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Dr Martin Smith
Neurosurgical ICU
The National Hospital for Neurology and Neurosurgery
Queen Square
London
WC1N 3BG
Appointment
  • Honorary Professor
  • Dept of Med Phys & Biomedical Eng
  • Faculty of Engineering Science
Research Themes
Research Summary

We have pioneered the use of cerebral near infrared spectroscopy (NIRS) for the non-invasive measurement of cerebral oxygenation and haemodynamics in critically ill brain-injured adults and have for the first time investigated the use of NIRS to detect non-invasively cellular metabolic derangements in real time at the bedside.

We develop and use novel optical techniques to measure changes in cerebral oxygenation, perfusion and energy status and have developed a clinical paradigm which generates changes in levels of cytochrome c oxidase (CCO as a measure of cellular mitochondrial function. On-going studies in a large series of brain-injured patients will identify trends in CCO during disease progression and treatment and allow us to cross correlate, validate and quantify the CCO changes against established components of multi-modal cerebral monitoring, particularly cerebral microdialysis. We will develop interventional studies to examine the effects on outcome of intervention targeted to early warning of secondary cerebral ischaemia/hypoxia.

On-going instrumentation and software development will deliver on-line data analysis and the provision of user friendly and clinically relevant information at the bedside from different regions of the brain simultaneously.

Teaching Summary

External Examiner: - MSc in Anaesthesia and Perioperative Medicine - Brighton and Sussex Medical School (since 2013)

Examiner: Fellowship of the Faculty of Intensive Care Medicine (since 2011)

Examiner: European Diploma of Intensive Care Medicine (2006-2011)

Training Programme Lead: UCL Academic Clinical Fellows and CLinical Lecturers in Anaesthesia and Critical Care (2008-2016)

Chair: HEE London Academy of Anaesthesia Academic Training Advisory Group (2011-2016)

Appointments
01-FEB-1990 Consultant in Neuroanaesthesia and Neurocritical Care Neuroanaesthesia and Neurocritical Care University College London Hospitals, United Kingdom
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