DR ALEJANDRA CEBALLOS

• Managing surgical cardio-thoracic patients for elective and emergency procedures for coronary artery bypass graft (CABG), valves repair and replacement, major aortic surgery and interventional cardiology for Transcatheter Aortic Valve Implantation (TAVI), Grown-Up Congenital Heart Disease (GUCH), mitral interventions and other structural and electrophysiology procedures such ablation and device insertion.
• Monitoring patients undergoing thoracic surgery for VATS and open thoracotomy.
• Collaborating with interdisciplinary surgical team involving cardiac and urology in the perioperative management of patients with renal cell carcinoma with infiltration to right atrium and right ventricle requiring cardiopulmonary bypass. Adding locoregional techniques to enhance recovery for patients having sternotomy and open laparotomy during same surgical procedure.
• Assisting major upper gastrointestinal surgical and hepatobiliar procedures such as gastrectomy, oesophagectomy, whipple and hepatectomy combined with peripheral nerve block.
• Delivering anaesthesia for thyroid, parathyroid and adrenal surgery.
• Providing general anaesthesia for end-stage-renal-disease for renal and pancreas transplant and other surgical procedures.
• Working with gynaecology oncology team to assist surgical procedures for cancer including cervix, ovary, vagina, vulva and uterus.
• Assisting sedation in remote areas such interventional radiologist and endoscopy room.
• Supporting juniors doctors in theatres to develop anaesthesia skills along with regular departmental postgraduate teaching.
• Leading three quality improvement projects in cardiac theatre efficiency and productivity, preoperative medicine and major bleeding in cardiac.

• Assessed patients undergoing elective and emergency cardiac and thoracic surgery. Management of routine and complex cases for aortovascular surgery, valve repair, replacement and CABG.
• Managed patients for video and robotic-assisted thoracic surgery and minimally invasive procedures. Worked along with cardiologists for planned interventional procedures and emergencies via Heart Attack Centre.
• Provided anesthesia for breast cancer surgery along with peripheral nerve block.
• Managed endocrine surgical procedures such thyroidectomy, parathyroidectomy and adrenalectomy.
• Supported Interventional Radiology and fertility procedures in remote areas.
• Guided ICU junior doctors and arrest team during on calls. Fully engaged to teaching medical students and anaesthetist registrars all aspects and principles of general and cardiac anaesthesia as well as 2D and 3D TOE.
• Pre-operative TOE assessment in operating room and ICU for surgical decision making.
• Worked in two Quality Improvement Projects (QIP) to ensure that post cardiac surgery epicardial pacemakers are effective and safe in theatre. The second QIP was about bleeding and re-sternotomy in cardiac surgery which lead to strategies to reduce coagulopathy and surgical bleeding after elective cardiac surgery.
• Supervised postgraduate research students to increase knowledge, skills and subject understanding.

• Pre-operative assessment of surgical cardiothoracic patients for elective and emergency procedures CABG, valve replacement, aortic surgical pathology, pulmonary thromboendarterectomy, heart and lung transplant and interventional cardiology.
• Monitored patients undergoing thoracic surgery VATS, open thoracotomy, lung volume reduction along with loco regional block for pain management after thoracic surgery.
• Provided anaesthesia for ventricular assist device insertion, LVAD, RVAD, BIVAD, Extracorporeal Membrane Oxygenation (ECMO). Internal and external hospital transfers for critical ill patients including ECMO retrievals as part of COVID -19 response.
• ICU on-calls to look after postoperative cardiac patients and for those on mechanical support as bridge to transplant. Supported trainees and juniors doctors in ICU along with arrest team when theatres on call. Attended and presented lectures weekly.
• Worked on QIP project to improve efficacy of analgesia after thoracic surgery including 100 patients. This conducted to 12 evidence- based practices for pain control postoperatively.

• Cork University Hospital is a busy tertiary referral hospital for the Southern and supra regional area in Ireland with 8000 births per year approximately.
• Pre-operative assessment of high risk pregnancy and planing anaesthesia care.
• Provided anaesthetic support for obstetrics patients ASA II, III, IV for elective C- Section and emergencies.
• Managed epidural analgesia for labour and complex clinical issues related to care of pregnant patients and postpartum.
• Coordinated lectures and journal club for registrars and also presented obstetrics lectures weekly.
• Contributed to training the registrars during the rotation in obstetrics anaesthesia.
• Cared for patients undergoing gynaecology procedures such cervix, ovary, vagina, vulva and uterus.
• Looked after neurosurgical patients in procedures such anterior cervical discectomy, Chiari decompression and craniotomy.
• Assisted in breast cancer, dental and plastic surgical procedures.
• Participated on a proficiency based progression (PbP) training for epidural analgesia in labour in novices published in an International Journal of Obstetric Anaesthesia (IJOA). The aim of this observational study that included 180 patients was to examine the feasibility of implementation of innovative PbP and a reduction in epidural failure rate.

• Dexeus University Hospital is a tertiary referral hospital in Barcelona associated to the Faculty of Medicine Autonoma University of Barcelona and offers all surgical specialties.
• Worked with a full time contract with on call on site to manage emergencies in general anaesthesia and obstetrics.
• Pre-operative assessment consultation including optimisation of decompensated patients.
• Major general, morbid obesity and day cases surgery.
• Spine and neurosurgical procedures.
• Head and neck surgery. Attained proficiency airway management in otorhinolaryngology and maxillofacial urgent cases such bones fracture, intraoral abscesses using awake fibreoptic intubation.
• Plastic and aesthetic surgery.
• Trauma and orthopaedic surgery associated with locoregional anaesthesia techniques.
• Gynaecology and Obstetrics: management of complex obstetrics for caesarean- section and epidural analgesia for labour.
• Worked along with urology team to perform prostatectomy, nephrectomy, radical cystectomy and laser techniques.
• Supported vascular surgical procedures.
• Sedation in endoscopy and radiology room.
• Provided support for postoperative unit care management.
• Supported and contributed to teaching specialist registrars in anaesthesia.
• Improved efficiency and productivity by acquiring new skills.

• Sagrat Cor University Hospital is a 283-bed, tertiary referral hospital and is also a teaching center in Barcelona
• Almost all surgical specialties are available
• Worked in thoracic, major vascular surgery, spine and neurosurgery, plastic and reconstructive, maxillo-facial surgery, urologic anaesthesia, major general surgery, traumatology and orthopaedic and non-operating room as radiology and endoscopy.

• Observership in anaesthesia for liver and kidney transplant, trauma, spine and vascular surgery.

• Anaesthetic monitoring and management of patients for orthopaedic surgery along with guidance ultrasound nerve block technique, urology, general surgery, maxillofacial, otorhinolaryngology, gynaecology, vascular, plastic and reconstructive surgery.
• Minimally invasive interventions for obesity.
• Sedation in non-operating room: radiology and endoscopy room.

• Worked with a full time contract as a consultant in anaesthesia in thoracic surgery, major vascular, ambulatory paediatric surgery, spine surgery, neurosurgery, trauma and orthopaedic, urology, plastic and reconstructive, otorhinolaryngology and maxillofacial surgery, gynaecology and obstetrics surgery.
• Anaesthesia for complex general surgery such us intraperitoneal hyperthermic chemoperfusion, morbid obesity, esophagectomy, colorectal surgery, hepatectomy, pancreaticoduodenectomy, day surgery and emergency.
• Monitored obstetrics patients for epidural analgesia for labour, management of complex fetal and maternal issues including postpartum complications.
• Provided anaesthesia for haematology and endobronchial procedures.
• Carried out preoperative assessment consultation. Sedation in non-operating room anaesthesia: radiology, endoscopy and catheterization laboratory.
• Implemented a preoperative assessment unit.
• Updated protocols in obstetrics anaesthesia such as massive haemorrhage management and analgesia for labour.

• Registrar in anaesthesia, critical care and pain management.
• University Hospital Complejo de Jaen is a 725-bed, tertiary referral hospital, subdivided into general hospital, neuro-trauma, obstetrics and children hospital. There is around 22.000 surgical procedures a year.
• Trained in all surgical specialties including anaesthesia in adult, paediatrics, neuro- trauma and postoperative critical care.
• Gained experience attending A&E on calls in a busy hospital during the first two years of residence.

• Registrar in loco-regional anaesthesia using ultrasound guidance.

• University Hospital St George's is a 1.000-bed, tertiary referral hospital in London. Trained in loco-regional anaesthesia ultrasound-guidance in trauma and orthopaedics.

• University Hospital Reina Sofia is a 1.300-bed, tertiary referral hospital, subdivided into general hospital, neuro-trauma, obstetrics and children hospital. Rotated in thoracic anaesthesia, lung and heart transplant.

• University Hospital Virgen de las Nieves is a 1200-bed, tertiary referral hospital. Trained in perioperative cardiac patient management including routine cardiac surgery and vascular procedures incorporating circulatory assist devices.
• Obtained experience in using different sorts of monitoring as Swan-Ganz catheter, Vigileo cardiac output monitor and basic knowledge in TOE.

• Registrar in paediatric anaesthesia
• This is a paediatric referral hospital including neurosurgery, cardiac, maxillofacial, thoracic and neonatal surgery.
• Gained experience in all specialties along with regional analgesia techniques as peripheral nerve blocks, thoracic, lumbar and caudal epidural.

• University Hospital La Fe is a 1.000 bed, tertiary referral hospital Approximately, 110 patients are operated daily and its Postoperative critical care unit has 48 beds.
• looked after post-operative critical care patients in neurosurgery, cardio-thoracic, vascular surgery, complex maxillofacial and ENT surgery, major general surgery, polytrauma, obstetrics critical patients, heart, lung, liver and pancreas-kidney transplant. It is a well recognised centre in Europe for heart and lung transplant.
• Performed procedures such as percutaneous tracheostomy, fibre-optic intubation, cardiac and neuro-monitoring.
• Managed patients on ECMO, IABP and renal replacement therapy.

• Rotation in traumatology and orthopaedics along with peripheral nerve blocks using ultrasound -guidance.

• Attended general and urgencies in adult and paediatric patients. And also, prehospital care to stabilise patients and to transfer to referral hospitals by ambulance.

• It is a 167 bed, tertiary referral hospital.
• Audited the work of general practitioners and supervised how effectively medical professionals were managing all aspects of patient care.

• Led a cardiovascular high risk programme aiming secondary and tertiary prevention in patients at risk. Worked along side consultants in internal medicine, cardiology, endocrinology. Reduced rate of ICU and hospitals admissions up to 37% due to excellent patient care in clinic.

• Provided primary care and family medicine.

• Worked as an A&E doctor in adult, paediatric and maternity.

• Provided patients care in emergencies and family medicine in adult, paediatric and obstetric population.

Tomas Uribe Hospital works in partnership with Unidad Central Valle del Cauca. Provided care for general emergencies, neonatal care, paediatrics, obstetrics, oncology, trauma, orthopaedics, renal service, general surgery, internal medicine under direct supervision.