FELLOWSHIP

This Thoracic Anaesthesia Fellowship or Advanced Training module is suitable for advanced anaesthesia trainees aspiring to either:

Thoracic anaesthesia
Complex major surgery

This six-month placement at Guy’s hospital would present experience in:

Techniques for pulmonary surgery

One-lung ventilation and managing hypoxaemia
Anaesthesia for rigid bronchoscopy, high–pressure source ventilation techniques
Paravertebral and related regional anaesthesia

Expert management of complex major surgery

Complex elective and emergency surgery
Difficult airway management
Pain management and regional anaesthesia
Preoperative assessment and enhanced recovery
Perioperative care of the elderly
Multidisciplinary teamwork

Thoracic (pulmonary) surgery at Guy’s Hospital is the largest of 35 thoracic units in the UK. Thoracic operations performed are:

Lung resection for cancer (566 resections per year)– thoracoscopies, open thoracotomies, tracheobronchial resection, complex cases with Head and Neck cancer surgery
Rigid bronchoscopy – tracheobronchial dilatation and stenting
Pleural disease surgery – malignant effusions and invasion, infective disease, bullectomy
Interventional radiology – SVC stenting, vascular embolisation

The Fellow is expected to:

Take a responsible role in thoracic anaesthesia projects
Initiate and submit written work to meetings and/or peer-reviewed journals within their post
Teach in the multi-faculty Thoracic Simulation Course at the Simulation and Interactive Learning Centre (SaIL), and in the multidisciplinary team

Thoracic projects:

2020 Preoperative paravertebral block in cancer surgery of the lung: ParaSOL a prospective randomized controlled clinical trial IRAS 244767

C.Ong, Chief investigator

- Awarded European Society of Regional Anaesthesia (ESRA) Research Grant March 2019

- HRA presentation 28th August 2019; HRA and HCRW ethics approval 19/LO/1334 issued 20th Nov 2019

- Clinical trial recruiting and in progress from February 2020

2020 Tracheal resection: the team brief in multi-stage airway surgery Cervi E, Ong C.

Anaesthesia Reports 2020 (8) March 2020: 22-25. https://doi.org/10.1002/anr3.12037

2018 A Neurogenic tumour of the Posterior Mediastinum: Double the complications

Abdalla H, Bille A, Ong C. Anaesthesia Cases /2018-0042/ISSN 2396-8397 http://dx.doi.org/10.21466/ac.ANTOTPM.2018

2016 Placement of VivaSight double-lumen tube

E. Martinoni Hoogenboom, C. Ong and G. Christodoulides

Anaesthesia Volume 71, Issue 6, June 2016, 725–726

2016 A pilot observational study on the analgesic effect of preoperative paravertebral anaesthesia in lung cancer resection surgery

Martinoni Hoogenboom E, Reed I, Christodoulides G, Ong C

Association of Cardiothoracic Anaesthetists Spring Meeting, Belfast, June 2016

THIRD Prize Oral Presentation, Guy’s and St Thomas’ Hospitals Anaesthesia Nosworthy prize - Award for Academic excellence December 2016

2015 The VivaSightTM-DL double-lumen tube with integrated camera: a case series (REC reference: 13/NW/0204 IRAS project ID:127436)

Dean C, Dragnea D, Anwar S, Ong C

Eur J Anesthesiol 2015;32: 1-4.

2015 Emergency stenting of a severe tracheal stricture: considerations in total airway obstruction and team decision-making

Christodoulides G, Thomas H, Ong C

Poster Presentation, World Airway Management Meeting (WAMM), Dublin, November

2015 Preoperative paravertebral in lung resection surgery

Davies T, John M, Ong C.

THIRD prize Oral Presentation winner 23rd April 2015 SETSA

- Poster, European Society of Regional Anaesthesia (ESRA) September 2015

2014 Paravertebral Analgesia for Thoracic Surgery – acute pain efficacy impacts on long term outcomes

Anwar S, Dean C, Webb P, Ong C

Poster, IASP World Congress 2014, Buenos Aires, Argentina

2013 National Audit of Bronchoscopy practice (endorsed by ACTA)

Dragnea D, Scott H, Ong C.

2013 Evaluation of the VivaSightTM-DL: a double-lumen endobronchial tube with an integrated high-resolution camera (case report)

Dragnea D, Dean C, Ong C.

Poster presentation at Difficult Airway Society Ascot, Nov 2013

2013 Paravertebral analgesia for thoracic surgery – local anaesthetic distribution and efficacy

Webb P, Dean C, Ong C.

Poster presentation at the Association of Cardiothoracic Anaesthetists UK, Nov 2013

2012 An audit of airway management and adverse outcome in thoracic surgery

Shapter S, Bennett J, Ong C.

- Oral presentation SETSA Guy’s Hospital April 2012

- Poster, Royal College of Anaesthetists Annual Congress, Institute of Engineering and Technology London 3rd-4th May 2012

- Poster, Association of Cardiothoracic Anaesthetists Nov 2012

-Poster, Difficult Airway Society Nov 2012.

2012 An analysis of the cost of maintenance, repair and replacement of flexible optical scopes in a teaching hospital: scope for improvement?

Friis J, Bareisiene D, Reid S, Ong C and Ahmad I.

2010 GSTT Trust Guidelines on Paravertebral Block for Open Thoracotomy Analgesia

Submitted to Clinical Governance Steering Group

2009 Paravertebral catheters – a user experience (including National UK Survey of Analgesia for Lateral Thoracotomy)

Lecturer at Association of Anaesthetists of Great Britain and Ireland (AAGBI) Annual Update on Thoracic Anaesthesia 28th April

2009 Pain Management in Thoracotomy Surgery and Efficacy of Paravertebral Block

Brislane K, Ong C.

Presented at Guy’s and St Thomas’ Clinical Governance Meeting

2009 National Survey of Analgesia for Lateral Thoracotomy

Mathew G, Ong C, Pearce A.

Poster presentation, Association of Cardiothoracic Anaesthetists (ACTA), Harrogate 2008; Joint Thoracic and Anaesthesia CG Meeting March 2009

2008 Using the Bonfils Fibrescope with the Double-Lumen Tracheal Tube.

Barron J., Prater B., Ong C.

First Prize Trainee Presentation by Dr. Brian Prater, South East Thames Society of Anaesthetists (SETSA), 18th April 2008

The anaesthetic department has a strong education and research ethos. The trainee is encouraged to fully participate in departmental research and teaching, and to develop a wide range of transferable clinical skills.

The ATM comes highly recommended from past and present trainees.

Current trainees:

Dr Phil Walsh

Dr Andrew Wilson