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Fellows gain experience in anaesthetic management of wide spectrum of neurosurgical procedures consisting of evacuation of obstructing lesions, neuro-oncological surgery (awake and asleep craniotomies, trans-sphenoidal pituitary surgery), cerebrovascular surgery (AVMs, aneurysms, intracranial bypass procedures), functional neurosurgery (epilepsy, deep brain stimulation), interventional neuroradiology (embolisation, mechanical thrombectomy) and major spine surgery including deformity corrections in cooperation with spinal orthopaedic surgeons. In addition, experience in intraoperative evoked potentials monitoring will be a part of the clinical learning. Lastly, the Fellows will gain experience of Neuro-intensive care and looking after patients in a large tertiary referral centre.
Fellows will participate in general emergency on-call duties at a frequency of approximately 1 in 8 in the West Wing.
Oxford is a world-renowned neurosurgical centre of both clinical and academic excellence. The John Radcliffe is a regional tertiary neurosurgical centre which serves a catchment area for approximately 2 million people in the Thames Valley.
The Oxford neurosurgical department prides itself in providing world class care and pioneering techniques in neurosurgical practice, including the well-established deep brain stimulation service, skull base and pituitary service, epilepsy surgery and awake craniotomy for intra-axial brain tumours.
Oxford also provides a comprehensive neuroradiology service, with approximately 350 major diagnostic and therapeutic procedures performed per year, including endovascular treatment of aneurysms and AVMs, embolization of tumours, angiography and angioplasty. It is also becoming established as an acute stroke thrombectomy centre. Interventional radiologists working at the John Radcliffe include
Neurosurgical theatres are based on Level 1 of the West Wing. There is also 0730-1730 Monday – Friday cover for Neuroradiology in the Neuroradiology suite, also in the West Wing. Neurosurgical operating is usually as follows:
Dr Payashi Garry
Head of Neuroanaesthesia Fellowship Programme Email: payashi.garry@ouh.nhs.uk