Anaesthesia and Intensive Care Medicine
Sheffield Teaching Hospitals NHS Trust
Alastair Glossop is a specialist registrar in Anaesthesia and Intensive Care Medicine, having graduated from Nottingham University in 1999 and undertaken postgraduate training in both General medicine and Anaesthesia. He currently works within Sheffield Teaching Hospitals NHS Foundation Trust. His main areas of clinical interest are noninvasive ventilation, weaning, tracheostomy care, governance and risk management.
As a NICE scholar, he will evaluate the role of noninvasive ventilation (NIV) following extubation of critically ill patients and also patients who have undergone major surgery. It is known that prolonged invasive ventilation - either in the intensive care unit or operating theatre - carries a significant risk to patients and may be associated with increased morbidity and mortality. It has been proposed that using NIV following extubation may reduce the need for reintubation and thus improve patient outcomes. Although this has been studied in several different clinical situations there is no clear consensus on which patient groups benefit from the use of NIV following extubation, and if there is any impact on patient outcomes or financial end points. With the support of NICE, Alastair will conduct a systematic review of the use of NIV following extubation and appraise the trials and evidence already available to assess the impact of using NIV on patient morbidity and mortality and also any financial implications of avoiding prolonged spells in critical care units. It is his aim to produce a formal review paper containing guidelines for using NIV following extubation that could be applied widely across NHS organisations - to reduce the amount of time patients spend on invasive ventilation, reduce their risk of ventilator associated complications, and potentially reduce the financial burden to the NHS that is associated with prolonged critical care therapy.
Where are they now?
Following the completion of his scholarship, Alastair was appointed as a consultant in Anaesthesia and Intensive Care medicine at Sheffield Teaching Hospitals. He has published several papers concerning the use of NIV, and the results of his NICE scholarship project (which examined the use of NIV post extubation) were presented at the European Society of Intensive Care Medicine. He is currently part of a joint British Thoracic Society / Intensive Care Society group that are developing guidelines for the management of type II respiratory failure, and has been chosen as a reviewer for the National Review of Asthma Deaths board for 2012.
This page was last updated: 30 April 2012