting up some sheets on the white board in our lounge for people to vote. I'll leave them up till mid January in order to allow people to return from holidays. Marshall Tenenbein, MD, FRCPC Site Specialty Lead - Anesthesia, Health Sciences Centre Assistant Professor Department of Anesthesiology, Perioperative, and Pain Medicine Max Rady College of Medicine, University of Manitoba ________________________________ From: Cynthia Boily [CBOILY(a)bomimed.com] Sent: Tuesday, December 23, 2025 2:08 PM To: Marshall Tenenbein, Dr.; Cory Olivier Cc: Robert Hardy; Chrissy Ormiston; Renate Singh; Sonia Larouche; David Friesen; Vincent Wourms Subject: Re: [EXTERNAL] RE: A9 Default Settings Hi everyone, I hope you are all doing well. I would like to take this opportunity to wish you all a wonderful holiday season. As Cory mentioned, we will be happy to readjust the configuration of your A9s to suit your needs at the same time as we configure the machines at the other site (Women's) to match all the configurations together. Here are the changes requested for now: * PCV-VG: initial settings to be changed for 12x500ml (instead of 10x425ml). * I:E vs Ti: Like Cory said, the choice between I:E vs Ti is up to the customer, according to preference. We see both around the provinces and the country, so it's really up to your needs. I just want to clarify, however, that you have the option of setting I:E or Ti as the default for all modes (VCV, PCV, PCV-VG, CPAP/PS) except SIMV modes, where it is automatically a Ti adjustment. We can, of course, change the default Ti adjustment to I:E adjustment. * CPAP/PS trigger: * Indeed, in the default settings, we set the trigger in pediatrics to flow trigger, and for adult patients, we set the default trigger to pressure trigger -1 cmH20. Is that what you have? * The reason behind this is that the A9 has a very high-performance, and therefore very sensitive ventilator, closer in performance to an ICU ventilator. In the OR, patients are often hyperdynamic or, depending on the surgery, the surgeon often presses on the patient's abdomen. When either of these situations occurs, the variation in flow caused by the heart pressing on the diaphragm (hyperdynamic patient) or by the abdomen pressing on the diaphragm (when the surgeon presses on the abdomen) can cause auto-triggering if the trigger is adjusted to flow trigger. * * However, with a pressure trigger, auto-triggering of this kind is avoided, which is why a pressure trigger of -1 cmH₂O (which is fairly easy to trigger) is set as the default for adult patients. * Of course, this setting can always be modified in your configuration, but I invite you to try different trigger levels (flow and/or pressure) to see which adjustment you prefer. I wish you a happy end to the year! Cynthia Boily, inh/RT Spécialiste Clinique/Clinical Specialist - Ventilation and anesthesia c. 819-570-7355 [cid:bc332115-41df-46b9-88d5-2d5ca8557b89] www.bomimed.ca<http://www.bomimed.cam/> [cid:7a43a1c9-f9b2-4327-b429-475792410845]<https://www.facebook.com/BOMImed>[cid:700f53c0-252f-42f9-b662-974062c5da6f]<https://twitter.com/BOMImed>[cid:f2aa14fc-fd82-4b0b-aa1a-4cd3cbb7665d]<https://www.linkedin.com/company/bomimed> [cid:a343ae0e-3d30-43fe-a51e-af52660291f3]<https://bomimed.ca/> *PLEASE THINK OF THE ENVIRONMENT BEFORE PRINTING THIS EMAIL. This e-mail and any attachment transmitted with it are confidential and intended solely for the person or entity to whom it is addressed. If you receive this message in error please contact the sender immediately. Any unauthorized dissemination of this e-mail or its attachments and any use of any information contained in it is strictly prohibited. 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HSC Foundation
by Marshall Tenenbein, Dr. 23 Dec '25

23 Dec '25

Hi everyone, To follow-up on the HSC Foundation presentation at our recent meeting, please see below for the link to our department specific giving page for the purpose of the Department challenge. As a reminder, the Foundation has been very generous to us over the years in funding our previous TEE in addition to a soon to arrive new TEE and additional ultrasound machines. I appreciate many of you are already involved in personal philanthropic causes. That being said, if you haven't already, please consider making a contribution before the end of 2025 as donations received in this calendar year will be matched up to $250,000. For many of us, a tax deductible contribution from our Medical Corporations are unlikely to have a major impact on our bottom lines. Marshall ________________________________ From: Katie Hall Hursh [khallhursh(a)mscl.ca] Sent: Thursday, December 18, 2025 5:38 PM To: Marshall Tenenbein, Dr. Subject: [EXTERNAL] Thank you! Hi Marshall, Thank you again for allowing me to speak with the department this evening. I really appreciate the opportunity to share more about the Foundation’s work and the ways that the physicians can support it. We absolutely value our strong relationships with the over 1,000 physicians on the HSC campus and look forward to continuing to build upon them. As a follow-up to my presentation, would you mind sharing the following links with your colleagues. 1. Monthly Giving: Let’s strive for more than 75% participation from the department! Link here<https://www.hscfoundation.mb.ca/monthlygiving/>. 1. Department Challenge: here is the dedicated Anesthesiology, Perioperative and Pain Medicine link<https://host.nxt.blackbaud.com/adaptive-donor-form/?formId=c853981c-688d-41…>. Thank you as well for being a loyal donor to the Foundation. We are very grateful for your leadership. Best of the season to you! Katie [cid:image009.png@01DC7045.00D1DC40] Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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HSC Dept Mtg Agenda & reports
by Genevieve Krahn 18 Dec '25

18 Dec '25

Caution! This message was sent from outside the University of Manitoba. Good afternoon, Attached please find the Agenda & submitted reports for the HSC Anesthesia Department meeting at 1700 hours. Minutes from June 4, 2025 included. Join Zoom Meeting https://umanitoba.zoom.us/j/68930357340?pwd=FRK4WLKbhgT4NDRGWGxJyraLi7lANi.1 Meeting ID: 689 3035 7340 Passcode: 467812 Thanks, Gen Genevieve Krahn (she/her) Administrative Manager WRHA Anesthesia AE2-21, Harry Medovy House 671 William Avenue R3E 0Z2 Phone: (204)787-8980 Fax: (204)787-4291 Email: Gkrahn2(a)wrha.mb.ca<mailto:Gkrahn2@wrha.mb.ca> The Winnipeg Regional Health Authority acknowledges that it provides health services in facilities located in Treaty 1 and Treaty 5 territories, the homelands of the Mètis Nation and the original lands of the Inuit people. The WRHA respects and acknowledges harms and mistakes, and we dedicate ourselves to collaborate in partnership with First Nation Mètis and Inuit people in the spirit of reconciliation. [Facebook-logo]@winnipegregionalhealthauthority [twitter.png] @WinnipegRHA [website-logo-png] www.wrha.mb.ca<http://www.wrha.mb.ca/> REMOTE WORK DAY: PLANNED ABSENCES: December 22 - 24 February 17 - 20, 2026 March 20 Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l'expéditeur, retourner l'original (le cas échéant) et supprimer ce courriel.

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Department Meeting Thursday
by Marshall Tenenbein, Dr. 14 Dec '25

14 Dec '25

Please review attached agenda/site lead's report/last meeting's minutes. See you all this coming Thursday Marshall Tenenbein is inviting you to a scheduled Zoom meeting. Topic: HSC Anesthesia Meeting Time: Dec 18, 2025 05:00 PM Winnipeg Join Zoom Meeting https://umanitoba.zoom.us/j/68930357340?pwd=FRK4WLKbhgT4NDRGWGxJyraLi7lANi.1 Meeting ID: 689 3035 7340 Passcode: 467812 --- One tap mobile +15873281099,,68930357340#,,,,*467812# Canada +16132093054,,68930357340#,,,,*467812# Canada --- Join by SIP • 68930357340(a)zmca.us Passcode: 467812 Join instructions https://umanitoba.zoom.us/meetings/68930357340/invitations?signature=U-1rNG… Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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Fwd: Fragmin
by Marshall Tenenbein, Dr. 11 Dec '25

11 Dec '25

see below Begin forwarded message: From: Victoria Manning <vmanning(a)hsc.mb.ca> Date: December 11, 2025 at 11:08:44 AM CST To: Ethan Bohn <ebohn4(a)hsc.mb.ca>, "Marshall Tenenbein, Dr." <mtenenbein2(a)hsc.mb.ca> Subject: FW: Fragmin Hi Ethan and Marshall, Could you forward to the Anesthesia Group that all of the thoracic surgeons will now be using Fragmin instead of Heparin. It is stocked in the med room and in the drawers in Th. 4 & 5. Thanks ! Vickie From: Karen Sagness <KSagness(a)hsc.mb.ca> Sent: Thursday, December 11, 2025 8:58 AM To: HSC Adult OR - Perioperative Aides <HSCAdultOR-PerioperativeAides(a)exchange.hsc.mb.ca> Cc: Victoria Manning <vmanning(a)hsc.mb.ca> Subject: Fragmin Good morning! Just to let you all know that thoracic surgery would like 3 pre-filled Fragmin syringes to be stocked in both Th. 4 and 5 effective immediately. They will still need heparin to remain in both theatres as well. I will update the drug list and have it relaminateed to hang at the side of all carts. Please see me if you have questions. Have a good Thursday! Karen Karen Sagness RN CPN© RNFA Manager of Health Services, Adult Operating Room Surgery Program | HSC Winnipeg Shared Health Location: JJ272 Mail: JJ272 - 820 Sherbrook St, Winnipeg MB R3A 1R9 Email: ksagness(a)hsc.mb.ca<mailto:ksagness@hsc.mb.ca> Mobile: 431-323-3418 Fax: 204-787-3095 www.hsc.mb.ca<http://www.hsc.mb.ca/> | www.sharedhealthmb.ca<http://www.sharedhealthmb.ca/> Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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2026 Jan - March call schedule
by Genevieve Krahn 08 Dec '25

08 Dec '25

Caution! This message was sent from outside the University of Manitoba. Good morning, The HSC Adult call schedule for January 1 - April 5 has been published (call swaps are already underway!). I hope to post a draft of the daytime slates by Tuesday December 16th. If you are picking up call at HSC, please ensure that you are on an HSC rotation. If you are on a rotation at SBH, Grace, Victoria, Concordia the call pick up will be declined. Thanks, Gen Genevieve Krahn (she/her) Administrative Manager WRHA Anesthesia AE2-21, Harry Medovy House 671 William Avenue R3E 0Z2 Phone: (204)787-8980 Fax: (204)787-4291 Email: Gkrahn2(a)wrha.mb.ca<mailto:Gkrahn2@wrha.mb.ca> The Winnipeg Regional Health Authority acknowledges that it provides health services in facilities located in Treaty 1 and Treaty 5 territories, the homelands of the Mètis Nation and the original lands of the Inuit people. The WRHA respects and acknowledges harms and mistakes, and we dedicate ourselves to collaborate in partnership with First Nation Mètis and Inuit people in the spirit of reconciliation. [Facebook-logo]@winnipegregionalhealthauthority [twitter.png] @WinnipegRHA [website-logo-png] www.wrha.mb.ca<http://www.wrha.mb.ca/> REMOTE WORK DAY: PLANNED ABSENCES: December 22 - 24 February 17 - 20, 2026 March 20 Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l'expéditeur, retourner l'original (le cas échéant) et supprimer ce courriel.

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HSC Anesthesia Department Meeting
by Marshall Tenenbein, Dr. 03 Dec '25

03 Dec '25

Marshall Tenenbein is inviting you to a scheduled Zoom meeting. Topic: HSC Anesthesia Department Meeting Time: Dec 18, 2025 05:00 PM Winnipeg Join Zoom Meeting https://umanitoba.zoom.us/j/68930357340?pwd=FRK4WLKbhgT4NDRGWGxJyraLi7lANi.1 Meeting ID: 689 3035 7340 Passcode: 467812 --- One tap mobile +15873281099,,68930357340#,,,,*467812# Canada +16132093054,,68930357340#,,,,*467812# Canada --- Join by SIP • 68930357340(a)zmca.us Passcode: 467812 Join instructions https://umanitoba.zoom.us/meetings/68930357340/invitations?signature=U-1rNG… Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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HSC Department Meeting
by Marshall Tenenbein, Dr. 30 Nov '25

30 Nov '25

Hello folks, We'll be having a department meeting prior to the end of the calendar year. Let me know your preference for date/time and whether you have any agenda items. Since there isn't an Anesthesia shared calendar, let me know if these dates are in conflict with other meetings. https://doodle.com/group-poll/participate/dwgW7oXd Marshall Tenenbein, MD, FRCPC Site Specialty Lead - Anesthesia, Health Sciences Centre Assistant Professor Department of Anesthesiology, Perioperative, and Pain Medicine Max Rady College of Medicine, University of Manitoba Disclaimer : This email (including any attachments or enclosed documents) is intended for the addressee(s) only and may contain privileged, proprietary or confidential information. Any unauthorized use, disclosure, distribution, copying or dissemination is strictly prohibited. If you receive this email in error, please notify the sender immediately, return the original (if applicable) and delete the email. Avis : Le présent courriel (y compris toute pièce jointe) est destiné à la personne ou aux personnes à qui il est adressé, et peut contenir des renseignements confidentiels, privés ou protégés par un privilège juridique. Toute utilisation, divulgation, distribution, copie ou diffusion non autorisée est strictement défendue. Si vous avez reçu le présent courriel par erreur, veuillez en informer immédiatement l’expéditeur, retourner l’original (le cas échéant) et supprimer ce courriel.

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