Anaesthetics

We have a team of experienced consultant anaesthetists working with us at Cardiff Sports Orthopaedics. They will be able to guide you through the best anaesthetic options for your procedure, allay any concerns and ensure a comfortable and pleasant experience throughout your operative journey. Our anaesthetic doctors use the most up to date, evidence based techniques and monitoring to provide you with the safest possible service.

Anaesthetic doctors undergo a rigorous postgraduate training programme following medical qualification that lasts between 7 to 9 years and involves the completion of specialist examinations. All of our anaesthetic doctors are registered on the specialist register for anaesthetics with the General Medical Council and are fellows of the Royal College of Anaesthetists. They all hold consultant anaesthetist posts within the NHS and are fully accredited with all the major UK health insurance companies.

 

Dr Mark Sandby-Thomas MBBS, FRCA

Dr Mark Sandby-Thomas MBBS, FRCA

Consultant Anaesthetist based at the Spire Cardiff Hospital.

Specialising in Orthopaedic Anaesthesia, with special interests in:-Regional anaesthesia

  • Anaesthesia for the elderly
  • Peri-operative hypnotherapy

Professional positions:

  • Honorary Lecturer at Cardiff University
  • Deputy College Tutor for the Royal College of Anaesthetists
  • Honorary Secretary for the Society of Anaesthetists of Wales

Training

Mark graduated from St Mary's Hospital Medical School, Paddington, London. He completed his basic Anaesthetic training in the Northwest Thames region in hospitals such as St Marys and Hammersmith. He moved to South Wales to complete his specialist registrar training in the Welsh deanery during which time he pursued his interest in education and research by taking up the post of Clinical Lecturer in Anaesthesia at the University Hospital of Wales.

Current Duties

Mark's NHS practice is based between the University Hospitals of Cardiff and Llandough, which encompasses the Cardiff and Vale Orthopaedic Centre (CAVOC). He is the anaesthetic clinical lead for Accident and Emergency and also Anaesthesia for the Elderly. His private care is based at Spire Cardiff Hospital.His areas of special interest within anaesthesia include the appropriate use of regional anaesthesia to augment care and improve patient comfort and also the use of hypnotherapy in improving peri-operative outcomes and as an adjunct to regaining performance following sports injuries. Mark runs the final examination-training programme for anaesthetic trainees at the University Hospital of Wales. He teaches clinical skills to medical students and is also an examiner for medical exams.

Professional Memberships:

  • The Royal College of Anaesthetists
  • The Association of Anaesthetists of Great Britain and Ireland
  • Age Anaesthesia Association
  • British Medical Association
  • European Society for Regional Anaesthesia

Personal

Mark is married with a young family. In what spare time he has, he enjoys playing and watching football, cooking and the occasional round of golf

Selected Publications/Presentations

Sandby-Thomas M, Sullivan G, Hall JE. A national survey into the peri-operative anaesthetic management of patients presenting for surgery on a fractured neck of femur. Anaesthesia 2008; 63: 250-258.

Sandby-Thomas M. A problem with delivering CPAP during patient transfer. Anaesthesia 2006; 61: 816.

Rassam S, Sandby-Thomas M, Vaughn RS, Hall JE. Airway management before, during and after extubation: a survey of practice in the United Kingdom and Ireland. Anaesthesia 2005; 60: 995-1001.

Williams D, Sandby-Thomas M. Anaesthetic Management of an acute gastric volvulus in an adult. BJA 2003; 90: 96-98.

Mark has also presented at multiple national and international conferences.

Dr Stephen M Usher FRCA

Consultant Anaesthetist based at the Spire Cardiff Hospital

Specialising in Orthopaedic Anaesthesia, with special interests in:-

  • Day-case anaesthesia

Professional positions

  • Honorary Lecturer at Cardiff University

Training

Stephen studied medicine in Cardiff graduating from the University of Wales College of Medicine in 1995. He completed his anaesthetic specialist training at the Central London School of Anaesthesia, his final six months at the Royal National Orthopaedic Hospital, Stanmore. During his training he underwent two fellowships; as Clinical Fellow in Hepato-Biliary Anaesthesia at the Royal Free Hospital, Hampstead, and as Education Fellow at University College, London.

Current Duties

He is employed by the NHS at Cardiff & Vale University Health Board working between University Hospital Llandough where he deals mostly with orthopaedic surgical cases and University Hospital of Wales with neuro-surgery and complex endocrine surgery. He has an interest in day case for surgical patients. He is passionate about undergraduate education, in particular training junior doctors to deal with acutely ill patients in hospital. Honorary Lecturer with Cardiff University he is Module Convenor for the novel Acute Care Module for Final Year Medical Students, a Wales wide programme using simulator based technology launched in June 2010. He was a Final MB examiner with University College, London between 2005 - 06 and with Cardiff University since 2008. He has been a medical student selection interviewer for Cardiff University since 2008.

Professional Memberships

  • The Royal College of Anaesthetists
  • Association of Anaesthetists of Great Britain & Ireland
  • Society of Anaesthetists of Wales
  • British Society of Orthopaedic Anaesthetists
  • Neuro-Anaesthesia Society of Great Britain & Ireland
  • Difficult Airway Society
  • Society for Education in Anaesthesia - UK

Selected Publications

Usher SM, Walker DA, Mythen MG. Oesophageal Doppler monitoring: A tool for all physicians. British Journal of Hospital Medicine 2007; 68(3): 126-30

Luery H, Usher S, Walker D, Mythen M. Supra-sternal Doppler for the assessment of cardiac output during exercise. Anesthesiology 2005; 103: A836

Walker D, Usher S, Hartin J, Adam S, Brandner B, Chieveley-Williams S. Early experiences with the new awake oesophageal Doppler probe. British Journal of Anaesthesia 2004; 93: 471

Usher S. Use of the laryngeal mask airway in the prone position. British Journal of Hospital Medicine 2004; 65: 252

Usher S. Don't always blame the epidural. British Journal of Anaesthesia 2004; 93: 471

Usher SM, Chieveley-Williams S. 'A Yankee dodge': the first British public demonstration of anaesthesia. Grand Rounds 2004; 4: 1-3 http://www.grandrounds-e-med.com

Usher S, Shaw A. Peri-operative asystole in a patient with diabetic autonomic neuropathy. Anaesthesia 1999; 54: 1125

Poster Presentations

Burkett-St.Laurent, D, Stratling W, Usher S. Teaching Anaesthesia to Sixth Form Students. Group of Anaesthetists in Training Annual Scientific Meeting, Cambridge, 2008 [presented by D. Burkett-St.Laurent]

Usher SM. Introduction of a Patient Safety Survey. Current Controversies in Anaesthesia & Peri-Operative Medicine, Dingle, Ireland, 2007.

Luery H, Usher S, Walker D, Mythen M. Supra-sternal Doppler for the assessment of cardiac output during exercise. American Society of Anesthesiologists Annual Meeting, Atlanta, Ga, USA, 2005 [presented by H Luery]

Usher SM, McManus IC, Bromley LM. Early results of anaesthetic specialist registrars' perception of non-technical skills. Current Controversies in Anaesthesia & Peri-Operative Medicine, Dingle, Ireland, 2004. North London Anaesthetic Trainees Annual Scientific Meeting, London 2005 - Finalist

Walker D, Usher S, Hartin J, Adam S, Brandner B, Chieveley-Williams S. Early experiences with the awake oesophageal Doppler probe. European Society of Intensive Care Medicine Meeting, Berlin, Germany, 2004.

Coakley M, Morgan N, Usher S, Mallett S. The use of veno-venous bypass in liver transplantation. UK Liver Transplant Meeting, London, 2003 [presented by M Coakley]