Anaesthetics Theatre Nurse

The anaesthetic service is one of the largest in the Trust.

The service works closely with other departments in delivering patient-centred care and is involved in some way with over half the patients attending the Trust. The work ranges from assessment and preparation of patients for their operation, to delivering appropriate types of sleep and pain relief, through to supervision of post-operative care in the recovery ward, high dependency unit or intensive care unit.

The multi-disciplinary anaesthesia team consists of consultants, supported by speciality doctors, physician's assistants, doctors-in training and a team of skilled nurses. Whilst experts in their own clinical fields, the consultants and senior nurses are also actively engaged in teaching and training doctors, nurses, midwives, medical students, paramedics and allied health care professionals both within and outside the Trust.

The anaesthesia teams at Northwick Park, St Mark's and Central Middlesex Hospitals, manage and provide the following services:

Pre-operative assessment service
The screening and assessment process is carried out by a team of specifically trained nurses who work closely with the anaesthetists, assessing and preparing patients for surgery and anaesthesia. This service allows for early identification of patients with chronic medical illnesses that need further investigation and optimisation prior to surgery, provides an opportunity for explanation and discussion, improves organisational efficiency and enhances patients’ care.

Anaesthetic service

We provide a 24-hour anaesthetic service to all surgical specialities and anaesthetise approximately 24,000 patients each year for operative procedures. We provide all forms of anaesthesia for many different types of surgery. This can range from the use of local anaesthetic injections to numb specific nerves (epidural and spinal techniques) to the use of various injectable medicines and gases to produce general anaesthesia. Whatever form the anaesthetic takes, it is delivered by a fully trained practitioner who is present throughout the surgical procedure.

At Northwick Park and St Mark’s Hospitals we provide services to nine operating theatres in the main theatre suite, two theatres in the maternity unit and also to radiology, psychiatry, endoscopy and A&E departments. There is a purpose-built theatre for key-hole surgery and facilities for remote viewing of operations, in the lecture theatre, by visiting surgeons. Four new operating theatres, including a state-of-the art hybrid vascular theatre were opened in 2014.

At Central Middlesex Hospital, anaesthetic services are provided for six operating theatres in the Ambulatory Care and Diagnostic Centre (ACAD) and three in the main hospital. Predominantly day case and short stay surgery in a variety of specialities is undertaken on this site.

Acute pain service 
The acute pain service reviews about 1,000 inpatients each year who experience acute pain. We see patients who have either had surgery or who are referred to us for advice on acute pain management. We also see a large number of patients who have a complex history which may include chronic pain, opioid dependence, multiple hospital admissions and surgical interventions.

If you are being admitted for surgery and would like to see a member of the acute pain service, please ask a member of staff to contact us.

Maternity analgesia and anaesthetic service 
The Northwick Park maternity unit has approximately 5,500 deliveries a year. Anaesthetists provide a 24-hour pain relief and anaesthetic service for caesarean births and instrumental deliveries. The unit has a large proportion of high risk deliveries. A consultant anaesthetist holds a weekly clinic for mothers requiring additional assessment prior to delivery.

Resuscitation and trauma care
The resuscitation service is co-ordinated by the anaesthetic and A&E departments. Our resident doctors play a key role in the hospitals' medical emergency teams, cardiac arrest teams and trauma teams.

Elective high dependency care 
The Elective High Dependency Unit (EHDU) at Northwick Park was opened in November 2008. It is a purpose-built five bedded unit that has been designed to cater for post-operative patients requiring detailed observation or intervention, and for patients ‘stepping down’ from higher levels of care.

The unit facilitates the safe delivery of complex major surgery and runs collaboratively with our 18 bedded recovery unit that also has up to three overnight intensive recovery beds.

Intensive Care
Details about Intensive Care can be found on the Intensive Care service page.

Central Middlesex Hospital

The anaesthetic department is located in BeCAD Level 1, Central Middlesex Hospital.
Tel: 0208 453 2396

Northwick Park and St Mark's Hospitals

The Anaesthetic department, Theatres, High Dependency and Critical Care Units are located in J Block of Northwick Park Hospital.

The anaesthetic department can be contacted on:
Tel: 0208 869 3969 or 0208 869 3974.

Dr Andrew Castello-Cortes MB BS FRCA, Consultant Anaesthesia and Intensive Care

Dr Anil Wijetunge MB BS FRCA, Consultant Anaesthetist

Dr Aparna Prabhu MB BS DA DNB FCARCSI, Consultant Anaesthetist

Dr Aynkaran Dharmarajah MB BS FRCA, Consultant Anaesthetist

Dr Bernadette Loughnan MB ChB MD FRCA, Consultant Anaesthetist

Dr David Vaughan MB BS FRCA, Consultant Anaesthetist

Dr Ganesh Suntharalingam MB BChir FRCA, Consultant Anaesthesia and Intensive Care  

Dr Genevieve Judd MB BS FRCA, Consultant Anaesthetist

Dr Heather Morris BSc MB BS FRCA, Consultant Anaesthetist

Dr Jacek Borkowski MD, Consultant Anaesthesia and Intensive Care

Dr Jonathan Harris MB BS FRCA, Consultant Anaesthetist

Dr Kasi Vishwanatha MB BS FRCA, Consultant Anaesthetist

Dr Kausi Rao MB BS MD FCARCSI, Consultant Anaesthetist

Dr Krysia Konieczko MB BS FFARCS, Consultant Anaesthetist

Dr Laurie Cohen MB BS FRCA, Consultanat Anaesthetist

Dr Lliam Edger MB BS FRCA EDIC FFICM, Consultant Anaesthesia and Intensive Care

Dr Mark Wrigley MB BS FRCA, Consultant Anaesthetist

Dr Michael Brunner MB BS FRCA, Consultant Anaesthesia and Intensive Care

Dr Munita Grover BSc MB BS MD FRCA, Consultant Anaesthesia and Intensive Care

Dr Nadeem Sabir BSc MB BS FRCA, Consultant Anaesthetist

Dr Naila Al-Quisi MB ChB DA DCH FRCA, Consultant Anaesthetist

Dr Neville Robinson MB ChB FRCA, Consultant Anaesthetist

Dr Nuala Lucas MB BS FRCA, Consultant Anaesthetist

Dr Philip Peel MB ChB FRCA, Consultant Anaesthesia and Intensive Care

Dr Roger Sharpe BSc MBBS FRCA, Consultant Anaesthetist

Dr Rony Berrebi Consultant in Intensive Care Medicine and Anaesthesia

Dr Stephen Littler MB BS FRCA, Consultant Anaesthetist

Dr Sunil Wijetilleka MB BS FCARCSI, Consultant Anaesthetist

Dr Tamsin Rope MB BS MRCP FRCA, Consultant Anaesthetist

Dr Tariq Husain MB ChB BSc MA MRCP FRCA DICM EDIC, Consultant Anaesthesia and Intensive Care

Dr Thomas Fitzgerald MB BS, FRCA, Consultant Anaesthetist 

Dr Thungo Kuwani MB ChB FRCA, Consultant Anaesthetist

Dr Umberto Nuti MD FCCM, Consultant Anaesthetist

Dr Vino Ramachandra MB BS FRCA, Consultant Anaesthetist

Dr Viv Sathianathan, Consultant in Intensive Care Medicine and Anaesthesia

Useful links

The Royal College of Anaesthetics 
This website is designed to help patients and their relatives prepare for an anaesthetic, and to understand the benefits and risks of treatment.