Centre for Anaesthesia Critical Care & Pain Medicine


Dr Ramai Santhirapala FRCA FFICM FHEA

Consultant Anaesthetist and Perioperative Physician, Perioperative Care Lead, Guy's and St Thomas' NHS Foundation Trust, London


Honorary Associate Professor, University College London


Clinical Advisor, Academy of Medical Royal Colleges

Personalised perioperative care
Digital health

Faculty, UCL Masters Programme in Perioperative Medicine

Selected Publications


Hoffmann TC, Del Mar C, Santhirapala R, Freeman A. Teaching clinicians shared decision making and risk communication online: an evaluation study. BMJ Evidence-Based Medicine  Published Online First: 22 September 2020. doi: 10.1136/bmjebm-2020-111521
Timbrell D, Santhirapala R. Shared decision making in perioperative medicine. Br J Hosp Med. 2020. https://doi.org/10.12968/ hmed.2019.0295
Santhirapala R, Partridge J, MacEwen CJ. The Older Surgical Patient: to operate or not? A state of the art review. Anaesthesia; 75: e46-e53
Santhirapala R, Fleischer LA, Grocott MPW. Just Because You Can, Does It Mean You Should? Choosing Wisely British Journal of Anaesthesia  2019;122 (3): 306-310
Ross J, Santhirapala R, MacEwen CJ, Coulter A. Helping Patients Choose Wisely BMJ 2018;361:k2585
Santhirapala R, Moonesinghe R. Primum Non Nocere: Is Shared Decision Making the Answer? Perioperative Medicine 2016; 5: 16.
 Blackwood D, Santhirapala R, Walker D, Mythen M. End of life decision planning in the perioperative setting: the elephant in the room? British Journal of Anaesthesia. 2015;115 (5): 648-650
 Moonesinghe SR, Walker EM, Bell M; SNAP-1 Investigator Group and Collaborators. Design and methodology of SNAP-1: a Sprint National Anaesthesia Project to measure patient reported outcome after anaesthesia. Perioperative Medicine 2015;4(4):ePub
Santhirapala R, Walker D. “Mirrors to Windows: Developing a Masters Programme in Perioperative Medicine. Royal College of Anaesthetists Bulletin 2015. 91:26-28
 Doyle A, Santhirapala R, Stimpson J, Young PJ, Carter J. A comparison of two epidural catheter connectors. International Journal of Obstetric Anesthesia 2011; 20: 34–37
Doyle A, Santhirapala R, Crowe M, Blunt M, Young PJ. The pressure exerted on the tracheal wall by two endotracheal tube cuffs: A prospective observational bench-top, clinical and radiological study. BMC Anesthesiol. 2010;10:10-21.
Santhirapala R, Carter JJ, Young PJ. Safer Arterial Access: Preventing Accidental Arterial Injection.  Medical Devices Technology Oct 2009. 20(6):36-7