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ATOTW is published on a bi-weekly basis and translated into five languages. All our tutorials are peer reviewed and based on most current literature. Readers can also test their knowledge through our online CME quizzes. Anyone is welcome to use our material and we hope you find ATOTW a useful resource in your clinical practice! All content is published under Creative Commons licensing. Meet our team of volunteer editors below.


Dr Maytinee Lilaonitkul (USA)

Dr. Maytinee Lilaonitkul is an Assistant Professor at University of California San Francisco, currently working as an anesthesiologist at the Zuckerburg San Francisco General Hospital. She completed her anaesthesia training in the UK and was a long term volunteer at Mbarara Regional Referral Hospital in Uganda. She is passionate about global health, medical education and patient safety. Her other roles include being a faculty member of the Division of Global Health Equity at UCSF, publication committee member of WFSA and Obstetric Lead for the SAFE (Safer Anaesthesia From Education) initiative, Association of Anaesthetists of Great Britain and Ireland.

Associate Editor

Dr Gregory Klar (Canada)

Dr. Gregory Klar MD FRCPC MIPH is an Associate Professor at Queen’s University in Canada. He obtained his medical degree at Royal College of Surgeons in Ireland and completed his anesthesia residency training at University of Manitoba. He has a keen interest in international health and completed a Masters of International Public Health at Sydney University. Gregory Klar was invited to the board of trustees for the Canadian Anesthesiologists’ Society International Education Foundation and is in the publications committee for the WFSA. Greg has a personal interest in education and international health and is developing an international health curriculum for Canadian anesthesia residency programs.

General Topics

Dr. Matthew Doane (Australia)

Dr. Matthew Doane is an American trained aynaesthesiologist, who now practices at Royal North Shore Hospital, in Sydney, Australia.  He divides his time between clinical work as a Consultant Staff Specialist and as the Departmental Head of Academics and Research.  With an active interest in education, his teaching commitments extend outside of the hospital setting, additionally serving as a Senior Clinical Lecturer with Sydney University.

Dr. Luke Baitch (Australia)

Dr. Luke Baitch is an anaesthetist in Australia, based in the regional centre Albury-Wodonga on the New South Wales-Victoria border. He has completed a clinical research fellowship in obstetric anaesthesia in Vancouver, Canada, but now has a varied general anaesthesia practice. Clinical interests are obstetric and ENT anaesthesia.

Dr. Clara Chingmei Poon (Hong Kong)

Dr. Clara Poon is currently the head of the neuroanaesthesia division in Queen Mary Hospital-University of Hong Kong Department of Anaesthesiology and have been the supervisor of anaesthesia training for ANZCA and HKCA. She also has a keen interest in education and trauma anaesthesia. She has a BSc in chemistry (MIT), MBBS (Hong Kong University)  and completed her fellowship in anaesthesia from ANZCA and HKCA.

Dr. Alison Jackson (New Zealand)

Dr. Lara Herbert (UK)

Dr Lara Herbert is a consultant anaesthetist at The Royal Cornwall Hospitals NHS Trust. She is a general anaesthetist with subspecialty interests in paediatrics, obstetrics, major trauma and global anaesthesia.

She graduated from Trinity College Dublin medical school in 2004 and subsequently worked as a Royal Navy (RN) General Duties Medical Officer. After leaving the RN, she completed her anaesthetics training in the SW England (Peninsula and Severn Deaneries).

Lara was born and grew up in Zimbabwe. She works closely with the Zimbabwean Anaesthetics Association to deliver regular Safer Anaesthesia from Education (SAFE) courses around Zimbabwe. She completed a 6-month clinical and quality improvement fellowship at Mbarara Hospital, Uganda in 2017. She is also an editor for the Oxford Handbook of Anaesthesia.

Intensive Care Medicine

Dr. Niraj Nirajan (UK)

Dr Niraj Niranjan is currently a consultant anaesthetist at a district general hospital in Durham where his clinical services are focussed on vascular, paediatric and orthopaedic surgery and critical care on calls. He is a London medical school graduate and undertook his anaesthetic training in the Peninsula Deanery in the south west of England with one-year fellowship in Sacramento, California.

Dr. Subramani Kandasamy (India)

Dr. Subramani Kandasamy (MD DA FRCA CST FANZCA EDIC FICCM) is the Professor and Director of Critical Care Medicine at Christian Medical College, Vellore, India. He is the director of WFSA Fellowship in Critical Care Medicine run by CMC, Vellore. Dr. Kandasamy did a two year fellowship in critical care at Hope Hospital Manchester and worked as a consultant in Anaesthesia and Intensive Care in Weston-Super-Mare, UK and Mildura Base Hospital, Victoria, Australia. His interests are hemodynamics, ventilation, nephrology and pharmacokinetics in critically ill patients.

Dr. Imelda Gavin (Canada)

Dr Imelda Gavin is an Assistant Professor in Anesthesiology and Critical Care Medicine at Queens University, Ontario, Canada. She completed postgraduate Paediatric training and dual accreditation in Anaesthesia and Intensive care in the UK. She did 2 fellowships in University of Toronto in Neuroananaesthesia and Critical Care Medicine. In 2011, she also obtained her Masters Degree in Clinical Trials with the London School of Hygiene and Tropical Medicine. Her research interests include novel forms of ventilation, neuroanaesthesia, neurocritical care and patient and family engagement.

Dr. Harjot Singh (UK)

Paediatric Anaesthesia

Dr. Kate Wilson (UK)

Dr. Kate Wilson is a consultant paediatric anaesthetist at the Sheffield Children's Hospital. She trained in the UK, did her medical elective in Zambia and has worked in New Zealand and Australia. Her main interests at work are anaesthesia for neurosurgery, radiology and emergency surgery. She has also written a section on neurotrauma for the SAFE paediatric anaesthesia course. In addition to this, Kate has an interest in high altitude medicine, is involved with the UK Diploma of Mountain Medicine and has spent a season working at the Machermo porter rescue post in Nepal.

Dr. Faye Evans (USA)

Dr. Evans is an anesthesiologist in the Department of Anesthesiology, Critical Care & Pain Medicine at Boston Children’s Hospital. Her specialty is in pediatric anesthesia. Dr. Evans earned her MD from the Emory University School of Medicine in 1998. She completed her anesthesia residency at Emory University in 2004 where she also finished a combined fellowship in pediatric and pediatric cardiac anesthesia in 2008. Dr. Evans is the current Chair of the Society of Pediatric Anesthesia’s Committee on International Education and Service, a member WFSA’s Education Committee, the vice-chair of the ASA’s Global Humanitarian Outreach Committee, serves as a clinical advisor for Lifebox, and is on the Medical Advisory Board for Smile Train. Her global health work currently focuses on improving the quality and safety of anesthesia in the low-resource setting through education and advocacy. She has been involved with a variety of educational initiatives including participating with the CASIEF teaching program in Rwanda, the University of Nairobi Pediatric Anesthesia fellowship in Kenya, as well as the development of the Safer Anaesthesia from Education (SAFE) Paediatric Course.

Dr. Anthony Bradley (UK)

Dr. Bradley is a consultant anaesthetist at Bristol Royal Hospital for Children.

Obstetric Anaesthesia

Dr. James Brown (Canada)

Dr James Brown currently working as a Consultant at BC Women's Hospital, Canada. He trained at Birmingham Medical School and after several years working in general and emergency medicine undertook his basic anaesthetic training in the West Midlands and completed intermediate and higher training with the Eastern and Peninsular Deaneries. He has particular interests in postgraduate medical education, medical writing and service development.

Dr. Gill Abir (USA)

Dr. Gill Abir is currently a Clinical Associate Professor at Stanford University School of Medicine, in the division of obstetric anesthesia. She graduated from Glasgow University (UK) in 1998. After initially starting surgical training and emergency medicine training, she changed to anesthesiology and completed her training in Glasgow and Sheffield, and completed an obstetric anesthesia fellowship-equivalent program at Stanford University. Gill is a member of the obstetric simulation team and obstetric disaster preparedness team at Stanford. Gill has published multiple manuscripts and has contributed chapters in five textbooks. She also has an interest in global health and regularly volunteers with Kybele Inc. (


Dr. Amanda Baric (Australia)

Dr Amanda Baric (MB BS 1991, FANZCA 2001) is a visiting anaesthetist at The Northern Hospital in Australia and a senior clinical lecturer at the University of Melbourne. She has an interest in medical education and in the development of anaesthesia training in LMIC. Her clinical work is a broad mix of anaesthesia, acute pain and perioperative medicine. Her educational experience includes involvement in the Essential Pain Management program, international work with the Australian Society of Anaesthetists and simulation teaching.

Dr. Muralidhar Joshi (India)

Dr. Muralidhar Joshi (MD, DNB), is the Director of Pain Management Centre, Virinchi Hospitals, Banjara Hills, Telangana, Hyderabad, and is considered as the one of the pioneers practicing Pain management in Asia. He completed his post-graduation in Anaesthesiology from Post-Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India and went onto finish the Diplomate of National Board in Anaesthesiology from New Delhi. He has published in various international journals and has authored six books, one of which was the first textbook on pain management in India. He is member of WFSA Pain Relief Committee and also WFSA Governing Council Member representing Asian Continentand heads the WFSA fellowship programme on Acute & Chronic Pain Management at Virinchi Hospitals, Hyderabad, India.

Dr Christopher Haley (Canada)

Dr Christopher Haley BSc (med. Sci.) MBChB FRCA FRCPC FFPMRCA MSc (HQ) is a specialist in anaesthesia and pain management.  He trained in the UK and currently works in Ontario, Canada. Chris' interests are in pain modulation and non pharmacological pain management therapy.  He also has an interest in quality improvement projects and has a master's degree in healthcare quality.  

Regional Anaesthesia

Dr. Gillian Foxall (UK)

Dr Gillian Foxall is a Consultant Anaesthetist at Royal Surrey County Hospital, Guildford. She supervises the regional anaesthesia fellowship and is Lead for regional anesthesia for the Trust. She completed the European Diploma in Regional Anaesthesia in 2007 and is an Honorary Lecturer for the University of East Anglia for the MSc in Regional Anaesthesia. She is a committee member for the London School of Regional Anaesthesia (LSORA) and teaches regularly on a number of national and international regional anaesthesia courses including – EBPOM, LSORA, Sonosite (Basic & Advanced), East Surrey regional anaesthesia courses, and Brighton advanced ultrasound guided regional anaesthesia courses with cadaveric anatomy. She is joint course director for the BUCCING courses (Basic Ultrasound Competency course for Consultants in Guildford.)

Dr. Su Cheen Ng (UK)

Dr. Su Cheen graduated from the National University of Ireland Galway, Ireland in 2002. She completed her Anaesthesia and Intensive Care training in the Republic of Ireland and was appointed consultant in anaesthesia at University College Hospital, London (UCLH) in 2016. Her key interests are in Regional Anaesthesia and Perioperative Medicine. Su Cheen is currently Lead in the Regional Anaesthesia Block Room at UCLH.

Dr. Simeon West (UK)

Dr Simeon West is a consultant anaesthetist at University College London Hospital (UCLH) with a specialist interest in regional anaesthesia. He helps run one of the UK’s only block rooms, and has taught at many nationally renowned regional anaesthesia courses. He is on the board of RA-UK (the UK branch of ESRA) and is their webmaster. He has a research interest in improving visualisation of needles and nerves, publishing extensively, and is part of the new Wellcome/EPSRC Centre for Interventional and Surgical Sciences at University College London.

Patient Safety

Dr. Isabeau Walker (UK)

Dr. Isabeau has been a consultant paediatric anaesthetist at Great Ormond Street Hospital London since 1996. She specialises in anaesthetising children with complex disease for cardiac surgery and general surgery. She was elected as member of Council of the Association of Anaesthetists of Great Britain and Ireland in 2008, and as Vice President 2013-2016. She is an active member of the AAGBI International Relations Committee and AAGBI representative to the Board of Lifebox. She is a member of the Editorial Advisory Board for ‘Pediatric Anesthesia’, and she has been a member of the WFSA Publications Committee since 2008, Chair 2012-2016. She regularly edits articles for both Update in Anaesthesia and ATOTW and her publications reflect her interest in global anaesthesia and surgery, safety and training in paediatric anaesthesia.

Dr Sally El-Ghazali (UK)

Dr Sally El-Ghazali is a dual anaesthetic and intensive care trainee in London. She graduated from UCL Medical School in 2010 before starting her core anaesthetic training in the Northern deanery of anaesthesia in 2012 and subsequently taking up a specialty registrar training post in August 2014 within the Imperial School of Anaesthesia. In February 2018, she joined the intensive care training scheme in London.

In 2014, Sally was elected as a member of the Group of Anaesthetists in Training Committee following a national ballot to represent the interests and wellbeing of the anaesthetic trainees nationally. She was subsequently selected as honorary secretary of the committee in 2016 and has since taken on the role of chair of the now rebranded Association of Anaesthetists Trainee Committee from July 2018.

Her interests in anaesthesia relate to general surgery especially colorectal, airway anaesthesia and perioperative medicine. She is currently undertaking the UCL perioperative medicine MSc as of September 2016. Sally’s other interests outside clinical medicine include wellbeing and medical education and has since completed a formal medical education certificate and become a Member of the Academy of Medical Educators.

Basic Science

Dr. Alex Konstantatos (Australia)

Dr. Alex Konstantatos is a Specialist Anaesthetist and Pain Physician who works at Alfred and Cabrini Hospitals in Melbourne., Australia. He is Director of the Pain Service at Alfred Hospital and was an Examiner for the Australian New Zealand College of Anaesthetics from 2004-2016. Alex has and affiliations with Monash University , Australia as a Senior Lecturer and is a Visiting Professor at Zhejiang University in Hangzhou, China, where he has overseen the development of Pain Medicine at Sir Run RunShaw Hospital. As well as teaching, Alex enjoys academic interests, with up to twenty publications in the field of Pain Medicine and Anaesthesia and has a particular interest in the effects of ethnicity on Pain behaviours.

Dr. Fran Smith (UK)

Fran Smith is a consultant anaesthetist in Southmead Hospital, Bristol, UK. She completed a medical degree in Cardiff, Wales before training in anaesthesia in the Peninsula Deanery in South West England, including a fellowship in New Zealand. Her current interests include regional anaesthesia and peri-operative care, and is the departmental lead for recovery

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