Adanma Ezihe-Ejiofor MBBS, FWACS, FRCA
Specialist Registrar, Anaesthetics
Brighton and Sussex University Hospital NHS Trust
Ada completed her anaesthetic residency training in Nigeria before relocating to the UK and currently works as a 6th year specialist registrar in anaesthetics. Her UK anaesthetic training spans the West Midlands, Welsh and Kent, Surrey and Sussex deaneries. Apart from clinical duties she has on-going research interests, having previously held a Clinical lecturer/research post at the University Hospital of Wales in Cardiff. She has published and presented at national and international meetings. Ada is currently exploring cost containment and sustainable development themes as ways of improving efficiency in the NHS.
Outside the UK, Ada has maintained links with colleagues in Nigeria where she has regular teaching commitments. She recently started the IMPRACSE project of which she is Team Leader. IMPRACSE (IMproved Pain Relief After CaeSarean sEction) is a multicentre obstetric anaesthesia project which aims to develop a blueprint for improving post caesarean section pain management in a way that is practical and sustainable in an economically-challenged environment. It will be the first project of its kind in Africa.
As a NICE scholar, Ada will be conducting a research project looking at whether ultrasound examination can safely replace chest radiography after central venous catheter (CVC) insertion. It is estimated that over 200,000 CVC's are inserted in NHS hospitals per year. The NICE guidance issued in 2002 was responsible for the increased use of real-time ultrasound visualisation to facilitate CVC insertion into the internal jugular vein. Various studies subsequently demonstrated an improved safety profile when using ultrasound compared to the traditional landmark based technique for internal jugular vein CVC insertion. Ultrasound guided CVC insertion is now routine practice in the UK. With this improved safety profile is it still necessary to do a routine chest x-ray after CVC insertion in the internal jugular or subclavian vein or can ultrasound technology go even further? If ultrasound is shown to be a safe post procedure diagnostic tool this will obviate the need for routine post procedure radiography, avoid unnecessary patient exposure to radiation and minimize delays in starting therapy while waiting for radiography.
This page was last updated: 03 January 2013