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General News

New perioperative medicine pre-assessment clinic at London Bridge Hospital

02 February 2015

Dr O’Brien and Professor Schilling have worked together on these procedures for many years.

They have all three areas continuously audited by auditors independent of the London AF Centre. The team reviews these results regularly and informed how they have evolved their practice to now offer excellent clinical outcomes, an excellent safety record and an excellent patient experience.

For every procedure undertaken at the London AF Centre, Dr Ben O’Brien can offer a pre-assessment clinic to discuss all aspects of your peri-procedure care and answer any questions you may have. It is not uncommon to feel apprehensive ahead of a procedure and for those that prefer not to wait until the day of the intervention to speak with your anaesthetist- this may be the best option for you.

Dr O’Brien will take you through the process step-by-step, explaining everything from admission to discharge. From the extensive feedback we receive, we have learnt that understanding all the facts before a procedure is reassuring to the patient and this service has been set up as a direct response to such feedback.

Clinical outcomes, safety & optimal patient experience

The consultation is based around your preferences, whether you come in to the hospital, or would choose to have the consultation via Skype (video link). The fee for such a separate consultation will be billed to your insurer. Should your insurance not cover it, please discuss the options with Dr O'Brien's secretary, Mrs Melanie Todd (020 7234 2288 / melanie.todd@medicaladminservices.co.uk). Dr O'Brien is very keen to provide you with the best possible experience and will be happy to offer this service for a nominal self-pay fee, if there were any problems with insurance cover.

If you do not wish to see Dr O’Brien ahead of your admission, he will of course come to see you on the day of the procedure and will explain all aspects of your perioperative medicine care then. No matter how you wish to proceed, Dr O’Brien and the rest of the team here at London Bridge Hospital have every confidence that together we can cover everything you need to know in order to help you feel as safe and comfortable as possible before your intervention. Dr O’Brien will discuss the options and agree a personalised perioperative care plan with you.

The scope of Dr O’Brien’s Perioperative Medicine Practice includes:


  • Transoesophageal Echocardiography (fully accredited by the European Society of Cardiology).
  • Anaesthesia for cath lab interventional procedures and cardiac and thoracic surgical procedures. This covers the whole spectrum from sedation to General Anaesthesia.
  • Pre-procedure optimisation and post-intervention care, including critical care and preventing or treating pain or nausea. Your care will be planned around your individual circumstances, such as allergies, previous problems with nausea, preferences between GA and sedation et cetera.

Based on recent feedback we learnt that 97% said they were ‘very satisfied’ with the service ('Satisfied': 2%, 'Neutral': 1%, none were 'Dissatisfied'/'Very Dissatisfied'/'Don't know': 0% !).

90% of patients did not experience any kind of pain or discomfort at all after the operation and only 4% said they experienced nausea, which in all cases could be swiftly treated.

Below are some comments from patients who have undergone a procedure involving the general anaesthetic experience:

“Very caring and compassionate to my condition. Provided me with confidence that I was in the right place with the right anaesthetist. Extremely professional and just glad that Dr O’Brien was in charge.”

“Highly satisfied with no unpleasant side effects. A very comfortable experience.”

“Excellent – I was very nervous but everything was clearly explained and the experience was extremely positive.”

“Excellent pre-op briefing, including details about how nausea potential would be controlled. The actual experience matched the briefing perfectly.”

“The team made me feel relaxed and confident in their care. Having met them I had total confidence in their ability of ensuring I had an excellent, comfortable experience.”

We also ask patients to compare the different options of sedation and GA, for those who have also experienced both alternative options:

“It was superb; I would choose general anaesthetic over sedation every time.”

“Absolutely perfect. Zero hangover, about to leave and I feel fine.”

“Excellent and professional. NO after effects – felt fine within 2 hours of the procedure.”

“General anaesthetic was 100% improvement from the last two times when I was given local anaesthetic."

For more information visit our AF Centre website on londonadcantre.london.