Centre for Anaesthesia Critical Care & Pain Medicine


Dr Robert CM Stephens BA MD FRCA FFICM 

Consultant in Anaesthesia, UCLH
Associate Professor in Anaesthesia & Perioperative Medicine, UCL
Lead for Year 1 UCL MBBS


Education- lead for the year 4 MBBS, 6 SSM, 'Intro to Anaesthesia' course and formerly on the MSc in Perioperative Medicine

Education: Lead for year 1, UCL MBBS

Undergraduate Education in Anaesthesia & Perioperative Medicine

Innovative Education Methods

Endotoxin & perioperative inflammation
Cardiopulmonary Exercise Testing
Maintaining Centre for Anaesthesia website
Assisting Clinical trials


Cardiopulmonary exercise testing and cardiopulmonary morbidity in patients undergoing major head and neck surgery
B B Lalabekyan, N Tetlow, R Moonesinghe, D Martin, E Burdett , J Otto, D Wyndham, E Bettini, N Kalavrezos, R C M Stephens 
Br J Oral Maxillofac Surg 2021 Apr;59(3):297-302.

Preoperative systemic inflammation and perioperative myocardial injury: prospective observational multicentre cohort study of patients undergoing non-cardiac surgery GL Ackland TEF Abbott, D Cain, MR Edwards, P Sultan, SN Karmali, AJ Fowler, JR Whittle, NJ MacDonald, A Reyes, L Paredes, RCM Stephens, AG Del Arroyo, S Woldman, RA Archbold, A Wragg, E Kam,T Ahmad, AW Khan, E Niebrzegowska, RM Pearse. Br J Anaesth 2019 Feb;122(2):180-187

Assessment of functional capacity before major non-cardiac surgery: an international, prospective cohort study. DN Wijeysundera, RM Pearse, MA Shulman, TEF Abbott, E Torres, A Ambosta, BL Croal, JT Granton, KE Thorpe, MPW Grocott, C Farrington, PS Myles, BH Cuthbertson, on behalf of the METS study investigators. Lancet 2018; 391: 2631-40

Undergraduate education in anaesthesia, intensive care,pain and perioperative medicine: the development of a national curriculum framework. Smith A, Carey C, Sadler J, Smith H, Stephens R, Frith C. Medical Teacher 2019 Volume 41 issue 3 published online July 3 

Undergraduate education in anaetshesia and related sepcialities: a compendium of current practice and resources for doctors.  Smith A, Carey C, Sadler J, Smith H, Stephens R, Frith C. MedEdPublish 2018 7, [1], 33

Association of Postoperative High-Sensitivity Troponin Levels With Myocardial Injury and 30-Day Mortality Among Patients Undergoing Noncardiac Surgery. Writing Committee for the VISION Study Investigators. JAMA. 2017;317(16):1642-1651.


Vagal determinants of exercise capacity Machhada A, Trapp S, Marina N, Stephens RCM, Whittle J, Lythgoe MF, Kasparov S, Ackland GL & Gourine AV Nature Communications volume 8, Article number: 15097 (2017) 

The International Surgical Outcomes Study group. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth (2016) 117 (5): 601-609.

Construction and piloting of a perioperative medicine training module. Whiteman A & Stephens R. (2016). RCoA Bulletin 98, 25-27

Sympathetic autonomic dysfunction and impaired cardiovascular performance in higher risk surgical patients: implications for perioperative sympatholysis. Whittle J, Nelson A, Otto JM, Stephens RC, Martin DS, Sneyd JR, Struthers R, Minto G, Ackland GL. Open Heart. 2015 Oct 19;2(1)

Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study. van Zaane B, van Klei WA, Buhre WF, Bauer P, Boerma EC, Hoeft A, Metnitz P, Moreno RP, Pearse R, Pelosi P, Sander M, Vallet B, Pettilä V, Vincent JL, Rhodes A; European Surgical Outcomes Study (EuSOS) group for the Trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology. Eur J Anaesthesiol. 2015 Jul;32(7):477-85

Myocardial Injury after Noncardiac Surgery. A Large, International, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors, and 30-day Outcomes.The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Investigators. Anesthesiology 2014; 120:564-78

Intravenous fluid therapy.  Kumar G, Walker E, Stephens R. Trends in Anaesthesia and Critical care. Volume 4, Issues 2-3, June 2014, 55-59

An introduction to anaesthesia. Donohue C, Hobson B, Stephens RC.Br J Hosp Med (Lond). 2013 May;74(5):C71-5.

The effect of total hip/knee replacement surgery and prophylactic dabigatran on thrombin generation and coagulation parameters. Green L, Lawrie AS, Patel R, Stephens RC, Mackie IJ, Chitolie A, Haddad FS, Machin SJ (2012). Thrombosis Research Available online January 2012

Low molecular weight polyethylene glycol improves survival in experimental sepsis.
Gareth L Ackland, Ana Gutierrez Del Arroyo, Song T Yao PhD , Robert C Stephens, Alexander Dyson, Nigel J Klein, Mervyn Singer, Alexander V Gourine. Crit Care Med. 2010 Feb;38(2):629-36

Decreased heart rate variability in patients with cirrhosis relates to the presence and degree of hepatic encephalopathy. Mani AR, Montagnese S, Jackson CD, Jenkins CW, Head IM, Stephens RC, Moore KP, Morgan MY. Am J Physiol Gastrointest Liver Physiol. 2009 Feb;296(2):G330-8

Role of bacterial endotoxin in chronic heart failure: the gut of the matter. Charalambous BM, Stephens RC, Feavers IM, Montgomery HE. Shock. 2007 Jul;28(1):15-23

Endotoxin immunity and the development of the systemic inflammatory response syndrome in critically ill children.
Stephens RC, Fidler K, Wilson P, Barclay GR, Mythen MG, Dixon GL, Turner MW, Klein NJ, Peters MJ.
Intensive Care Med. 2006 Feb;32(2):286-94

AddressAnaesthetics Department
Podium 3, Maple Link corridor
University College Hospital
235 Euston Road

UCL's new 

Certificate, Diploma and Masters in Perioperative Medicine
RCoA ST4 and CV 

Links to...

NEJM Futier 2013

Safe Surgery Checklist NEJM 

MAP < 65? OK?

NCEPOD Knowing the risk 2011

RCoA talk 2021- Let's fill this Medical School with great Anaesthetists!Download 
ICM trainees 2022

See below Infomed and ICU trainees Assessing the heart for non Cardiac Surgery for papers



CPET talks and information 

Download the talk 


UCL Respiration in Health and Disease resources 

My Powerpoint Respiration and Anaesthesia no pictures- See Course Moodle Pages for most up to date 

My Powerpoint Ventilation and Anaesthesia no pictures!  See Course Moodle Pages for most up to date

Podcast on Introduction to Anaesthesia by us!

Article on Introduction to Anaesthesia by us

Anaesthesia basics notes by me

Useful Mechanics of breathing Notes from  Dr Sally Osbourne

Applied Respiratory Physiology notes from James Mitchell 

Respiratory Physiology Summary by Dr Fred Roberts

Long Respiratory Physiology Chapter by unknown

Great Respiratory Physiology Notes by unknown

Slideshow on Mechanical Ventilation by Dr Shalini Garg

Respiratory measurement by Rob Stephens Ed Burdett and Dave Walker

Overview of Respiratory Physiology by Drs Nadine Dobby and Sarah Chievely-Williams

Great YouTube presentations by Prof John West

Futier's NEJM 'Lung Protective Ventilation' 2013 study

ARDSNet 2000 'ARMA' study

ARDSNet 2004 'ALVEOLI' study

Infomed and ICU trainees
Assessing the heart for non Cardiac Surgery

Slides from talk


European ESC 2022 guidelines

European 2009 Guidelines

2021 RCS


MANAGE Dabigatran Trial 2018

JAMA Systematic Review 2017 on Stents


Surgery after drug-eluting stent implantation: it’s not all doom and gloom

RCOA 2014RCOA Perioperative Medicine 6 March 2014 talk
Do get in touch if you'd lie to chat more, about the UCL MSc or Fellowships
Years 1 MBBS

Year 1 Acid Base Balance 2017 (.pptx no pictures)

Year 1

 (.pptx   no pictures) pdf version 
Year 4 MBBS

Year 4 Introduction: 


PDF icon 
(no pictures pdf)
Year 4  Introduction: If you're having problems please click 'save as' and add .pptx  after the name

Year 4 Introduction: ICU talk Dr Bampoe/Down

Year 4 Introduction: Intro to Pain Dr Tidman

Year 4 Introduction: Intro to Pain (no pictures pptx)  and the pdf

Year 4 Anaesthes

i(no pictures)
Year 6 MBBS



UCL SBA youtube series


Sepsis 2016 guideline

For download