Paediatric Anaesthetic Research Group

Paediatric Anaesthetic Research Group

The Paediatric Anaesthetic Research Group is based at the Royal Hospital for Children, Glasgow.  As the largest paediatric teaching hospital in Scotland, we have a strong ethos of research, audit, education and quality improvement.  We deliver over 12,000 anaesthetics annually, covering all major sub-specialties of paediatric anaesthesia.  There are nine theatres in our surgical suite and we provide anaesthesia for four remote sites, including MRI and cardiac catheterisation.   We host a number of paediatric national services, including cardiac surgery, interventional cardiology, extra corporeal life support, complex airway management, cleft lip / palate surgery and renal transplantation.   There are 19 anaesthetic consultants and 2 full time nurse pain specialists within our team.   We have collaborated nationally and internationally on research projects and always welcome discussions on future research collaborations.

Research Contacts

Research Contacts

Dr Graham Bell

                     

                                Dr Graham Bell is an Honorary Senior Lecturer and Consultant Paediatric Anaesthetist.   His main interests include pain management, quality improvement, pharmacology and equipment design.  

Email : Graham Bell


Dr Tony Moores

Dr Tony Moores is an Honorary Senior Lecturer and Consultant Paediatric Anaesthetist at the Royal Hospital for Children, Glasgow.    His main interests are acute and chronic pain and anaesthesia for cleft lip and palate surgery.

Email : Tony Moores


Dr Alyson Walker

Dr Alyson Walker is an Honorary Senior Lecturer and Consultant Paediatric Anaesthetist based at the Royal Hospital for Children, Glasgow.   Her main interests are paediatric cardiac anaesthesia, anaesthesia for ENT, difficult airways and oxygenation devices.

Email : Alyson Walker


Current / Future Research

Current / Future Research

The GAS Study

The effects of anaesthesia of neurodvelopmental outcome and apnoea in infants : the GAS study

The results of this multicentre randomised controlled trial comparing the effects of regional and general anaesthesia study are awaited.   Of this study of 711 patients, 84 are British. 54 of these patients were recruited at the Royal Hospital for Sick Children, Yorkhill.  All UK GAS activity is now coordinated here in Glasgow, the single centre for psychology assessments.

 

 

 

 

 

 

 


Tapentadol Use

 

This Double-blinded randomised controlled trial will use PCA/NCA use as a primary outcome measure.  We are currently in discussions about involvement with this large international study.


Pain at Home following short stay surgery

Phase one of this large multicentre UK audit is complete and being prepared for publication.  Phase Two is in progress as a multicentre quality improvement project, formatted according to the SQUIRE guidelines.


APRICOT

Anaesthesia Practice In Children Observational Trial (APRICOT)   Epidemiology of severe critical events in children:   A European prospective multicenter observational study (Clinical Trial NCT01878760)

The Royal Hospital for Sick Children, Yorkhill, was the largest recruiting centre for this European audit on peri-operative anaesthetic complications in children.  The primary endpoint for the study is the incidence of critical events occurring during and up to 60 minutes after anaesthesia or sedation (eg laryngospasm, bronchospasm, pulmonary aspiration, drug error, anaphylaxis, cardiovascular instability, neurological damage, cardiac arrest , post extubation stridor).


Innovation

Innovation

Air free intravenous administration set

G Bell, J Limb, I Guy
  • Winner of AAGBI Innovation Award 2012
  • Finalist, Scottish Executive funded life science awards
  • UK Patient Application No (1st stage) PCG/GB/2011/051154   In collaboration with the design department at the Glasgow School of Art and the faculty of engineering at the University of Glasgow, a new intravenous giving set was developed and prototyped which aims to automatically prevent air entering the patient limb of an intravenous infusion set.   

Neonatal Transfer Frame

Highly commended Finalist, AAGBI Innovation Award 2013

In response to repeated clinical incidents of critically ill neonates,  a fully equipped transfer frame, which locks onto every hospital incubator, has been designed, built and introduced into service.  This allows monitoring, drug infusions, CPAP, administration of iNO from one central unit.


Modified Pilot Balloon for Endotrachael Tubes

G Bell, J Pullen
  • 2nd Place, Global Dyson Award 2009
  • UK Patent Application (2nd stage) 0823290.2 and 0915380.   This joint project with Glasgow School of Art and the Faculty of Engineering at the University of Glasgow resulted in a new design for a pilot balloon which automatically alers the anaesthetist when the intracuff pressure of an ETT or LMA exceeds the desired level.  Avoiding excessive intracuff pressure is crucial for minimising the risk of post operative complications, such as subglottic stenosis and post operative sore throat.  This device is now patented.