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About the Department

The anaesthetics team work closely with our surgical teams to limit the sensation of pain during procedures. Staff also work closely with our pain management and critical care teams.

Depending on your treatment, you may be given a local or general anaesthetic. The anaesthetist will discuss this with you before the procedure and this will allow you to ask any questions you may have. They will be with you throughout any surgical intervention to monitor your condition. There can be reactions to anaesthetic medication and this may depend on your health history. Our staff will be able to reduce or mitigate these risks.

You may be given an anaesthetic as an injection, gas, ointment, spray, or drops, depending on the type and procedure.

You may experience some side effects due to the anaesthesia. We will try to limit this but their may be nausea, headache, irritation, or soreness. These are natural and will pass quickly but can also be managed with medication. As with all surgical procedures, you will be kept in recovery until you are able to go back to the wards. In the case of day surgery, where the effects may be milder, you will be able to leave after a period of rest and under supervision from a friend or relative.

 

Types of Anaesthesia

Anaesthesia stops you feeling pain and other sensations. It can be given in various ways and does not always make you unconscious.

Local anaesthesia involves injections which numb a small part of your body. You stay conscious but free from pain.

Regional anaesthesia involves injections which numb a larger or deeper part of the body. You stay conscious but free from pain.

General anaesthesia gives a state of controlled unconsciousness. It is essential for some operations. You are unconscious and feel nothing.

Sedation is the use of small amounts of anaesthetic or similar drugs to produce a ‘sleepy-like’ state. It makes you physically and mentally relaxed during an investigation or procedure which may be unpleasant or painful (such as an endoscopy). You may remember a little about what happened or you may remember nothing.

 

Combining types of anaesthesia

Anaesthetic drugs and techniques are often combined, e.g.:

  • A regional anaesthetic may be given as well as a general anaesthetic to provide pain relief after the operation.
  • Sedation may be used with a regional anaesthetic. The regional or local anaesthetic prevents you from feeling pain, and the sedation makes you feel drowsy and mentally relaxed during the operation.

Further information on some types of regional anaesthetics is available in separate leaflets, or on the following website: www.youranaesthetic.info

 

Anaesthetists

Anaesthetists are doctors with specialist training who:

  • Discuss types of anaesthesia with you, hear your views, explain any choices available, and help you make those choices.
  • Discuss the risks of anaesthesia with you.
  • Agree a plan with you for your anaesthetic and pain control.
  • Are responsible for giving your anaesthetic and for your wellbeing and safety throughout your surgery.
  • Help to plan your care after the operation. This may be on a general ward, or, for patients with more complex medical problems, or having a major operation, in the High Dependency Unit or Intensive Care Unit.

 

Our Clinical Team

The consulting team in the department are:

Dr Melinda BRAZIER

GMC: 3563247

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU)
Clinical audit (CENARG chair), paediatric dental
ICU follow up clinic, ATLS Instructor

Dr Giancarlo CAMILLIERI

GMC: 6025686

Consultant in Anaesthetics and Pain Medicine

MDT Lead for Spine and Pain
Chronic pain
General adult anaesthetics

Dr Jonathan COOPER

GMC: 2747541

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU), "tricky trips"
Clinical lead for acute pain, ALS Instructor, MIMMS
Total IntraVenous Anaesthesia (TIVA)

Dr Clare CUNNINGHAM

GMC: 4294368

Consultant Anaesthetist

Pre-Operative Assessment Clinics (POAC) Lead
Obstetric and general paediatric anaesthesia
Gynae, colorectal and orthopaedic anaesthesia

Dr Michael DeVILE

GMC: 6053293

Consultant in Anaesthesia and Critical Care Medicine

Critical care (ICU and HDU)
ICU Clinical Information Systems
Anaesthesia for trauma patients

Dr Rajib DUTTA

GMC: 5194841

Consultant in Anaesthesia and Pain Management

Specialises in Regional Anaesthesia for Upper limb and Lower limb procedures.
Uses Multimodal and multidisciplinary approach in Pain Management.
Treats patient with back and leg pain and member of MDT spinal team.
Is part of MDT Gynaecology and Colorectal team in managing pelvic pain.

Dr Richard GEORGE

GMC:

Consultant Anaesthetist

Obstetric anaesthesia
Regional anaesthesia
WHO checklist in theatres

Dr Pardeep GILL

GMC: 3483657

Consultant Anaesthetist

Specialist Lead for Anaesthetics
Critical care (ICU and HDU)
Clinical lead for organ donation, WHO check list

Dr Kiran GREWAL

GMC: 3477173

Consultant Anaesthetist

General adult anaesthetics
Emergency CEPOD 1 list
Vascular anaesthesia

Dr Ian HART

GMC: 4111603

Consultant in Anaesthetics and Pain Medicine

MSK Associate Divisional Director
Pain Specialty Lead
Anaesthesia for trauma patients

Dr Philippa HIGGINS

GMC: 4098809

Consultant Anaesthetist

Vascular, gynae and upper GI anaesthesia
CEPOD 1 emergencies and CEPOD 3 trauma
ATLS Instructor, ALS Instructor

Dr Don KRUCHEK

GMC: 2340140

Consultant Anaesthetist

Vascular anaesthesia
Regional anaesthesia
General adult and paediatric anaesthetics

Dr Mark KUBLI

GMC: 4067319

Consultant Anaesthetist

Total IntraVenous Anaesthesia (TIVA)
High risk patients clinic, ATLS Instructor
Anaesthesia for trauma patients, bariatrics

Dr Anja KUTTLER

GMC: 4158529

Consultant Anaesthetist

Specialised paediatric anaesthetics
High risk patients POAC and CPET
Educational supervisor

Dr Fiona LLOYD JONES

GMC: 3251490

Consultant Anaesthetist

Obstetric anaesthesia, paediatric anaesthesia
Clinical governance lead for anaesthetics
Anaesthesia for spinal surgery

Dr Mark MACGREGOR

GMC:

Consultant Anaesthetist

Clinical Lead for Vascular Anaesthesia
High risk anaesthetic vascular clinic
Regional blocks, Orthopaedic anaesthesia

Dr James J MARGARY

GMC: 2444116

Consultant Anaesthetist

Clinical lead for Obstetric Anaesthesia
Obstetric, dental, colorectal anaesthetics
Paediatric anaesthesia, regional blocks

Dr Robert MENZIES

GMC: 4543440

Consultant Anaesthetist

RCA tutor, paediatric and regional anaesthesia
Bariatric anaesthesia, difficult airway joint lead
SCReaM project joint lead, sim lab trainer

Dr Alenka MILES

GMC:

Consultant Anaesthetist

Bariatric anaesthesia
Anaesthesia for trauma patients
ATLS Instructor

Dr Alice O'NEILL

GMC:

Consultant Anaesthetist

High risk patients clinic
Anaesthesia for spinal surgery
National Emergency Laparotomy Audit (NELA)

Dr Mike PARRIS

GMC:

Consultant Anaesthetist and Intensivist

MSC chair
Critical care (ICU and HDU)
Vascular anaesthesia

Dr Anthony PARSONS

GMC:

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU)
Anaesthesia for trauma patients
Trainee teaching programme lead for CCU

Dr Martin RAYMOND

GMC: 4536477

Consultant Anaesthetist

Anaesthetic Lead for Trauma and Hip Fractures
Trauma, bariatric surgery, regional anaesthesia
Anaesthetic trainee educational supervisor

Dr David ROBINSON

GMC: 3065787

Consultant Anaesthetist

Difficult airway joint clinical lead
Adult and paediatric anaesthesia, ATLS Instructor
MIMMS, Major Incident Lead for Anaesthetics

Dr Barry SELLICK

GMC:

Consultant Anaesthetist and Intensivist

Specialty Lead for Critical Care (ICU and HDU)
Paediatric anaesthesia including MRI
IT and electronic monitoring of patients

Dr Nik SHAH

GMC:

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU) outreach lead
Lead for “tricky trips” patient transfers (STricT)
Anaesthesia for paediatric MRI, ALS Instructor

Dr Sam SOLTANIFAR

GMC:

Consultant Anaesthetist

SCReaM project joint lead
Bariatric, obstetric, trauma anaesthesia
Simulation laboratory trainer

Dr Karthik SOMASUNDARAM

GMC:

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU)
Anaesthesia for paediatric MRI
Emergency CEPOD 1 list, nutrition audit

Dr Moira WATTIE

GMC: 4028109

Consultant Anaesthetist

Specialty Lead for Day Surgery
Day case anaesthesia
Regional anaesthesia

Dr Ian WHITE

GMC:

Consultant Anaesthetist and Intensivist

Critical care (ICU and HDU)
Nutrition and research into Critical Care
CEPOD 1 list

Dr Lara WIJAYASIRI

GMC:

Consultant Anaesthetist

Vascular anaesthesia
Clinical governance
CEPOD 1 emergencies

 

Specialist Nursing

Our specialist nursing team provide the following care:

  • Post operative pain management;
  • Management of acute pain due to trauma, pancreatitis and other conditions;
  • Management of epidural analgesia and patient controlled analgesia;
  • Advice regarding prescribing for acute pain;
  • Acute back pain

 

Our Location

We are based in the theatre departments on both sites. At St Peter's this is the building adjacent to the outpatients block on the third floor. At Ashford, the theatre unit is in the centre of the main building.