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David Hewson

Associate Professor of Anaesthesia and Perioperative Medicine, Faculty of Medicine & Health Sciences

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  • workRoom Room C1719, C-floor, East block. Queen's Medical Centre
    Queen's Medical Centre
    Nottingham
    NG7 2UH
    UK
  • work0115 823 1001

Biography

David Hewson is an Associate Professor of Anaesthesia and Perioperative Medicine at the University of Nottingham and Honorary Consultant Anaesthetist at Queen's Medicine Centre, Nottingham University Hospitals NHS Trust.

His clinical training took place in London, Brighton and Nottingham, including a fellowship in regional anaesthesia mentored by Dr Nigel Bedforth. He was appointed a Consultant Anaesthetist in Nottingham in 2018 and moved to a clinical acdemic position in 2022. His clinical interests are in trauma, emergency and neuroanaesthesia and academic interests include medical device development, regional anaesthesia, injury and sedation practice (the topic of his PhD). He is interested in pragmatic clinical trials to assess the clinical and cost effectiveness of perioperative and peri-injury interventions. His research has been supported by NIAA, NIHR and MRC funding. He is an Editor of the British Journal of Anaesthesia Education and a member of the Associate Editorial Board of the British Journal of Anaesthesia.

Expertise Summary

He has clinical expertise in the perioperative assessment and management of patients undergoing trauma, emergency and neurosurgery. Working at Queen's Medical Centre, Nottingham University Hospitals NHS Trust, he is experienced the acute resuscitation and management of patients following all forms of major trauma, and his research combines this clinical expertise with interests in clinical trial delivery.

Teaching Summary

He is a Fellow of the Higher Education Academy. At an undergraduate level he teaches students during their Central Nervous System Module and during Critical Illness Attachments. He is the convenor of… read more

Research Summary

Active grant support:

National Institute of Academic Anaesthesia (NIAA): Association of Anaesthetists. Quantification of systemic local anaesthetic concentrations after erector spinae plane blockade: a laboratory study. CI. £29,896

National Institute for Health and Care Research (NIHR): Research for Patient Benefit. Mannitol for cerebral oedema after intracerebral haemorrhage (MACE-ICH): a phase II feasibility randomised controlled trial. Co-I. £249,981

National Institute for Health and Care Research (NIHR): Research for Patient Benefit. Erector spinae plane blocks for early analgesia in rib fractures (ESPEAR): a feasibility randomised controlled trial. CI. £249,552

Medical Research Council. Intra-tracheal multiplexed sensing (iTraXS): an optical sensor equipped endotracheal tube. Collaborator. £839,888

Nottingham University Hospitals NHS Trust Charity. Eye tracking technology for the assessment of procedural skills in anaesthesia. CI. £16,000

National Institute for Health and Care Research (NIHR): Invention for Innovation. Development of a patient-maintained sedation system for safe sedation during medical and surgical procedures. Co-I. £690,000

Recent Publications

  • LAXTON V, MARATOS FA, HEWSON DW, BAIRD A, STUPPLE EJN., 2023. Standardised colour-coded compartmentalised syringe trays improve visual search and mitigate cognitive load: an eye tracking study. British Journal of Anaesthesia. 130, 343-350
  • HEWSON DW, BEDFORTH NM, 2023. Closing the gap: artificial intelligence applied to ultrasound-guided regional anaesthesia British Journal of Anaesthesia. 130(3), 245-247
  • BUTT, WALEED, DHILLON, PERMESH SINGH, PODLASEK, ANNA, MALIK, LUQMAN, NAIR, SUJIT, HEWSON, DAVID, ENGLAND, TIMOTHY J, LENTHALL, ROBERT and MCCONACHIE, NORMAN, 2022. Local anesthesia as a distinct comparator versus conscious sedation and general anesthesia in endovascular stroke treatment: a systematic review and meta-analysis Journal of NeuroInterventional Surgery. 14(3), 221-226
  • HEWSON DW, WORCESTER F, SPRINKS J, SMITH MD, BUCHANAN H, BREEDON P, HARDMAN JG, BEDFORTH NM., 2022. A parallel-group, randomised comparison trial of anaesthetist-controlled versus patient-maintained effect-site targeted propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia. British Journal of Anaesthesia. 128, 186-197

He is a Fellow of the Higher Education Academy. At an undergraduate level he teaches students during their Central Nervous System Module and during Critical Illness Attachments. He is the convenor of the Surgical Infection advacned science module offered to students in their third year of study and is a personal tutor to students offering pastoral support during their time at university.

As well as being an educational supervisor to postgraduate trainees in anaesthesia, he teaches on East Midlands School of Anaesthesia training days and national courses on regional anaesthesia. He regularly supervises and assesses learners at BMedSci and MSc level as part of the University of Nottingham Medicine and Sports and Exercise Medicine courses.

  • LAXTON V, MARATOS FA, HEWSON DW, BAIRD A, STUPPLE EJN., 2023. Standardised colour-coded compartmentalised syringe trays improve visual search and mitigate cognitive load: an eye tracking study. British Journal of Anaesthesia. 130, 343-350
  • HEWSON DW, BEDFORTH NM, 2023. Closing the gap: artificial intelligence applied to ultrasound-guided regional anaesthesia British Journal of Anaesthesia. 130(3), 245-247
  • BUTT, WALEED, DHILLON, PERMESH SINGH, PODLASEK, ANNA, MALIK, LUQMAN, NAIR, SUJIT, HEWSON, DAVID, ENGLAND, TIMOTHY J, LENTHALL, ROBERT and MCCONACHIE, NORMAN, 2022. Local anesthesia as a distinct comparator versus conscious sedation and general anesthesia in endovascular stroke treatment: a systematic review and meta-analysis Journal of NeuroInterventional Surgery. 14(3), 221-226
  • HEWSON DW, WORCESTER F, SPRINKS J, SMITH MD, BUCHANAN H, BREEDON P, HARDMAN JG, BEDFORTH NM., 2022. A parallel-group, randomised comparison trial of anaesthetist-controlled versus patient-maintained effect-site targeted propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia. British Journal of Anaesthesia. 128, 186-197
  • TORBJØRN AUSTVEG STRØMSNES, TRULS JØRGEN KAUGERUD HAGEN, MENGLU OUYANG, XIA WANG, CHEN CHEN, SILJE-EMILIE RYGG, DAVID HEWSON, ROB LENTHALL, NORMAN MCCONACHIE, WAZIM IZZATH, PHILIP M BATH, PERMESH SINGH DHILLON, ANNA PODLASEK, TIMOTHY ENGLAND, NIKOLA SPRIGG, THOMPSON G ROBINSON, RAJIV ADVANI, HEGE IHLE-HANSEN, ELSE CHARLOTTE SANDSET and KAILASH KRISHNAN, 2022. Pressor therapy in acute ischaemic stroke: an updated systematic review European Stroke Journal. 7(2), 99-116
  • DHILLON, PERMESH SINGH, BUTT, WALEED, PODLASEK, ANNA, MCCONACHIE, NORMAN, LENTHALL, ROBERT, NAIR, SUJIT, MALIK, LUQMAN, HEWSON, DAVID W, BHOGAL, PERVINDER, MAKALANDA, HEGODA LEVANSRI DILRUKSHAN, JAMES, MARTIN A, DINEEN, ROBERT A and ENGLAND, TIMOTHY J, 2022. Association between anesthesia modality and clinical outcomes following endovascular stroke treatment in the extended time window Journal of NeuroInterventional Surgery.
  • HEWSON, DAVID W, NIGHTINGALE, JESSICA, OGOLLAH, REUBEN, OLLIVERE, BENJAMIN J, COSTA, MATTHEW L, CRAXFORD, SIMON, BATES, PETER and BEDFORTH, NIGEL M, 2022. Erector Spinae Plane Blocks for the Early Analgesia of Rib Fractures in Trauma (ESPEAR): protocol for a multicentre pilot randomised controlled trial with feasibility and embedded qualitative assessment BMJ Open. 12(9),
  • HEWSON, DAVID W., 2021. Counting the costs of patient-led propofol sedation Acta Anaesthesiologica Scandinavica. 65(2), 278-278
  • HEWSON DW, HARDMAN JG, BEDFORTH NM, 2021. Patient-maintained propofol sedation for adult patients undergoing surgical or medical procedures: a scoping review of current evidence and technology. British Journal of Anaesthesia. 126, 139-148
  • LUFF D, HEWSON DW., 2021. Fat embolism syndrome British Journal of Anaesthesia Education. 21, 322-328
  • HEWSON DW, 2021. The fun factor - does serious gaming affect the volume of voluntary laparoscopic skills training? World Journal of Surgery. 45, 1603-1604
  • WESTON N, HEWSON DW, 2021. Book review: Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation. Anesthesia and Analgesia. 132, e104-e105
  • FRANCKE G, HEWSON DW, 2021. Book review: Emergencies in Anaesthesia (3rd Edition). British Journal of Anaesthesia. 127, 495
  • HEWSON DW, MOPPETT IK., 2020. Preoperative fasting and prevention of pulmonary aspiration: research feast, quality improvement famine British Journal of Anaesthesia. 124, 361-363
  • HEWSON DW, KNUDSEN R, SHANMUGANATHAN S, FERGUSON E, HARDMAN JG, BEDFORTH NM, MCCAHON RA., 2020. The effect of mental rotation skills training on ultrasound-guided task performance by novice operators: a rater-blinded randomised controlled study. British Journal of Anaesthesia. 125, 168-174
  • HEWSON DW, BEDFORTH NM, MCCARTNEY C, HARDMAN JG., 2019. Dexamethasone and peripheral nerve blocks: back to basic science British Journal of Anaesthesia. 122(4), 411-412
  • HODIERNE L, PHILIPS A, HEWSON DW., 2019. Adrenal incidentaloma management during emergency laparotomy Anaesthesia. 74, 85
  • HEWSON DW, OLDMAN M, BEDFORTH NM, 2019. Regional anaesthesia for shoulder surgery British Journal of Anaesthesia Education. 19, 98-104
  • DAVID W. HEWSON, SANJEEVAN SHANMUGANATHAN, V CHIKKABBAIAH, HEATHER BUCHANAN, JONATHAN G. HARDMAN and NIGEL BEDFORTH, 2019. A prospective observational study of effect-site targeted, patient-maintained propofol sedation for lower limb orthopaedic surgery performed under spinal anaesthesia. European Journal of Anaesthesiology.
  • HEWSON DW, WORCESTER F, SPRINKS J, SMITH M, BUCHANAN H, BREEDON P, HARDMAN JG, BEDFORTH NM, 2019. Anaesthetist-controlled versus patient-maintained effect-site targeted propofol sedation during elective primary lower-limb arthroplasty performed under spinal anaesthesia (ACCEPTS): study protocol for a parallel-group randomised comparison trial. Trials. 20, 19
  • HEWSON DW, HARDMAN JG, STRUYS MMRF., 2019. Opioids: redefining the role of God’s own medicine. British Journal of Anaesthesia. 122, 93-95
  • SPRINKS J, WORCESTER F, BREEDON P, WATTS P, HEWSON DW, BEDFORTH NM., 2019. A Prototype Patient-Maintained Propofol Sedation System Using Target Controlled Infusion for Primary Lower-Limb Arthroplasty Journal of Medical Systems. 43, 247
  • HEWSON DW, TSIM P., 2019. An audit of the timing and quality of neurological observations in Theatre Recovery following day-time and out-of-hours neurosurgery. Journal of Neurosurgical Anesthesiology. 31, 91-98
  • BROLL H, HODIERNE L, HEWSON DW., 2019. A service assessment of anaesthesia delivered for endovascular thrombectomy for ischaemic stroke at a UK tertiary referral centre. Anaesthesia. s74, 33
  • FLETCHER T, HEWSON DW, BEDFORTH NM., 2019. Peri-operative role of continuous positive airway pressure in mitigating respiratory side effects associated with interscalene brachial plexus block: a proof-of-concept study European Journal of Anaesthesiology. 36, 706-709
  • HEWSON, D. W., BEDFORTH, N. M. and HARDMAN, J. G., 2018. Spinal cord injury arising in anaesthesia practice Anaesthesia. 73(S1), 43-50
  • HEWSON DW, HARDMAN JG., 2018. Physical injuries during anaesthesia British Journal of Anaesthesia Education. 18(10), 310-316
  • WONG DJN, HARRIS S, MOONESINGHE SR ON BEHALF OF THE SNAP-2: EPICCS COLLABORATORS., 2018. Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals. British Journal of Anaesthesia. 121, 730-738
  • HEWSON, D. W., BEDFORTH, N. M. and HARDMAN, J. G., 2018. Peripheral nerve injury arising in anaesthesia practice Anaesthesia. 73(S1), 51-60
  • S AGGARWAL, DW HEWSON, 2018. Postoperative laryngeal morbidity using the McGRATH MAC videolaryngoscope Anaesthesia. 73(12), 1568
  • HEWSON, DW, BEDFORTH, N., SPRINKS, J. , BREEDON, P. AND WORCESTER, F., 2018. Patient-maintained propofol sedation for orthopaedic surgery: patient variability in system use. In: International Conference on Ergonomics & Human Factors (CIEHF), Birmingham, 23-25 April 2018.
  • SPRINKS, J. , WORCESTER, F. , BREEDON, P. , HEWSON, DW. AND BEDFORTH, N., 2018. Patient-maintained propofol sedation: the anaesthetists' point of view. In: IADIS International Conference Interfaces and Human Computer Interaction 2018, Madrid, Spain, July 2018..
  • 2017. Book review: Ultrasound Guided Regional Anesthesia, 2nd edition. European Journal of Anaesthesiology. 34(6), 403
  • HEWSON DW, CZERNICKI M., 2016. The anaesthetic management of a patient with severe cutaneous systemic sclerosis requiring femoral nailing. Anaesthesia. 71(S2),
  • STEELE R, HEWSON DW, KHANDEWAL P., 2016. Rocuronium and sugammadex used to secure the airway of a patient with Huntington's disease requiring emergency anaesthesia with rapid sequence induction. Anaesthesia. 71(S2),
  • PUJA CHHANIYARA, DAVID W. HEWSON and NIGEL M. BEDFORTH, 2016. Use of a continuous positive airways pressure device for awake open shoulder surgery in a patient with obstructive sleep apnoea In:
  • HEWSON DW, MIURA I, BANKS A., 2016. Complications arising from central neuraxial blockade on labour ward: a single centre, retrospective analysis. Regional Anaesthesia and Pain Medicine. 41(S1), 32
  • HEWSON DW, JASSIM S, SARKAR S., 2015. Enhanced recovery after orthopaedic surgery Foundation Years Journal. 9(9), 15
  • HEWSON, D. and GRAHAM, G., 2014. Accidental dural puncture: patch or wait? Anaesthesia. 69(7), 785-786
  • HEWSON, D. W. and REDDY, R., 2013. Pre-operative femoral nerve block vs fascia iliaca block for femoral neck fracture – 6 Anaesthesia. 68(12), 1277-1278
  • KHOYRATTY S, MATHERS E, HEWSON DW, MACMILLAN J, BEVIR T, GAJENDRAGADKAR P, EVANS J, SUDAN S, 2013. Do junior doctors retain airway skills taught during an airway workshop? Anaesthesia. 68(S1),
  • KHOYRATTY S, MACMILLAN J, BEVIR T, MATHERS E, EVANS J, HEWSON DW, SUDAN S., 2013. Do junior doctors know how to prepare iv antibiotics? Anaesthesia. 68(S2),
  • KHOYRATTY S, MACMILLAN J, BEVIR T, MATHERS E, EVANS J, HEWSON DW, SUDAN S., 2013. Do junior doctors know how to prepare iv antibiotics? Anaesthesia. 68(S2),
  • HEWSON, D. and STODDART, A., 2011. Drugs in Anaesthesia and Intensive Care (4th edn) Anaesthesia. 66(7), 644-645
  • BISHOP T, HEWSON DW, YIP P, FAHEY M, DAWBARN D, YOUNG A, MCMAHON S, 2007. Characterisation of ultraviolet-B-induced inflammation as a model of hyperalgesia in the rat. Pain. 131, 70-82
  • STROMSNES TA, KAUGERUD HAGEN TJ, OUYANG M, WANG X, CHEN C, RYGG SE, HEWSON D, LENTHALL R, MCCONACHIE N, IZZATH W, BATH PM, DHILLON PS, PODLASEK A, ENGLAND T, SPRIGG N, ROBINSON TG, ADVANI R, IHLE-HANSEN H, SANDSET EC and KRISHNAN K, Pressor therapy in acute ischaemic stroke: an updated systematic review Euro Stroke J. 7(2), 99-116
  • HEWSON DW, Procedural Sedation for Colonoscopy: A Role for Patient-Maintained Propofol Sedation? Clinical Gastroenterology and Hepatology. 20(7), 1622
  • KAILASH KRISHNAN, THANH N. NGUYEN, JASON P. APPLETON, ZHE KANG LAW, MARK CAULFIED, CLAUDIA P. CABRERA, ROB LENTHALL, DAVID HEWSON, TIMOTHY ENGLAND, NORMAN MCCONACHIE, PERMESH DHILLON, LUQMAN MALIK, ANNA PODLASEK, CRAIG J. SMITH, JESSE DAWSON, THOMPSON G. ROBINSON, NIKOLA SPRIGG, MARTIN A. JAMES, PHIL WHITE, MICHAEL J.R. DESBOROUGH, JOANNES HERMANS and PHILIP M. BATH, Antiplatelet Resistance: A Review of Concepts, Mechanisms, and Implications for Management in Acute Ischemic Stroke and Transient Ischemic Attack Stroke: Vascular and Interventional Neurology. 0(0), e000576

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