Trust Fellow in Congenital Cardiothoracic Anaesthesia (ST6+)

Training in the management of anaesthesia for children and adults with congenital and acquired cardiac disease including cardiac transplantation and mechanical cardiac support. Experience of provision of anaesthesia in the catheter laboratory, operating theatre and the ICU under close consultant supervision. As experience is gained, the supervision will be appropriate to the individual's skills. We anticipate that at 6 months the successful candidate will have an understanding of the clinical management and implications for anaesthesia of patients with the full spectrum of paediatric congenital and acquired heart disease.

He or she would have acquired expert vascular access skills and comprehensive knowledge of ventilation and inotropic use in neonates and children. We anticipate that at 1 year the successful candidate will be in a position to operate as a safe, independent paediatric cardiac anaesthetist in a tertiary centre. He or she will be able to provide anaesthesia for paediatric, adult congenital and neonatal cardiac surgery, cardiac catheterisation, cardiac CT, MRI and non‑cardiac surgery for children with congenital and acquired cardiac disease. Training in the peri‑operative intensive care management of paediatric patients with congenital heart disease will be provided with a bias towards cardiothoracic surgery.

ECMO Training in assessment and techniques of extra corporeal support will be provided, alongside the other trainees on the PICU. Longer term cardiovascular support in heart failure including ventricular assist devices and transplantation. We expect to perform approximately 20 congenital (adult and paediatric) cardiac transplants per year. For candidates with appropriate experience and interest: principles and practice of echocardiography, including TOE.

Attendance at the Freeman Hospital echocardiography course can be arranged. Experience in paediatric thoracic work, including bronchoscopy, decortication and lobectomy/pneumonectomy; anaesthesia for CT and MR studies; post‑operative pain relief techniques applicable to paediatric cardiothoracic surgery; experience and training in the provision of anaesthesia for children with congenital heart disease requiring non‑cardiac surgery.

A tutorial programme is run covering the many aspects of anaesthetising patients with congenital cardiac disease. Research: Involvement in audit and research. The successful applicant will be encouraged to be involved with at least one audit or research project during the post, with the aim of producing at least one publication in a peer‑reviewed journal by the end of the year. The trainee has protected time to develop and work on research projects and will be encouraged to develop links with other centres when necessary to further this. There are good opportunities for collaboration on‑site, and excellent library and computer facilities are available within the Education Centre.

Please Read Attached Job Description And Person Specification.