My areas of expertise include:
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 major 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 undertake emergency anaesthesia sessions caring for a wide range of patients including urgent trauma, plastic, vascular, ENT, spinal and maxillofacial surgery.
I have recently demitted post as the Chairman of the Vascular Anaesthesia Society of Great Britain and Ireland. I am an Editorial Board member of the British Journal of Anaesthesia and have published extensively on topics including vascular anaesthesia, anaesthesia for the older patient, and perioperative cardiac problems.
I am a member of the Scientific Committee of the European Association of Cardiovascular Anaesthesiology. I undertake regular medicolegal and clinical training to support my practice and remain fully abreast of important developments.