Dr. Tahir Akhtar BSc, MBBS, DA(UK) FFARCSI, FRCA
PRINCIPLE ADAM & STROUD HEALTHCARE
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Consultant Anaesthetist and Intensivist from King's College London. Specialist in Cardiothoracic and Liver Transplant Anaesthesia and Intensive Care. Fellowship in Cardiac Transplant and Intensive Care Leads University, United Kingdom. Chairman Department of Anaesthesia(1998 - 2000) As a chairman I was able to reduce risk by implementing risk procedures. Resources were acquired to purchase new equipment. As a result of a detailed 5 year man power plan new consultants were appointed to improve service. Morbidity/mortality and critical incident reporting was implemented. All reports were anonymously collected and regularly debated to implement their findings. I lead opening of a new Day Surgery Medical Centre. I was involved at various stages of building planning, equipment selection & procurement. All equipment was acquired to meet stringent national guidelines. As the 'Risk Manager' I implemented safety procedures & multidisciplinary working protocols. Induction protocols for new staff were implemented turning it into the flagship department of the NHS Trust. Funding for a 'Research fellow' was acquired. Clinically relevant research was carried out by a team of researchers under my leadership. Director of Intensive Care(1995 - 1997) As the Director of Intensive Care at the Queen Mary's hospital I lead transformation of a high dependency facility to a modern six bed Intensive Care Unit. I instituted pulmonary artery catheterisation, haemofiltration and Percutaneous Tracheostomy as routine clinical practice. Riyadh Intensive Care Program was installed for better resource management and patient treatment. Daily APACHE & TISS scoring was started and computing equipment was acquired to implement this. Reports to the Trust Chief Executive and the local commissioners were produced to acquire funding for new monitoring, three intensivist and three resident trainees to staff the unit independently. Nursing staff was recruited from the neighbouring trusts. Intensive Care Nurse Manager was appointed. Two other intensivist were recruited in due course and an independent consultant intensivist on call rota was established. The unit was recognised by the intercollegiate board for intensive care medicine as a training unit for intensive care medicine. Funding for two 'Research Fellows in Intensive Care' was successfully acquired from the private sector. Research was carried out into the use of antioxidants in sepsis, new antibiotic for pneumonia, Splanchnic perfusion in patients undergoing major surgery etc. Consultant Co-ordinator Regional Intensive Care Audit South Thames(1996 to 1998) On my appointment as the Consultant Co-ordinator Regional Intensive Care I acquired funding from the Region to appoint a G Grade regional Audit Co-ordinator at Queen Mary's hospital. Regional audit projects were carried out on Brain stem testing records ( also published in Anaesthesia), Transport of the critically ill patients and complications of Percutaneous tracheostomy. Reports of these audits were circulated to regions and verbal presentations made to various committees & organisations. Deputy Director Audit Queen Mary's NHS Trust(1998 - 2000) I was an active member of the Clinical Governance Care Group of the Trust. I actively encouraged conception, data collection & implementation of audits in many hospital department. MEMBERSHIP OF EXECUTIVE COMMITTEES National: . Web editor Intensive Care Society 1996-1998 . Linkman Association of Anaesthetists of Great Britain and Ireland 1996 - 2000 . Co-organiser National meeting of the Society of Computing & Technology in Anaesthesia, Sidcup May 1999. . Chaired a session on Intranet in SCATA meeting May 1999. Regional . London Severe Injury Working Group May 1999 - 30.06.2000 . Member South Thames East Anaesthesia Specialty Committee 1998 - 03.04.2000 . Honorary secretary South Thames (East) Anaesthesia Specialty Committee 1999 - 03.04.2000 . Consultant Co-ordinator for Intensive Care Audit, South Thames 1996 - 1998. . Member Bexley Local Regional Ethics Committee 1995 - 1999Trust: . Chairman, Local Negotiating Committee 1999-2000 . Place of work representative, British Medical Association 1997-1999 . Deputy Director, Clinical Audit 1999 - date . Member Trust Nutritional Support committee 1995 -1998 . Member Trust Blood Transfusion committee 1995 -1999 . Member Trust Resuscitation Committee since 1996 -1998 . Member Clinical Governance Care Group 1999 - 2000 . Member High Risk Pregnancy Group 1997 - 1997 . Participated in various Agenda for change Projects PUBLICATIONS PEER REVIEWED PAPERS: . Lawrie S.C, Forbes D.W, Akhtar T.M, Morton N.S. Patient controlled analgesia in children. Anaesthesia 1990,45:1074-1076. . Akhtar T.M, Ridley S, Best C.S, Unusual presentation of acute upper airway obstruction caused by an anterior mediastinal mass. British Journal of Anaesthesia 1991;67:632-634. . Akhtar T.M, Goodchild C.S, Boylan M.K.G. Reversal of streptokinase induced bleeding with aprotinine for emergency cardiac surgery. Anaesthesia 1992;47:226-228. . Akhtar T.M, McMurray P, Kerr W.J, Kenny G.N.C. A comparison of laryngeal mask airway with endotracheal intubation for intra-ocular surgery. Anaesthesia 1992;47:668-671. . Akhtar T.M, Kerr W.J, Kenny G.N.C. Effect of nitrous oxide on postoperative nausea and vomiting during propofol anaesthesia. European Journal of Anaesthesiology 1993;10:337-341. . Akhtar T.M. An Oesophageal Vent-Laryngeal Mask : to prevent aspiration of gastric contents. British Journal of Anaesthesia 1994;72:52-54. . Akhtar T.M, Street MKS. The incidence of gastric regurgitation with Laryngeal mask airway mechanical ventilation vs spontaneous respiration. British Journal of Anaesthesia 1994;72:447-450. . Keogh A, Akhtar T.M. Diagnosing brain death: the importance of documenting clinical test results. Anaesthesia 1999;54:81-83. . Frow M.W, Miranda-Caraballo J.I, Akhtar T. M, Hugkulstone C.E. Single injection peribulbar anaesthesia. Total upper eye lid drop as an end-point marker. Anaesthesia 2000;55:750-756. CHAPTER IN BOOK: . Akhtar T.M, Kenny G.N.C. Computer controlled infusion systems. In Anaesthesia Review 12. Kaufman L, Ginsburg R (eds). . Akhtar T.M. Anaesthesia for ENT, Ophthalmic, Dental and Facial Surgery. Virtual Textbook of Anaesthesia. http://www.usyd.edu.au/anaes/VAT/anaesent.html ABSTRACTS: . Akhtar T.M, Ridley S, Best C.S, Unusual presentation of acute upper airway obstruction caused by an anterior mediastinal mass. Care of the Critically Ill 1990;6:202. . Akhtar T.M, McMurray P, Kerr W.J, Kenny G.N.C. A comparison of laryngeal mask airway with endotracheal intubation for intra-ocular surgery. British Journal of Anaesthesia 1991;67:2154p. . Keenan G.M.A, Ruiz K, Akhtar T.M, Shah M.V. Patient controlled analgesia after thoracotomy: Thoracic extradural vs iv fentanyl. British Journal of Anaesthesia 1992;69:533p. . Ruiz K, Keenan G.M.A, Akhtar T.M, Shah M.V. Does PEEP during cardiopulmonary bypass effect the postoperative P(A-a)O2 gradient ? Journal of Cardiothoracic & Vascular Anesthesia 1994;8(suppl 2):65. . Akhtar T.M. Oesophageal vent-Laryngeal mask to prevent regurgitation of gastric contents. British Journal of Anaesthesia 1993;71:318p. . Neuromuscular blockade for gynaecological laparoscopic surgery using laryngeal mask is not necessary. Akhtar T M, Miranda-Carbello. British Journal of Anaesthesia 1999 . Akhtar T.M, Frow M.W.O, Miranda-Carabello J.I. Total inhalation anaesthesia vs total i.v. anaesthesia: cost comparison of sevoflurane and propofol. British Journal of Anaesthesia 84 (2):287-288P. LETTERS: . Akhtar T.M. Failure of oxygen flush device. Anaesthesia 1990;45:176. . Akhtar T.M. Laryngeal mask airway and visualisation of vocal cords in thyroid surgery. Canadian Journal of Anaesthesia 1991;38:140. . Akhtar T.M. Psychomotor tests are not necessary. Hospital Doctor November 10, 1988. . Akhtar T.M. Research difficulties for junior anaesthetist's. Anaesthesia 1991;46:421. . Akhtar T.M, Bell M. Surgical emphysema following the use of a vocalaid. Anaesthesia 1993;48:272-273. . Akhtar T.M. The oesophageal Vent-Laryngeal Mask. British Journal of Anaesthesia 1994;72:726-727. RESEARCH PRESENTATIONS: . Total inhalational Anaesthesia versus total intravenous anaesthesia: A cost comparison of sevoflurane & propofol. Akhtar T M, Frow M W, Miranda-Carbello. Anaesthetic Research Society. Edinburgh 11th November1999. . Neuromuscular blockade for gynaecological laparoscopic surgery using laryngeal mask is not necessary. Akhtar T M, Miranda-Carbello. Anaesthetic Research Society. Aberdeen 1998. . Total Upper eye lid drop as end point marker for peribulbar injection. Akhtar T M, Frow M W, Miranda-Carbello. Association of Anaesthetist of Great Britain & Ireland, Scientific meeting. Brighton 1999. . Ocular motility defect following peribulbar anaesthesia for cataract surgery. Giralt J, Jain R, Akhtar T .M, Hugkulstone C.E. Society of Cataract & Refrective Surgery of Great Britain & Ireland. 1998. . A prospective randomised comparison of Ciproxin vs Ceftazidime for hospital acquired pneumonias. This multicentre study is now complete. Awaiting publication. . Influence of Dopexamine on establishment of enteral feeding after major abdominal surgery. Poster Presentation. Intensive Care Society. Blackpool 1997. MEDIA COVERAGE . Sunday Times, April 15, 2001. Is it time to buy property to let? . The Independent on Sunday, 21 October 2001. Turn the key to lower rates. . Docklands News, February 2002. House Doctor's labour of love. . Docklands News, February 2002. Buy-to-let brigade enjoy fair returns. . Financial Mail on Sunday, April 21,2002. Buy-to-let.are you in a hot spot or a danger zone? . Property Guide, Volume 7 No2 Autumn 2002. When the going gets tough. . The Wharf, 8 August 2002. Landlords told: Stick it out. . The Wharf, 22 August 2002. Buyers feeling like £1m. Seven figure houses on the up in the area. . Financial Times, 25 September 2002. Oversupply puts a squeeze on rents. . Financial Mail on Sunday, October 13,2002. Buy-to-let dream due for a rude awakening. . Mail on Sunday, 14 October 2002. Buy-to-let-u-down. . The Wharf, 19 December 2002. Arena of dreams on the peninsula. Mob.No : +447788 410796 Mob.No : +971 50 5045036 t@adam-stroud.com |
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