Anaesthetic Research Group

 
About Us

Prince of Wales and Sydney Children's Hospitals Departments of Anaesthesia play a vital role in caring for our patients. We enable diverse medical and surgical treatment for neonates to nonagenarians. Some of our main functions include supporting the large cardiac, neuro-surgical and interventional services, alongside highly specialised paediatric surgery.

The Hospitals currently have 14 general operating theatres, 6 nominally paediatric, with an additional specialised hybrid vascular theatre. There are separate Urology and Cardiothoracic theatres on the campus and a range of external anaesthetising locations including radiology, radiotherapy and paediatric procedural areas. The Hyperbaric Unit, Anaesthetic Pre-Evaluation Clinic (APEC) and Acute Pain Service (APS) are led by anaesthetists with further subspecialty interest and training. These services are integrated with day to day clinical anaesthesia, with wide ranging involvement of trainee and consultant anaesthetists across the board.

Excitingly, extensive funding has been approved for ongoing campus development, including a new theatre complex and critical care precinct. This project will further support our growing department and affiliated services.

 

Staff


Research Lead

Conjoint Professor Michael Bennett

Wales Head of Department

Dr Rob Turner

SCH Head of Department

Dr Donald Hannah

Staff Specialists(Subspecialty and non-clinical roles)

‘SOT’ = Supervisor of Training, Part 1 and 2 relate to ANZCA Exams

Dr John Awad (Paediatric Intensivist and Paediatric Cardiac)

Dr Michael Beaudoin (Adult Cardiac - Head)

Dr Amira Bishai (Paediatrics)

Dr Shona Chung (Paediatrics, Cardiac, Part 1 Education)

Dr Aine Duggan (Research and Adult Cardiac)

Dr Maged Bishay (Paediatrics, RMO SOT)

Dr David Collins (Adult Intensivist)

Dr Matthew Crawford (Paediatrics, Pain, Adult Intensivist)

Dr Gretel Davidson (Paediatrics, external Pain Fellowship 2018)

Dr Ann Duffield (Paediatrics)

Dr Edward Loughman (Paediatrics, Recruitment)

Dr Natalie Rogoff (Paediatrics, Registrar SOT)

Dr Alan Rubinstein (Paediatric Cardiac, Fellow SOT)

Dr Albert Saady (Peri-Operative)

Dr David Sandeman (Paediatrics, QA and Equipment)

Dr Alyssa Scurrah (Paediatrics, Cardiac, Part 2 Education)

Dr Yahya Shehabi (Adult Cardiac, Adult Intensivist)

Dr Jessica Smith (Paediatrics, Allocations)

Dr Mark Tahmindjis (Paediatrics)

Dr Jennifer Upton (Paediatrics)

Dr Jane Walton (Allocations)

Dr Darren Wolfers (Adult Cardiac)

Dr Su-Jen Yap (Peri-Operative and APEC)

Fellows

2018

Dr Steven Cai

Dr Jessica Hegedus

Dr Pallavi Kumar

Dr Jonathan Moore

2017

Dr Trent Evans

Dr David D'Silva

Dr Megha Jain

Dr Rachel McLennan

Dr Natalie Russell

2016

Dr Siva Achuthan

Dr John-Paul Favero

Dr Anna Hickson

Dr Caroline McCombie

Dr Kieran Somerville

2015

Dr Olivia Albert

Dr Dhivya Kalisapathy

Dr Jenn Lee

Dr Robert McMonnies

2014

Dr Yinyin Leow

Dr Yuting Liu

Dr Jon Salicath

Dr Chloe Tetlow

2013

Dr Danelle Dower

Dr Thanan Elalingham

Dr Anna Freney

Dr Jonathan Minton

Dr Anand Rajan

 

Teaching


Medical Students

Currently, students allocated to the Prince of Wales Clinical School with the University of New South Wales undertake teaching in Anaesthesia as part of their surgical terms. This teaching provides an important introduction to the specialty, the anaesthetist’s role within the hospital and the peri-operative period. Opportunities exist for students (local, interstate or international) to participate in elective placements. These enquiries should be directed to the Prince of Wales Clinical School administrative staff in the first instance.

Critical Care and Emergency Department Residents

Residents rotate through Anaesthesia as part of their Critical Care SRMO training. Terms, at the time of publication, are either 10 weeks (ED SRMO) or 13 weeks (Critical Care SRMO). Non-anaesthesia vocational trainees from other critical care specialties join the resident roster. Residents benefit from an immersive introduction to anaesthesia and are expected to function in a similar capacity to junior registrars by the end of their term. Key aims include gaining an appreciation of peri-operative care while building skills with advanced airway management, arterial and venous access.

Please note that introductory information and orientation will be provided as a matter of course for all allocated residents. For further information, when necessary, please contact the Wales Anaesthesia secretary. Please note that ED SRMOs are hired directly by the Prince of Wales Emergency Department who coordinates their rotation.

Anaesthetic Rotational Scheme Trainees

The Prince of Wales and Sydney Children’s Hospital Rotational scheme is accredited for 156 weeks of training by ANZCA. All surgical specialty units can be completed as part of training in our network. Trainees can expect to rotate through intensive care units at Prince of Wales and/or Sydney Children’s Hospital and a variety of secondments - these include CareFlight, Royal Hospital for Women (RHW is located on the Randwick Campus), Coffs Harbour Base, Liverpool, Sutherland and Wollongong Hospitals.

Anaesthesia trainees also care for patients in the cardiac catheter labs, CCU cardioversions, radiology (adult and paediatric including MRI, neuro and other interventional radiology) and cardiac arrest calls in any of the POW, SCH, Bright Alliance Comprehensive Cancer Centre or RHW.

Registrars take part in an on call roster including evening, night and weekend shifts. During evenings and weekends one registrar is allocated each to paediatric and adult emergencies. Overnight there is currently one on-site anaesthetic registrar - consultant support is always readily available if required.

The teaching programme has recently been revised in response to trainee feedback and is streamed toward the primary and final examinations. Weekly teaching time is protected. Registrars are required to participate in pre-reading, as well as facilitating teaching sessions. Registrars will also be required to supervise anaesthetic RMOs and assist in formal or departmental presentations alongside ANZCA scholar role activities.

For further information please contact Wales Anaesthesia on 9382 4746. Positions are advertised via the NSW Health eRecruit Portal.

Anaesthesia Provisional Fellows

The POW/SCH scheme, at the time of publication, offers four full time equivalent provisional fellow (PF) positions in clinical anaesthesia each year. A Fellowship in Diving and Hyberbaric Medicine via the affiliated unit also provides capacity for time in clinical anaesthesia. Fellows can use the year to further their experience in areas of sub-specialty interest while gaining greater independence, experience supervising junior staff and running operating lists with dedicated senior anaesthetist support.

Fellows rotate through roles, influenced by cohort preference, across the Paediatric and Adult hospitals. Options for subspecialty focus include Paediatrics; Cardiothoracic Surgery; Paediatric Haematology and Oncology; Adult Major Surgery, and Adult Peri-operative Care. Fellows will also be entrusted with further responsibilities critical to the functioning of the department including leading the anaesthesia M&M meeting, Registrar rostering, Teaching co-ordination and Research. One non-clinical day per week is allocated for this purpose.

Provisional Fellows can expect to run adult emergency lists during normal hours with the assistance of an anaesthetics registrar and support from the duty anaesthetist, approximately one day per week. Fellows share on-call duty as the first paediatric or adult anaesthetist approximately 1 call per fortnight on average. This provides an excellent opportunity for greater independence prior to completion of ANZCA training - senior colleagues are always co-listed for call.

Positions are advertised via the NSW Health eRecruit Portal. If required around the time of annual recruitment, please contact Wales Anaesthesia for further information.

Research Fellows

Research Fellows maintain a full clinical commitment and function in this dedicated non-clinical role for 6-12 months as desired. Primary duties include:

Cooperate with the Academic Head, trainees and nursing staff on research related matters.

Encourage JMO participation in the research life of Wales Anaesthesia and support trainees with Scholar Role Activities.

Assist with recruitment and follow-up for large trials under way at our sites.

Engage with teaching and quality assurance activities in the department.

 

Past and Present Anaesthetic Research Fellows

2018 Dr Steven Cai

2017 Dr Trent Evans

2016 Dr John-Paul Favero

 

Research


Grants & Funding

National Health and Medical Research Council (NHMRC) grant funding is derived for patients recruited to the major, multi-centre RCTs which we elect to participate in. Our sites have recruited meaningfully for the BALANCED and RELIEF trials most recently with a view to contributing next with PADDI and T-REX, amongst others. Our objective is always to ensure appropriate involvement of patients in safe, quality research studies that will further refine and improve the current standard of care.

Selected Publications

2017

Bulic D, Bennett M, Rodgers H, Nourse M, Rubie P, Looi JC, Van Haren F. Delirium After Mechanical Ventilation in Intensive Care Units: The Cognitive and Psychosocial Assessment (CAPA) Study Protocol. JMIR Res Protoc. 2017 Feb 28;6(2):e31. doi: 10.2196/resprot.6660.

Gomes S, Cranney G, Bennett M, Giles R. Lead Extraction for Treatment of Cardiac Device Infection: A 20-Year Single Centre Experience. Heart, Lung and Circulation. 2017 Mar 31;26(3):240-5.

2016

Gomes S, Cranney G, Bennett M, Giles R. Long‐Term Outcomes Following Transvenous Lead Extraction. Pacing and Clinical Electrophysiology. 2016 Apr;39(4):345-51.

Gunasingam N, Perczuk A, Talbot M, Kaffes A, Saxena P. Update on therapeutic interventions for the management of achalasia. Journal of gastroenterology and hepatology. 2016 Apr 1.

International Surgical Outcomes Study group. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle-and high-income countries. British Journal of Anaesthesia. 2016 Nov 1;117(5):601-9.

2015

Bennett MH, Lehm JP, Jepson N. Hyperbaric oxygen therapy for acute coronary syndrome. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD004818. DOI: 10.1002/14651858.CD004818.pub4.

Bulic D, Bennett M, Shehabi Y. Delirium in the intensive care unit and long–term cognitive and psychosocial functioning: literature review. Australian Journal of Advanced Nursing 2015; 133(1):44-52.

Van Zundert AAJ, Gatt SP: A Novel Method of Intubation and Orogastric Tube Insertion Using a CMAC-DBlade Videolaryngoscope-Bougie Technique.  Acta Anesthol Belgica 2015;66(3). 

 

Contacts


Email or phone the current research nurse or fellow in the first instance.

     See team page. Email pro-forma: firstname.lastname@health.nsw.gov.au

Hospital Switch

     +61 2 9382 2222

Wales Anaesthesia Department

     +61 2 9382 4746

Each trial at our site has a dedicated senior clinical lead. The academic head, via the departmental secretary, will be able to advise on this as required. The commencement of an anaesthetic research nurse will be the next significant step in further boosting our contribution to quality research and evidence-based anaesthesia.

 

Links


Australian and New Zealand College of Anaesthetists (ANZCA)

http://www.anzca.edu.au

Faculty of Pain Medicine ANZCA

http://fpm.anzca.edu.au

Australian Society of Anaesthetists

http://www.asa.org.au

The Anesthesia Toolbox

https://www.anesthesiatoolbox.com/