General and regional anaesthesia (adults)/anaesthetics.
Anaesthesia for vascular, orthopaedic, and trauma surgery.
Anaesthesia and perioperative care of the frail and older patient.
Anaesthesia for urgent and emergency surgery.
Preoperative risk assessment.
Consent and shared decision making.
Major complications of anaesthesia.
Postoperative myocardial infarction and stroke.
I am a nationally recognised authority on anaesthesia for high-risk vascular surgery. I led the anaesthetic component of the National Quality Improvement Programme for Aortic Aneurysm Repair.
I have an extensive and varied vascular anaesthetic practice encompassing aortic aneurysm repair, carotid surgery, lower limb, vascular surgery and renovascular access.
I am the Trust lead for preassessment and have a particular interest in the frail elderly patients undergoing major surgery.
I undertake joint preoperative assessment clinics of elderly surgical patients in collaboration with elderly care and surgical colleagues.
I am a previous Chairman of the Vascular Anaesthesia Society of Great Britain and Ireland.
I Chair Elect of the Board of the British Journal of Anaesthesia and have published extensively on topics including vascular anaesthesia, anaesthesia for the older patient, and perioperative cardio problems.
I undertake regular medicolegal and clinical training to support my practice and remain fully abreast of important developments.