Anaesthesia services

The Anaesthetics, Perioperative Medicine and Pain Department provides services at a variety of locations across The Royal Marsden’s hospitals in Chelsea and Sutton.

Operating theatres

At our Chelsea hospital there are currently seven theatres, all installed with the latest technologies, including a state-of-the-art clinical information system that enables us to monitor our patients safely and efficiently. 

We provide specialist anaesthesia for:

  • Upper gastrointestinal surgery
  • Major liver resections
  • Head and neck cancer
  • Major intra-abdominal and retroperitoneal sarcomas
  • Plastic surgery reconstructions, including free tissue transfer
  • Gynae-oncological surgery
  • Complex urological cancer surgery
  • Breast surgery

At our Sutton hospital we have a further two theatre suites, providing specialist anaesthesia for:

  • Breast surgery, including cases with complex oncoplastic free tissue reconstructions
  • Trunk and limb sarcoma cases
  • Other oncoplastic-related surgery
  • Vascular access lists, including tunnelled central venous lines placed under local anaesthesia

Pre-assessment Unit

The Pre-assessment Unit, otherwise known as the Transitional Care Unit, is an invaluable service that has revolutionised the preparation of all our patients undergoing all types of cancer surgery. Here, consultant anaesthetists, nurse practitioners and clinical nurse specialists provide a comprehensive package of preoperative care. This personal and highly effective process allows for the smooth transition of patients along their preoperative journey.

Having this Unit also means that some patients can be safely admitted on the same day as their surgery, fully prepared and ready to go. This has a huge impact on the overall efficiency of the hospital and benefits all Royal Marsden patients.

Paediatric anaesthesia

Paediatric surgery is based at The Royal Marsden’s hospital in Sutton. There are regular paediatric lists within the main theatre complex. These entail general anaesthesia for infants and children undergoing minor procedures, such as the placement of long-term vascular access for cancer therapy, performed by paediatric surgeons from St George’s Hospital.

There is also a daily consultant-led general anaesthesia and sedation service for young cancer patients undergoing intrathecal chemotherapy within a dedicated paediatric theatre, and MRI scans, CT scans and radiation therapy outside the operating room.