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A member of Cambridge University Health Partners - www.cuhp.org.uk

Dr Jo ArrowsmithDr Joseph 'Joe' E Arrowsmith

Consultant Anaesthetist

Contact Details
Switchboard 01480 830541
Direct Fax 01480 364936

Secretary
Melanie E J Yea
Tel: 01480 364406
Email: melanie.yea@nhs.net   

Specialties
Cardiothoracic anaesthesia and intensive care.

Specialist Clinical Interests
Adult cardiothoracic anaesthesia and intensive care.
Intraoperative transoesophageal echocardiography.
The neurological complications of cardiac surgery.

Professional Profile
Clinical Lead for Information Management & Technology (2005-)
Examiner - Final FRCA (2009-), Primary FRCA (2006-2009)
Royal College of Anaesthetists tutor (2004-2009)
Secretary - Papworth Medical Advisory Committee (2004-2006)
Local Negotiating Committee chairman (2009-), secretary (2005-2009)
Organiser - ACTA Spring Scientific Meeting 2001
Attending Anesthesiologist / Visiting Associate in Cardiothoracic and Critical Care Anesthesia, Duke University Medical Center and the Veterans Affairs Medical Center, Durham, North Carolina, USA. [1996-8]

Senior Registrar in Anaesthesia, St George's Hospital, London. [1994-6]
Clinical Research Fellow in Cardiothoracic Surgery, University College London & Honorary Senior Registrar in Intensive Care, The Middlesex and University College Hospitals, London. [1992-4]

Registrar in Anaesthesia, The Middlesex and University College Hospitals, London. [1991-2]

Senior House Officer in General Medicine, St George's Hospital, London. [1989-91]

Education and Training
St George's Hospital Medical School, University of London (1980-5) Bachelor of Medicine, Bachelor of Surgery - MB BS (London) 1985
Diploma in Anaesthestics - DA(UK) 1987
Certificate of Completion of Specialist Training - CCST(Anaesthesia) 1997
Doctor of Medicine - MD (University College London) 2001
BMA, AAGBI, ACTA, EACTA, ASA, ESA, SCA, ICS, EAICG, RCPL, ILTHE
Senior Member of Wolfson College, Cambridge (2002)

Current membership(s) of professional, national and regional bodies and university posts
Member of the Royal College of Physicians - MRCP(UK) 1991
Fellow of the Royal College of Anaesthetists - FRCA / FCAnaes 1992
Joint Committee on Higher Training in Anaesthesia (JCHTA) Accreditation 1996
Member of the Institute of Learning & Teaching in Higher Education - ILTM 2002
Fellow of the Royal College of Physicians - FRCP(London) 2004
Fellow of the Higher Education Academy - FHEA 2007
Foundation fellow of the Faculty of Intensive Care Medicine - FFICM 2011

Recent and Important Publications
Problems in Anesthesia: Cardiothoracic Surgery. Arrowsmith JE, Simpson J (Eds). London: Martin Dunitz. 2002. [ISBN 1-84184-138-2]

Core Topics in Cardiac Anaesthesia. Mackay JH, Arrowsmith JE (Eds). London: Greenwich Medical Media. 2004. [ISBN 1-841101-33-8]

Core Topics in Cardiac Anesthesia 2nd Edition. Mackay JH, Arrowsmith JE (Eds). Cambridge: Cambridge University Press. 2012. [ISBN: 9780521196857]

Publications: Articles
• Arrowsmith JE, Klein AA. Care and basic monitoring of the anaesthetized patient. Surgery(Oxford) 2010 Apr; 28(4): 155-8.
• Willmott C, Arrowsmith JE. Point of care testing. Surgery(Oxford) 2010 Apr; 28(4): 159-60.
• Burt CC, Arrowsmith JE. Respiratory failure. Surgery(Oxford) 2009 Nov; 27(11): 475-9.
• Klein AA, Snell A, Nashef SAM, Hall RMO, Kneeshaw JD, Arrowsmith JE. The impact of intra-operative transoesophageal echocardiography on cardiac surgical practice. Anaesthesia 2009 Sep; 64(9): 947-952.
• Landis RC, Arrowsmith JE, Baker RA, de Somer F, Dobkowski WB, Fisher G, Jonas RA, Likosky DS, Murkin JM, Poullis M, Stump DA, Verrier ED. Consensus Statement: Defining Minimal Criteria for Reporting the Systemic Inflammatory Response to Cardiopulmonary Bypass. Heart Surg Forum 2008 Nov; 11(5): 290-6.
• Ghosh S, Falter F, Arrowsmith JE. The Papworth BiVent Tube: a new device for lung isolation. Anaesthesia 2008 Sep; 63(9): 996-1000.
• Ghosh S, Klein AA, Prabhu M, Falter F, Arrowsmith JE. The Papworth BiVent tube: a feasibility study of a novel double lumen endotracheal tube and bronchial blocker in human cadavers. Br J Anaesth 2008 Sep; 101(3): 424-8.
• Berman M, Tsui S, Vuylsteke A, Snell A, Colah S, Latimer R, Hall R, Arrowsmith JE, Kneeshaw J, Klein AA, Jenkins DP. Successful extracorporeal membrane oxygenation (ECMO) support after pulmonary thromboendarterectomy (PTE). Ann Thorac Surg 2008 Jan; 84(4): 1261-1267.
• Tormo Belda M, Arrowsmith JE. Care and basic monitoring of the anaesthetised patient. Found Years 2007 Dec; 3(6): 268-71.
• Rowe KJ, Arrowsmith JE. Interpretation of arterial blood gases. Surgery 2007 Sep; 25(9): 375-9.
• Arrowsmith JE. The neuromuscular junction. Surgery 2007 Mar; 25(3): 105-11.
• Tormo Belda M, Arrowsmith JE. Care and basic monitoring of the anaestheised patient. Surgery 2006 Oct; 24(10): 329-32.
• Arun Kumar RN, Arrowsmith JE. Point of care testing. Surgery 2006 Oct; 24(10): 341.
• Arrowsmith JE, Dawson AJ. Advanced cardiovascular monitoring. Surgery 2006 Oct; 24(10): 333-6.
• Cornelissen H, Arrowsmith JE. Preoperative assessment of the cardiac surgical patient. BJA CEPD Reviews 2006 Jun; 6(3): 109-13.
• Arrowsmith JE, Powell SJ, Nashef SA. Local clinical quality monitoring for detection of excess operative deaths. Anaesthesia 2006 May; 61(5): 423-6.
• Arrowsmith JE. Premedication. Surgery 2005; 23(12): 440-1.
• Arrowsmith JE, MacKenzie I. Risk assessment. Surgery 2005; 23(12): 442-4.
• Arrowsmith JE, MacKenzie I. Preoperative assessment of the surgical patient. Surgery 2005; 23(12): 444-6.
• Arrowsmith JE. Preoperative investigation of the surgical patient. Surgery 2005; 23(12): 447-8.
• Booth JV, Ward EE, Colgan KC, Funk BL, El-Moalem H, Smith MP, Milano C, Smith PK, Newman MF, Schwinn DA; Duke Heart Center Perioperative Desensitization Group (incl. Arrowsmith JE). Metoprolol and coronary artery bypass grafting surgery: does intraoperative metoprolol attenuate acute beta-adrenergic receptor desensitization during cardiac surgery? Anesth Analg 2004 May; 98(5): 1224-31.
• Stygall J, Newman SP, Fitzgerald G, Steed L, Mulligan K, Arrowsmith JE, Pugsley W, Humphries S, Harrison MJ. Cognitive change 5 years after coronary artery bypass surgery. Health Psychol 2003 Jan; 22(6): 579-86.
• Arrowsmith JE, Mackay JH. Perioperative management of the patient with cardiovascular disease undergoing non-cardiac surgery. Surgery 2002; 20(4): 91-6.
• Grocott HP, Arrowsmith JE. Serum S100 protein as a marker of cerebral damage during cardiac surgery. Br J Anaesth 2001 Feb; 86(2): 289-90.
• Arrowsmith JE, Harrison MJ, Newman SP, Stygall J, Timberlake N, Pugsley WB. Neuroprotection of the brain during cardiopulmonary bypass: a randomized trial of remacemide during coronary artery bypass in 171 patients. Stroke 1998 Jan; 29(11): 2357-62.
• Arrowsmith JE. Anaesthesia during carotid surgery. Br J Hosp Med 1995 Jun; 54(1): 54.
• Woodhead MA, Arrowsmith J, Chamberlain-Webber R, Wooding S, Williams I. The value of routine microbial investigation in community-acquired pneumonia. Respir Med 1991 Jul; 85(4): 313-7.
• Webb AR, Fernando SS, Dalton HR, Arrowsmith JE, Woodhead MA, Cummin AR. Local anaesthesia for fibreoptic bronchoscopy: transcricoid injection or the . Thorax 1990 Jun; 45(6): 474-7.

Publications: Editorials
• Klein AA, Arrowsmith JE. Should routine preoperative testing be abandoned? Anaesthesia 2010 Oct; 65(10): 974-6.
• Chadwick VL, Arrowsmith JE. Recent advances in pediatric resuscitation. Paediatr Anaesth 2004 Mar; 14(5): 417-20.
• Wheeler DW, Arrowsmith JE. NCEPOD: Reconciling recommendations with reality in the ICU. Surgery 2003; 21(11): i-ii.
• Arrowsmith JE. The good, the bad and the ugly. The three faces of managed care. RCoA Newsletter 1998; 43: 11.
• Gan TJ, Arrowsmith JE. The oesophageal Doppler monitor. BMJ 1997 Jan; 315(7113): 893-4.

Publications: Reviews
• Conolly S, Arrowsmith JE, Klein AA. Deep hypothermic circulatory arrest. BJA CEPD Reviews 2010 Sep; 10(5): 138-42.
• Hogue CW Jr, Palin CA, Arrowsmith JE. Cardiopulmonary bypass management and neurologic outcomes: an evidence-based appraisal of current practices. Anesth Analg 2007 Jul; 103(1): 21-37.
• Arrowsmith JE. Book Review: Anesthesia for the Cardiac Patient. Br J Anaesth 2002; 89(4): 664-5.
• Arrowsmith JE, Grocott HP, Reves JG, Newman MF. Central nervous system complications of cardiac surgery. Br J Anaesth 2000 Mar; 84(3): 378-93.
• Arrowsmith JE, Grocott HP, Newman MF. Neurologic risk assessment, monitoring and outcome in cardiac surgery. J Cardiothorac Vasc Anesth 1999 Jan; 13(6): 736-43.

Publications: Case Reports
• Choong CK, Arrowsmith JE, Klein AA, Wells FC. Transannular pulmonary enlargement and bioprostheses for carcinoid disease. Asian Cardiovasc Thorac Ann 2009 Oct; 17(5): 510-12.
• Molnar J, Colah S, Larobina M, Large SR, Arrowsmith JE, Klein AA. Cardiopulmonary bypass and deep hypothermic circulatory arrest in a massively obese patient. 2008 Jul; 23(4): 243-5.
• Arrowsmith JE, Cook AC, Birdi I, Ritchie AJ. Hypothermic circulatory arrest in the management of massive pulmonary artery hemorrhage following pneumonectomy. Case Rep Clin Pract Rev 2002 Jan; 3(1): 18-20.
• Arrowsmith JE, Robertshaw HJ, Boyd JD. Nasotracheal intubation in the presence of frontobasal skull fracture. Can J Anaesth 1998 Jan; 45(1): 71-5.
• Arrowsmith JE, Smith GB. Emergency laparoscopy in a patient with severe asthma. Br J Hosp Med 1996 May; 55(9): 593.
• Arrowsmith JE, Woodhead MA, Bevan DH, Nanson EM, Cummin AR. Digital gangrene in small cell lung cancer: response to aspirin treatment. Thorax 1991 Jan; 46(1): 63-4.

Publications: Letters
• Arrowsmith JE. Managing phaeochromocytoma crisis - an indication for transoesophageal echocardiography? JICS 2010 Oct; 11(4): 206.
• Ashworth A, Arrowsmith JE. Ultrasound guided arterial cannulation. Eur J Anaesthesiol 2010 Mar; 27(3): 307.
• Webb ST, Arrowsmith JE. Acute hemodynamic collapse after induction of general anesthesia for emergent pulmonary embolectomy. Anesth Analg 2007 Mar; 104(3): 742.
• Arrowsmith JE, Powell SJ, Nashef SAM. Detecting excess deaths. Anaesthesia 2006 Sep; 61(9): 903-4.
• Arrowsmith JE. Off-pump coronary artery surgery--a century in the making!. J Cardiothorac Vasc Anesth 2005 Jun; 19(3): 416.
• Saravanan P, Arrowsmith JE. Retrograde submental intubation after faciomaxillary trauma. Anesth Analg 2005 Jan; 101(6): 1892-3.
• Arrowsmith JE. Abbreviations clustered differentially? BMJ 2005 Jan; 331(7524): 1071.
• Arrowsmith JE. Shortage of isoproterenol (isoprenaline) hydrochloride. Br J Anaesth 2002 Sep; 89(3): 528.
• Arrowsmith JE, Dunning JL. Normothermic cardiopulmonary bypass is beneficial for cognitive brain function after coronary artery bypass grafting--a prospective randomized trial. Eur J Cardiothorac Surg 2001 May; 19(5): 732-4.
• Arrowsmith JE, Dunning JJ, Gray SJ, Large SR, Tsui SL. Anesthesia for ventricular assist device placement. J Cardiothorac Vasc Anesth 2001 Apr; 15(2): 274-5.
• Arrowsmith JE, Large SR. Off-pump revascularization and the brain. Br J Anaesth 2000 Sep; 85(3): 492-3.
• Paoloni CC, Arrowsmith JE. Patient information leaflets for anaesthetic drugs. Anaesthesia 2000 Sep; 55(9): 911.
• Arrowsmith JE. Self reports of postoperative cognitive dysfunction. Anaesthesia 2000 Jan; 55(1): 94-5.
• Arrowsmith JE. On effect of coronary artery bypass surgery on brain perfusion. J Nucl Med 1999 Jul; 40(7): 1225.
• Arrowsmith JE, Nicol ME, Bacon RC. The Budget: bad news for British anaesthetists in the USA. Anaesthesia 1998 Sep; 53(9): 933.
• Arrowsmith JE. In the public interest? BMJ 1998 Aug; 317(7155): 367a.
• Arrowsmith JE, Alexander R, Dear GL, Gan TJ, Hill RP, Olufolabi A, Sanderson IC, Soppitt AJ. Audit commission tackles anaesthetic services. Anaesthesia should remain physician based service. BMJ 1998 Jun; 316(7147): 1827.
• Arrowsmith JE. The accuracy of references in journal articles. Anaesthesia 1996 May; 51(5): 517-8.
• Ravalia A, Arrowsmith JE. Anaesthesia for quinsy tonsillectomy. Anaesthesia 1996 Mar; 51(3): 292-3.
• Alexander R, Arrowsmith JE, Frossard RJ. The laryngeal mask airway: safe in the X ray department? Anaesthesia 1993 Aug; 48(8): 734.
• Arrowsmith JE. Extracorporeal pseudoaneurysm: an unusual complication of radial artery cannulation. Anaesthesia 1991 Jan; 46(10): 894-5.

Publications: Edited Books
• Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia (Reprint). 2006. Cambridge: Cambridge University Press.
• Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. 2004. London: Greenwich Medical Media.
• Arrowsmith JE, Simpson J (Eds). Problems in Anesthesia: Cardiothoracic Surgery. 2002. London: Martin Dunitz.

Publications: Chapters
• Arrowsmith J. Organ system implications of cardiac surgery: Central Nervous System. In: Barnard M, Martin B (Eds). Cardiac Anaesthesia - Oxford Specialist Handbooks in Anaesthesia. Oxford: Oxford University Press. 2010. pp.
• Arrowsmith JE, Falter F. Cardiovascular support: Pharmacological. In: Griffiths M, Cordingley J, Price S (Eds). Cardiovascular Critical Care. Oxford: Wiley Blackwell. 2010. pp100-19.
• Arrowsmith JE, Hogue CW. Deep hypothermic circulatory arrest. In: Ghosh S, Falter F, Cook DJ (Eds). Cardiopulmonary Bypass. Cambridge: Cambridge University Press. 2009. pp125-139.
• Webb ST, Arrowsmith JE. Perioperative cardioprotection. In: Hunter JM, Cook TM, Priebe H-J, Struys MMRF (Eds). The Year in Anaesthesia and Critical Care 2. Oxford: Clinical Publishing. 2008. pp71-99.
• Arrowsmith JE. Venous access. In: Klein A, Vuylsteke A, Nashef SAM (Eds). Core Topics in Cardiothoracic Critical Care. Cambridge: University Press. 2008. pp70-9.
• Willmott CHA, Arrowsmith JE. Point of care testing. In: Klein A, Vuylsteke A, Nashef SAM (Eds). Core Topics in Cardiothoracic Critical Care. Cambridge: University Press. 2008. pp117-22.
• Saravanan P, Arrowsmith JE. Extracorporeal circulation in the intensive care unit. In: Robert R, Honoré P, Bastien O (Eds). Circulations extra-corporelles en réanimation. Paris: Elsevier. 2006. pp421-35.
• Dempsey C, Arrowsmith J. Off-pump coronary artery bypass surgery. In: Hunter JM, Cook TM, Priebe H-J, Struys MMRF (Eds). The Year in Anaesthesia and Critical Care 1. Oxford: Clinical Publishing. 2005. pp61-83.
• Kneeshaw JD, Arrowsmith JE. Anesthesia for Cardiac Surgery. In: Jamieson SW, Shumway NE (Eds). Rob & Smith's Operative Surgery. Cardiac Surgery 5. : Butterworths. 2004. ppMar-14.
• White PA, Arrowsmith JE. Ventricular performance. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp17-22.
• Arrowsmith JE. Symptoms and signs of cardiac disease. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp77-82.
• Arrowsmith JE. Neurological monitoring. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp141-146.
• Mackay JH, Arrowsmith JE. Aortic valve disease. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp169-174.
• Mackay JH, Arrowsmith JE. Coagulopathy during cardiopulmonary bypass. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp265-270.
• Mackay JH, Arrowsmith JE. Resuscitation after adult cardiac surgery. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp293-298.
• Arrowsmith JE. Neurological complications of cardiac surgery. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp313-318.
• Arrowsmith JE, Mackay JH. Pregnancy and cardiac surgery. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp325-326.
• Arrowsmith JE, Mackay JH. Haematological problems. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp337-340.
• Arrowsmith JE, Mackay JH. Cardiovascular disease and non-cardiac surgery. In: Mackay JH, Arrowsmith JE (Eds). Core Topics in Cardiac Anaesthesia. London: Greenwich Medical Media. 2004. pp351-356.
• Mathew JP, Arrowsmith JE, Newman MF. Neurological injury following cardiac surgery: incidence, significance, and risk factors. In: Newman MF (Eds). Perioperative Organ Protection - SCA Monograph. Baltimore: Lippincott Williams & Wilkins. 2003. pp29-46.
• Arrowsmith JE. Severe bronchospasm following cardiopulmonary bypass. In: Arrowsmith JE, Simpson J (Eds). Problems in Anesthesia: Cardiothoracic Surgery. London: Martin Dunitz. 2002. pp133-138.
• Prasad MK, Rozario CJ, Arrowsmith JE. Anesthetic management of the patient with carcinoid heart disease. In: Arrowsmith JE, Simpson J (Eds). Problems in Anesthesia: Cardiothoracic Surgery. London: Martin Dunitz. 2002. pp293-299.

Publications: Published Abstracts
• Arrowsmith JE, Stygall J, Timberlake N, Pugsley WP, Harrison MJG, Newman SP. New depression following coronary artery bypass surgery. Anesth Analg 1999 December; 83(6S):SCA68.
Presented at: Society of Cardiovascular Anesthesiologists (May 1999). Vancouver Canada.
• Arrowsmith JE, Stygall J, Timberlake N, Shah T, Newman SP, Harrison MJG, Pugsley WB. The efficacy of remacemide in preventing neuropsychological deficits following coronary artery surgery. Perfusion 1997 January; 12(1):34.
Presented at: The Brain and Cardiac Surgery (Sep 1996). Oxford UK.
• Arrowsmith JE, Stygall J, Timberlake N, Shah T, Newman SP, Harrison MJG, Pugsley WB. The intra-aortic balloon pump is a source of cerebral microemboli. Perfusion 1997 January; 12(1):33.
Presented at: The Brain and Cardiac Surgery (Sep 1996). Oxford UK.
• Arrowsmith JE, Stygall J, Timberlake N, Harrison MJG, Newman SP, Pugsley WB. Correlation between middle cerebral artery emboli and neuropsychological deficits following cardiopulmonary bypass with a membrane oxygenator.. Ann Thorac Surg 1997 ; 64(3):924.
Presented at: Outcomes '97 (May 1997). Key West, Florida USA.
• Arrowsmith JE, Stygall J, Timberlake N, Harrison MJG, Newman SP, Pugsley WB. [A.83] Double blind, placebo controlled study of the efficacy of Remacemide HCl in the prevention of neuropsychological deficits following coronary artery bypass surgery. Br J Anaesth 1996 September; 76(5 Suppl 1):42.
Presented at: European Association of Cardiothoracic Anaesthetists. Leuven Belgium.

Publications: Press Articles
• Arrowsmith J. Reward comes with self-belief. BMA News 06-Mar 2010.
• Arrowsmith J, Klein A. Article 14: a step too far? BMA News 06-Jan 2007.
• Arrowsmith J. Specialty is put at risk. Hospital Doctor 27-Apr 2006. pp12.
• Arrowsmith J. Failed? Think of it as not passing. BMA News 25-Mar 2006.
• Arrowsmith J. Private practice is still open to NCCG doctors. Hospital Doctor 13-Nov 2003. pp18-Sep.

Publications: Invited Lectures
• Arrowsmith JE. Pulmonary hypertension: diagnosis & management. Presented at: European Society of Anaesthesiology Annual Scientific Meeting. Bella Centre, Copenhagen, Denmark. May 2008.
• Arrowsmith JE. Pulmonary enarterectomy - surgical treatment for chronic thromboembolic pulmonary hypertension. Presented at: Ninth International Conference of the Jordan Cardiac Society. Le Meridien Hotel, Amman, Jordan. April 2008.
• Arrowsmith JE. The cardiac patient undergoing non-cardiac surgery. Current guidelines and emerging evidence from prospective studies. Presented at: Ninth International Conference of the Jordan Cardiac Society. Le Meridien Hotel, Amman, Jordan. April 2008.
• Arrowsmith JE. The Neurological complications of cardiac surgery. Presented at: Ninth International Conference of the Jordan Cardiac Society. Le Meridien Hotel, Amman, Jordan. April 2008.
• Arrowsmith JE. Right ventricular failure & pulmonary hypertension. Presented at: European Society of Anaesthesiology Annual Scientific Meeting. International Conference Centre, Munich, Germany. May 2007.

 

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