Nicholas Chrimes

 

Nicholas Chrimes

Dr Nicholas Chrimes MBBS(Hons) FANZCA is a consultant anaesthetist in both public and private practice in Melbourne, Australia. He has clinical interests in obstetric, bariatric and neurosurgical anaesthesia. He has extensive experience in healthcare education and simulation having previously been head of education for both Monash Simulation and the Monash Health Medical Education Unit. He is currently an instructor at Monash Simulation and a visiting instructor at the Sydney Clinical Skills and Simulation Centre. He has particular interests in patient safety, teamwork behaviours, human factors, airway management and simplifying clinical decision making in emergency situations. Dr Chrimes is the creator of the Vortex Approach to airway management and the Triad Approach to crisis management. He is an instructor on the Effective Management of Anaesthetic Crises (EMAC) course in Australia, which must be completed by all trainees to qualify for fellowship with the Australian and New Zealand College of Anaesthetists, as well as a co-author of its airway module. He has authored a number of peer reviewed journal publications, and presents at international meetings on the topics of human factors, airway and crisis management, as well as instructing on airway and simulation workshops.

Reza Nouraei

S. A. R. Nouraei

MA (Cantab) MBBChir PhD

FRCS(ORL-HNS) DO-HNS

Specialty Registrar (ST8) in Otolaryngology – Head & Neck Surgery

 

PERSONAL INFORMATION

Name: Reza Nouraei

Date of Birth: 9th of March 1977

Nationality: British (Married with two children)

 

EDUCATION

 University of Bath

 PhD Thesis: “An investigation of the surgical physiology of adult laryngotracheal

stenosis (awarded Jan 2013)

 MD Thesis: “Impact of clinical coding subjectivity, variability and error on theaccuracy of hospital episode statistics: implications for a knowledge-driven NHS”

 Royal College of Surgeons of England

 Fellowship of the Royal College of Surgeons (FRCS-ORL-HNS) (July 2015)

 Membership of the Royal College of Surgeons (MRCS) (November 2007)

 Diploma in Otolaryngology – Head & Neck Surgery (DO-HNS) (April 2007)

 University of Cambridge (Gonville and Caius College) (’96 till ’02)

 Bachelor of Medicine and Bachelor of Surgery (MBBChir) (June 2002)

 Master of Arts in Physiology (Sensory-Motor Physiology) (MA; 2i) (June 1999)

 St. Cuthberts’ Roman Catholic Boys’ School, Newcastle upon Tyne (’93 till ’95)

 4 Grade A’s at A-levels: Physics, Chemistry, Biology, and Mathematics (June 1995)

ACADEMIC APPOINTMENTS

Honorary Senior Lecturer in Otolaryngology – Head & Neck Surgery

October 2014 to date The Ear Institute, University College London

London, UK

June 2013 to Oct 2014 Postgraduate Medical Institute, Anglia Ruskin

University, Chelmsford, Essex

Research Associate in Otolaryngology – Head & Neck Surgery

April 2008 to The Ear Institute, University College London

October 2014 London, UK

MEDICAL APPOINTMENTS

Higher Surgical Training in Academic (ACF) Otolaryngology – Head & Neck Surgery

Oct ’15 to date University College Hospital NHS Foundation Trust

(Messr O’Flynn & Vaz)

Oct ’14 to Oct ’15 Imperial College Healthcare NHS Trust

(Messr Clarke, Mace & Sandhu)

Oct ’13 to Oct ’14 Royal Free Hospital NHS Foundation Trust

(Messr Quiney and Kotecha)

Oct ’12 to Oct ’13 Barking, Havering, Redbridge University Hospitals

NHS Trust (Messr Chatrath, Kotecha & Kaddour)

c

Oct ’11 to Oct ’12 Imperial College Healthcare NHS Trust, London

(Mr G Sandhu, OOPR Airway Fellow)

Oct ’09 Oct ’10 Barts and the London Hospitals NHS Trust, London

(Messr Paun & Eynon-Lewis)

Oct ’08 to Oct ‘09 West Middlesex University Hospital, London

(Mr J Almehda, Mr N Daly & Mr A Robinson)

Oct ’08 to Oct ‘09 The Royal National Throat Nose & Ear Hospital,

London (Mr J Rubin & Mr G Sandhu)

Apr to Oct ’08 Charing Cross Hospital, London (Mr G Sandhu)

Management/Research Registrar

Aug ’07 to Apr ‘08 Ear, Nose and Throat Surgery

Charing Cross Hospital, London

Basic Surgical Training

Feb ’07– Aug ’07 Ear, Nose and Throat Surgery

Charing Cross Hospital, London

Aug ’06 – Feb ’07 Ear, Nose and Throat Surgery

Royal National Throat Nose and Ear Hospital, London

Feb ’06– Aug ’06 Neurosurgery

Charing Cross Hospital, London

Feb ’05 – Feb ’06 Ear, Nose and Throat Surgery

Charing Cross Hospital, London

Aug ’04 – Feb ’05 General Surgery (Breast Firm)

Royal Marsden Hospital, Sutton & London

Feb ‘04 – Aug ’04 Trauma & Orthopaedics

West Middlesex Hospital, London

Aug ’03 – Feb ’04 Accident and Emergency

West Suffolk Hospital, Bury St Edmunds

SHO to Mr M. Sach and A. Sauvage

Pre-Registration House Officer

Aug ’02 – Aug ’03 Medicine (Cardiology and Endocrinology)

Surgery

 

CLINICAL SKILLS & INTERESTS

I have received broad training in managing patients with ENT conditions and can provide ageneralist service. My principal subspecialty interest is in the field of benign head andneck/thyroid disease and laryngology. My second subspecialty interest is in managing adult and paediatric sleep disordered conditions.

 

Head & Neck Sugery

I am competent and confident in the assessment and conservative and surgicalmanagement of benign head and neck conditions, diagnostic evaluation and treatmentof head and neck cancer, including transoral laser surgery, neck dissection, andtreatment of benign and malignant head and neck and airway emergencies.

 

Laryngology / Airway Surgery

I have had a longstanding interest in managing patients with laryngological conditions.

I have received training in laryngological diagnostics including stroboscopies. I am experienced in the multidisciplinary management of the professional voice in the context of a voice clinic, and am competent in managing oropharyngeal dysphagia. I am competent in performing advanced adult and paediatric laryngoscopies offer a wide

range of minimally-invasive interventions. I am competent in performing

laryngofissure and adult laryngotracheal reconstructions and tracheal resections.

 

Surgery for Snoring & Sleep-Disordered Breathing

I have received full training in the diagnosis and management of patients with sleepdisordered breathing under the supervision of Mr Bhik Kotecha, and am able to offer the full range of diagnostic assessments, as well as different surgical treatment approaches to treating snoring and sleep-disordered breathing. I would be very happy to clinically and academically support a multidisciplinary sleep service.

 

Rhinology & Facial Plastic Surgery

I have received two years of training in rhinology and facial plastic surgery. I am skilled in the management of nasal obstruction and deformities and have developed a methodology for objective assessment and treatment stratification for nasal obstruction (the NASION method) whilst at Queen’s hospital. I am competent in performing maxillary, ethmoid, and basic sphenoid sinus endoscopic surgery. I would be happy to provide a supporting role to the service if required.

 

Otology

I am competent in managing patients with otological disease and would be able toperform ‘generalist’ otological surgery including grommets, myringoplasty and mastoidectomy.

 

General ENT Surgery

I am comfortable in managing adult and paediatric patients with general ENT

conditions and can offer a generalist operative service.

ACADEMIC SKILLS & INTERESTS

I was among the first surgeons to be appointed into academic clinical training in ENT

surgery. I have secured charitable and industry funding and have successfully supervised

undergraduate and postgraduate research. I have devised a 5-year academic plan and look

to discus and implement a collaborative research programme once appointed.

Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)

I helped develop a new technique for increasing anaesthesia apnoea time from 3-4 minutes to 25-30 minutes. This has profound implications for the practice of anaesthesia especially in relation to difficult airways and in preventing “cannot intubate cannot ventilate” deaths. This contributed to Fisher and Paykel, a $2bn a year company, augmenting their business structure and create a division to service this space. I am

responsible for creating the research programme in this field which comes with transferrable equipment and research salary support.

Selective Inspiratory Loading used as Vocal Examination Record (SILVER)

This ethics-committee approved, NIHR-badged study uses a novel physiological method for diagnosing unilateral vocal palsy especially in the perioperative thyroid surgery settings. At present, fewer than 10% of patients receive postoperative laryngoscopy, and we have recently shown, through big data research, that this more

than double the risk of fatal pneumonias over the subsequent ten years.

The North American Airway Collaborative / Great Ormond Street Airway Home Care

I am a core member of the NoAAC which consists of 14 US Ivy league centres and Charing Cross Hospital, London. I am responsible for developing the outcomes and measurement framework for creating a shared dataset across institutions. We have

recently secured a grant of $2.7m to advance understanding of idiopathic subglottic stenosis. I am also developing a paediatric/transition complex airway registry for Great Ormond Street Hospital which we intend to roll out internationally.

 

Health Informatics, Big Data, and Clinical Coding

Over 90% of the NHS budgetary flow is dependent on data generated through clinical coding. My work aims at developing practical approaches for improving the accuracy of clinical coding. I have also created bespoke data linkages and have been able to perform national disease surveillance studies. I collaborate with Dr Foster and we have a programme of work covering all aspects of ENT surgery. My own clinical domain

expertise is in laryngology and I would like to involve colleagues with different subspecialty interests to provide input to expand this research field collaboratively.

 

Perioperative patient protection and outcome assessment

As a medical study I helped design the first-in-man randomised control trial of remote ischaemic preconditioning as a perioperative protective strategy (Ali et al, Circulation 2007). I believe, and have been able to infer through big data research, that ‘excessive perioperative physiological stress’ manifests itself in end-organ injury (e.g.

postoperative ‘asymptomatic’ troponin or retinol-binding protein release) and, since, these exceedance of the physiological capacity are known to worsen long-term survival, they can be used as surrogates for the quality of perioperative care. This work would lend itself well to recent efforts to improve patient safety and reduce length of stay

through enhanced recovery programmes and I would be well-placed to help develop combined research/clinical strategies to improve patient outcomes (short-term complications are now known to worsen long-term prognosis) and reduce length of stay.

 

MANAGEMENT EXPERIENCE

I have had the opportunity to be engaged in healthcare management for a number of years. I have undertaken multiple successful service-improvement projects. Specifically, I designed and implemented a Trust-wide informatics/coding strategy at Imperial College

Healthcare NHS Trust which led to significant improvements in coding accuracy, including an improvement in the HSMR, and contributed over £5m to the Trust baseline. The results of this work have been published in peer-reviewed literature (http://goo.gl/LvG0JV).

 

Head and Neck Business Case, West London Cancer Network (2007)

I was responsible for researching, collecting and analysing data, and writing a £2.4m business case which underpinned the re-organisation of head and neck cancer services in West London in 2007 and established dedicated wards and support services.

The TVoS Project, Imperial College Healthcare NHS Trust (2008)

I proposed, designed and implemented a multi-dimensional project which involved

redesigning the clinical coding process, perform bottom-up costing of surgical services across several surgical specialties and undertake appraisal of the clinical process to improve efficiency. I was responsible for managing six specialist registrars seconded to the project, and liaising with clinical chiefs of services and senior trust management. I

was also responsible for bringing together and analyzing project data and produce the project’s final report and recommendations. The project has resulted in 3 international presentations, 3 peer-reviewed publications to date and received a Health Services

 

Journal award. This project also contributed to the development of ‘shared-learning’ secondments (e.g. Darzi fellowships).

Head and Neck Business Case, Barts and London NHS Trust (2010)

I was the principal analyst and author of a business case for expansion of head and neck cancer services at Barts and the London NHS Trust.

Mortality and Patient Safety Review, Imperial College Healthcare NHS Trust (2011) I was asked by the medical director to set up and quality assure a process for ensuring

that Trust mortality data most accurately reflects the complexity of care provided. I developed software and created a process which remains in use. More recently, I have been involved in improving the quality of the morbidity and mortality meetings and am in the process of developing a reporting and learning software for this purpose.

National Institute for Health and Care Excellence (NICE) Scholar (2013)

I was one of 6 people appointed to work with NICE and to learn about its evaluation

technology and act as a local NICE champion. This role involved instructional and

hands-on training and the ability to attend NICE evaluation and deliberation sessions,

and to learn about health economics. My scholarship project involved investigating the

underlying accuracy of the administrative data to support NICE commissioning and

guideline recommendations. This work resulted in 3 peer-reviewed publications and

has continued in my current role as a member of the NICE National Commissioning

 

Reference Panel.

Acute Kidney Injury Quality and Safety Project (2015)

I am currently involved a project to operationalise NCE CG169 guideline on the prevention of acute kidney injury. The work involves integrating routine biochemistry data with NICE injury identification algorithms to create early warning of renal complications in general medical and surgical settings.

 

COMMITTEE POSITIONS & ACTIVITIES

 Member of the National Institute of Health and Care Excellence National

Commissioning Reference Panel (June 2014 to date)

 Founding Chair of the Otolaryngology Trainee Investigators’ Collaborative

(OTIC; a trainee-led research collaborative) (March 2015 to date)

 Member of the National Expert Panel on Adult Tracheobronchomalacia (June

2015 to date)

 Subject Matter Expert on the use of Big Data for disease surveillance and rare

disease identification, Shire Pharmaceutical (June 2013 to Feb 2015)

 National Institute of Health and Care Excellence Scholar (April 2013 to April 2014)

 Member of the ENT-UK Clinical Audit and Practice Advisory Group (CAPAG)

(June 2014-17).

 Member of the American Academy of Otolaryngology’s Airway and

Swallowing Committee (the only UK and non-consultant member) (Oct 2011-15).

AWARDS & DISTINCTIONS

 Winner of the British Laryngological Association/Clinical Otolaryngology

best research paper: British Academic Conference in Otolaryngology (BACO)

(July 2015).

 Winner of the Best Oral Presentation Award (Laryngology): British Academic

Conference in Otolaryngology (BACO) (July 2009).

 Winner of the Hartopp-Dixon Prize: The Royal National Throat Nose and Ear

Hospital (April 2009).

 Winner of the Young Investigator of the Year Award: The British Lung

Foundation (December 2008).

 Winner of the Angel-James Prize: Otorhinolaryngological Research Soceity

(ORS) (September 2008).

 High Commendation: Health Services Journal (HSJ) Award in the Category of

“Data-driven service delivery as the project lead for the True Value of Services

(TVoS) project at Imperial College Healthcare NHS Trust (July 2008).

 GlaxoSmithKline Young Fellow Award, The Royal Society of Medicine (January

2008).

 Winner of the Young European Investigator of the Year Award: Interventional

Pulmonology Group, European Respiratory Society (September 2007).

 Winner of Resident Travel Award; The Triological Society (February 2007).

 Winner of the Angel-James Prize: Otorhinolaryngological Research Soceity

(ORS) (September 2006).

 Co-winner of the Sol-Cohen Prize: The Vascular Society of Great Britain and

Ireland (2004 Annual meeting).

 Winner of best vascular presentation: Association of Surgeons of Great Britain

and Ireland 2004 Annual scientific meeting.

 Winner of best presentation: British Association of Head and Neck Oncologists

2004 Annual Scientific Meeting.

Wendy Teoh

Dr Wendy Teoh , MBBS, FANZCA is a Consultant Anaesthesiologist who works in private practice (Teoh Pte. Ltd) and has worked at the

KK Women’s & Children’s Hospital, Singapore which delivers 12,000+ babies

anually. She is on the teaching faculty of 2 medical schools: Adj Assistant

Professor at Duke-NUS Graduate Medical School, and Clinical Snr Lecturer, YLL National University of Singapore. She is Chair of the Airway Special Interest Group of the Singapore Society of Anaesthesiologists & a national instructor of the Singapore Advanced Trauma Life Support Course. Wendy is actively involved in anaesthesia research with special interests in airway management of the obstetric airway, videolaryngoscopy & supraglottic airways, ultrasound guided epidurals, TAP blocks & airway imaging. She has multiple peer reviewed indexed publications &, invited presentations worldwide, and regularly instructs at airway workshops & high risk obstetric emergency courses. She is faculty of difficult airway workshops of the EuroAnaesthesia Congress, the American Society of Anaesthesiologists and the Difficult Airway Society, UK. Wendy is also actively involved in charity work and fundraising activities for needy women & children, and is Immediate Past President of the Association of Women’s Doctors of Singapore. When not running after her 2 young kids, she enjoys shopping, wine,and scuba diving.

Vijaya Gottumukkala

M.B;B.S, M.D (Anes), F.R.C.A

Brief Bio

Medical education: India.

Postgraduate training in Anesthesiology & Critical Care from: All India Institute of Medical Sciences,New Delhi India.

Fellow of the Royal College of Anaesthetists, London.

Anesthesiology Residency Training in US: University of Iowa, Iowa City, Iowa.

Anesthesiology Experience: India, UK, Canada and US.

 

Present position:

Professor

Deputy Chairman & Clinical Director

Director, Cancer Anesthesia Fellowship Program

Department of Anesthesiology & Perioperative Medicine

The University of Texas MD Anderson Cancer Center

Houston, Texas

 

Research & Academic Interests:

Effects of perioperative management on recurrence free and overall survival in patients with cancer.

Enhanced Recovery Protocols in major cancer surgery.

Educational programs relevant to perioperative care of the cancer patient.

 

Develop Onco-Anesthesiology as a specialty.

Suveer Singh

Dr. Suveer Singh is Consultant Physician in Respiratory, Sleep and Critical Care Medicine at the Chelsea & Westminster NHS Foundation Trust Hospital, London. Honorary consultant at Royal Brompton Hospital and Honorary Senior Clinical Lecturer at Imperial College, London.

He is an experienced specialist in General respiratory disorders and Respiratory Critical Care. His clinical and research interests include Early diagnostic markers for ventilator associated pneumonia and Burns inhalation injury, Sleep Apnoea, Insomnia, Cough, Asthma, Emphysema and COPD, bronchoscopy (EBUS and TBNA), respiratory infection and post Intensive care disorders, breathlessness and respiratory failure.

Dr Singh is lead clinician for Sleep Medicine, and Non invasive ventilation, Lead for perioperative respiratory assessment, director of Clinical Studies for undergraduate medicine, College Tutor in Respiratory and Intensive Care Medicine, former Secretary of the British Thoracic Society Interventional Pulmonology Special Advisory Group, NICE representative for Asthma guidelines, and Faculty of the International Advanced Bronchoscopy Course (Royal Brompton Hospital).

He is an active Clinical Teacher (undergraduate and postgraduate), examiner for the Royal college of Physicians and Faculty of Intensive Care Medicine, and international Fellowship programmes.  He frequently lectures nationally and internationally.

 

He is an active clinical researcher, as a principal and co-investigator for multicentre trials of early diagnostic markers in pulmonary infection and sepsis, and bronchoscopic lung volume reduction in COPD. He supervises PhD and MD Fellows involved in academic research within Critical Care, Sleep and Respiratory Medicine.

Robert Tino Greif

Prof. Dr. med. Robert Greif, MME, FERC

After studying medicine at the University of Vienna, Austria, Dr. Greif specialized in anaesthesiology and intensive care medicine. Following a research fellowship at UCSF San Francisco, CA, he became an associate professor at the Medical University of Vienna in 2002. In 2004 he was recruited to the University Hospital Bern, Switzerland; and promoted to professor in 2009.

Beside his engagement in clinical anaesthesiology and patient care his research focuses on airway management, resuscitation and medical education. He is one of the founders of the Difficult Airway Research Collaboration (DARC).

Currently he serves as the Board Director of Training and Education for the European Resuscitation Council, as Member of the European Society of Anaesthesiology’s Scientific Subcommittee 15, as Director of the Resident Training Commission as well as the Accreditation Program of Teaching Hospitals of the Swiss Anesthesia Society, as vice-president of the Cantonal Ethics Commission Bern, and as president-elect of the European Airway Management Society.He lectures and teaches courses throughout Europe at international conferences and for the medical students at the University of Bern. There he is in charge of the OSCE in the 5th year and leads the faculty development program of the academic teaching staff. Tino is the president of the European Airway Management Society.

At the Department of Anaesthesiology and Pain Medicine, Dr. Greif is member of the board of directors managing the “Peripheral Anaesthesia Division”, and directing the Medical Education Program that includes the Bern Simulation and CPR-Center (BeSiC).

Reny Segal

A/Prof. Reny Segal is a South African medical graduate now living and working in Australia.  Having done surgery and intensive care, he finished his Anaesthesia specialisation in New Zealand.  He then went on to Papworth, Cambridge UK to complete his cardio-thoracic anaesthesia fellowship. He is currently a specialist at the Royal Melbourne Hospital in Australia and an Associate Professor with Melbourne University.  Clinically he does major cardio-thoracic, trauma, ENT and maxillo-facial work, amongst others.  Reny teaches on a national and international level in the area of airway management having set up a number of successful courses for both registrars and consultants.  He has numerous publications in this area, serves on medical advisory and executive boards and has a large ongoing research involvement.  Reny co-established the Australian and New Zealand Airway Special Interest Group and was it’s past chairman. He likes red wine as in the picture Knipogen

Naveen Eipe

Dr Naveen Eipe, MD is currently a Staff Anesthesiologist in The Ottawa Hospital and was appointed Assistant Professor by University of Ottawa in 2009.

Dr Eipe completed his basic training at the Christian Medical College, Vellore and Fellowship training in Clinical Anesthesia (Sunnybrook, Toronto), Pediatric Anesthesia (CHEO, Ottawa) and Acute Pain (Ottawa). He worked in a rural, remote and austere environment from 2003 to 2006.

Dr Eipe has been actively involved in research and is also an invited reviewer for BJA, EJA, CJA, PAN, IJA, JCA and PRM.

Dr Eipe has a long standing interest in the management of difficult airways. He has been an invited lecturer and moderator at local, regional and national level anesthesia meetings. Dr Eipe specializes in teaching basic and advanced airway management and leading hands-on airway workshops.

Dr Eipe can be reached by email at neipe@toh.on.ca

Nabil Shallik

Degrees:

Master Degree (M.Sc.) in anesthesia (October 1996) and Medical Doctorate Degree(M.D.)in anesthesia (April 2002) from Faculty of Medicine, Tanta University, Egypt.

Diploma Airway Teacher (December 2013):Teaching of airway teacher from European Airway Management Society (EAMS) Istanbul, Turkey.

 

Current Appointment:

  • Assistant Head of Rumailah Hospital anesthesia section, Hamad Medical Corporation, Doha, Qatar.
  • Director of airway courses, Hamad Medical education and Robotic Center of Qatar Foundation, Doha, Qatar.
  • Assistant Professor: in anesthesia and intensive care department, Weill Cornell  Medical College in Qatar
  • Consultant: Anesthesia, ICU, Peri-operative Medicine Department, Hamad Medical Corporation Doha, Qatar.
  • Assistant Professor: in anesthesia and intensive care department, Faculty of Medicine, Tanta University, Egypt.

 

Awards:

I won the award of the best teaching video for airway management among 13 videos from all over the world during (5th Symposium of International Society of Sleep (ISSS)), Venice, Italy. April 2012Award from medical education during (Excellence in medical Education Ceremony) as airway management courses held in QNCC May 4th 2015 Doha, Qatar.

My Interest 

  1. Anesthesia for E N T, head & neck surgery and maxillo- facial surgeries:
  • Awake intubation.
  • Fiber optic intubation.
  • Retromolar (Bonfils) intubation.
  • Using all airway equipment perfectly
  • Sleep Naso-endoscopy.
  • Nasoendoscopy as bedside test for airway evaluation.
  • Anesthesia for Trans Oral Robotic Surgery (TORS).
  • Anesthesia for Obstructive Sleep Apnea (OSA).
  • Major head and neck surgery (neck dissection and free flaps)
  • Anesthesia for acoustic neuroma.
  • More than 140 cases of cochlear implant in pediatric patients.

 

Member of:

  • -The European Airway Management Society (EAMS).
  • -The European Society of Clinical Nutrients and Metabolism (ESPEN).
  • -The European Society of Regional Anesthesia and Pain Therapy (ESRA).
  • -The Egyptian Society of Anesthesia & Intensive care.
  • -The Egyptian Cardiothoracic Anesthesia Society.
  • -The Egyptian Medical Syndicate.

Hobbies :

  • Enjoying reading, diving, sports and electronic circuit’s builder.
  • I have published many papers and co-author of medical book within the field of anesthesia.