Perioperative Anaesthesia

Clinical opportunities

We offer training in cardiopulmonary exercise testing and interpretation, progressing from direct supervision to mentored support. We train our Fellows to the level of independent consultant practice.

Fellows gain experience of preoperative echocardiography provided by a dedicated team of Intensive Care Consultants.

We run mentored sessions in high-risk Preoperative Assessment Clinic.

We have directly-supervised operating lists in:

• upper-gastrointestinal
• hepatobiliary
• colorectal
• gynaecology
• head and neck surgery

with others at request.

A broad range of procedures are performed, including:

• oesophagectomy (laparoscopic and minimally-invasive approaches)
• bariatric surgery
• hepatectomy
• Whipples' procedure.

We perform robotic assisted urological, colorectal, head and neck and gynaecological procedures.

Oxford is a world leading centre for radiologically-guided ablation of tumours and sessions are available to learn the anaesthetic technique (high-frequency ventilation).

We can offer experience in visceral transplantation surgery including renal, simultaneous kidney-pancreas (for which we are one of the largest centres in the world), and modified multi-visceral transplantation.

We also offer experience in intensive overnight recovery in our dedicated Overnight Recovery Unit.

We provide full support to meet the requirements of the Royal College of Anaesthetists' 'Advanced Level Perioperative Medicine' syllabus.

We may be able to support areas of specialist clinical interest with participation in the broader activities (morbidity and mortality meetings, multidisciplinary team (MDT) meetings, listing meetings etc.) of our surgical specialties, including:

• upper GI
• hepatopancreaticobiliary
• bariatric
• transplant
• vascular
• orthopaedic.

Clinical responsibilities

Cross-site working to provide anaesthesia for a wide range of specialties (not exclusive to those mentioned above) at the level of Senior Registrar.

Cross-site out-of-hours responsibility for anaesthesia and intensive care.

Non-clinical opportunities

We are a proactive department closely integrated with the University of Oxford's Perioperative Medicine Research Group.

Resarch interests

• Optimisation of the pre-surgical patient
• Development of novel intraoperative monitoring systems
• Electronic detection of the deteriorating patient
• Participation in multi-centre trials led by other sites

Research funding is from grants awarded by the NIHR, NIAA, Wellcome Trust and EPSRC as well as the NIHR Oxford Biomedical Research Centre.

Fellows are encouraged to conduct research and novel service development projects aligned with the clinical and research interests of the department.

We have a range of agreed projects that can be quickly actioned and completed, and will support Fellows to present and publish their work.

Education / training

There is a range of opportunities for Fellows to expand their teaching and educational skills, including at OxDAT, the monthly CPD accredited day for registrars, in OxSTaR, our nationally renowned simulation facility, and by teaching other specialties and nurses.

We hold regular departmental academic meetings that include discussions of audit, morbidity and mortality, and research updates. Fellows are expected to contribute to these.

Contact us

Dr James Day

Head of the Perioperative Medicine programme

Email: james.day@ouh.nhs.uk