Our Services
Comprehensive anaesthesia and intensive care services delivered with compassion and clinical excellence
✚ General Anaesthesia
Dr Madhivathanan provides expert general anaesthesia services for a wide range of surgical procedures. With over 24 years of experience, he ensures patient safety and comfort throughout the perioperative period.
- Pre-operative assessment and optimisation
- General anaesthesia for all surgical specialties
- Robotic-assisted surgery anaesthesia
- Intraoperative monitoring and management
- Post-operative recovery and pain management
- Specialist anaesthesia for complex cases
♡ Cardiothoracic Anaesthesia
As a specialist in cardiothoracic anaesthesia, Dr Madhivathanan provides expert anaesthetic care for cardiac and thoracic surgical procedures at leading centres including Royal Papworth Hospital and private hospitals across London.
- Coronary artery bypass grafting (CABG) anaesthesia
- Valve replacement and repair surgery
- Transcatheter Aortic Valve Implantation (TAVI)
- Thoracic surgery including VATS procedures
- Cardiac catheterisation and ablation procedures
- Pulmonary endarterectomy
- Heart and lung transplant anaesthesia
➫ Intensive Care Medicine
Dr Madhivathanan is dual-certified in Intensive Care Medicine with extensive experience managing critically ill patients. He provides comprehensive critical care services including advanced organ support and complex clinical decision-making.
- Multi-organ failure management
- Mechanical ventilation and respiratory support
- Haemodynamic monitoring and optimisation
- Severe sepsis and septic shock management
- Post-operative critical care
- Neurological critical care
⚙ Extracorporeal Membrane Oxygenation (ECMO)
Dr Madhivathanan is an expert in extracorporeal support for acute respiratory distress syndrome (ARDS) and cardiac failure. He was awarded the prestigious NEXT Fellowship in ARDS by the European Society of Intensive Care Medicine in 2018 and serves as faculty on the Royal Papworth ECMO course.
- Veno-venous ECMO for respiratory failure
- Veno-arterial ECMO for cardiac support
- ECMO cannulation and management
- Extracorporeal CPR (ECPR)
- ECMO weaning and decannulation
❇ Echocardiography & Ultrasound
Dr Madhivathanan has full accreditation in transoesophageal echocardiography from the European Society of Cardiology. He founded the PACE Academy (Perioperative and Critical Care Echo and Ultrasound) and is an accredited mentor and examiner in critical care echocardiography.
- Perioperative transoesophageal echocardiography (TOE)
- Critical care transthoracic echocardiography
- Point-of-care ultrasound (POCUS)
- Focused Intensive Care Echo (FICE) accreditation
- Core Ultrasound (CUSIC) accreditation
- European Diploma in Echocardiography (EDEC) supervision
- Lung ultrasound for critical care
➠ Regional Anaesthesia & Pain Management
Expert regional anaesthesia techniques for optimal surgical conditions and enhanced post-operative recovery. Dr Madhivathanan utilises ultrasound-guided techniques for precision and safety.
- Peripheral nerve blocks (ultrasound-guided)
- Epidural anaesthesia and analgesia
- Spinal anaesthesia
- Fascial plane blocks
- Post-operative pain management
- Acute pain service
⚖ Sedation Services
Safe and effective procedural sedation for a variety of diagnostic and interventional procedures, tailored to individual patient needs.
- Conscious sedation for endoscopic procedures
- Sedation for interventional radiology
- Deep sedation for complex procedures
- Sedation for cardiac catheterisation
- Target-controlled infusion (TCI) techniques
📚 Education & Training
Dr Madhivathanan is deeply committed to medical education and training. He serves as an examiner for the FFICM and MRCP (UK) PACES examinations and regularly lectures at national and international conferences.
- FFICM examination examiner
- MRCP (UK) PACES examiner
- Royal Papworth ECMO course faculty
- CALS (Critical Care Anaesthesia Life Support) faculty
- Echo/Ultrasound courses faculty
- FICE and CUSIC accreditation mentor
- Chair of Drugs and Therapeutics Committee, Papworth Hospital
- International conference lectures and seminars
Procedures Covered
Dr Madhivathanan provides anaesthetic cover for a wide range of surgical and interventional procedures
Cardiac Surgery
CABG, valve surgery, TAVI, pacemaker implantation, cardiac ablation, pericardiectomy
Thoracic Surgery
Lobectomy, pneumonectomy, VATS procedures, pleurodesis, mediastinal tumour excision
Orthopaedic Surgery
Joint replacements, fracture fixation, ACL reconstruction, arthroscopic procedures
General Surgery
Laparoscopic procedures, hernia repair, cholecystectomy, colorectal surgery
Gynaecological Surgery
Hysteroscopy, laparoscopic procedures, robotic-assisted surgery, endometriosis excision
Urological Surgery
Cystoscopy, endourological procedures, prostate surgery, penile reconstruction
Need Anaesthesia for Your Procedure?
Contact us to discuss your anaesthetic requirements or to book a pre-operative assessment.
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