Professional background

Qualified from Kings College London Hospital School of Medicine in 1995. Undertook anaesthetic training at the London North Central School of Anaesthesia including a one year research fellowship in obstetric anaesthesia in 2001 funded by a grant from The Obstetric Anaesthetists’ Association.

Appointed as consultant anaesthetist at UCLH in 2005. Main clinical work in obstetric anaesthesia, trauma, general surgery and acute pain.

I set up the first obstetric anaesthesia fellow post in 2005 and have since been an educational supervisor to the obstetric anaesthetic clinical and research fellows. I am the training lead for obstetric anaesthesia at UCLH overseeing intermediate, higher and advanced units of training for rotational trainees and all the obstetric fellows. I run a monthly multi-disciplinary obstetric anaesthesia forum and teach regularly on obstetric anaesthesia courses including simulation. I am an examiner for final exams at UCL.

Research interests

  • Enhanced recovery in obstetric surgery
  • Quality Improvement in obstetric anaesthesia


Original papers

Patel NP, El-Wahab N, Fernando R, Wilson S, Robson SC, Columb MO, Lyons GR. Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study. Anaesthesia 2014; 69: 458–67

Patel NP, Armstrong SL, Fernando R, Columb MO, Bray JK, Sodhi V, Lyons GR. Combined spinal epidural vs epidural labour analgesia: does initial intrathecal analgesia reduce the subsequent minimum local analgesic concentration of epidural bupivacaine? Anaesthesia 2012; 67: 584–93

Loubert C, Hallworth S, Fernando R, Columb M, Patel N, Sarang K, Sodhi V. Does the baricity of bupivacaine influence intrathecal spread in the prolonged sitting position before elective cesarean delivery? A prospective randomized controlled study. Anesth Analg 2011: Oct;113(4):811-7.

Bray JK, Fernando R, Patel NP, Columb MO. Suprasternal Doppler estimation of cardiac output: standard versus sequential combined spinal epidural anesthesia for cesarean delivery. Anesth Analg 2006 Oct;103(4):959-64.

Published abstracts

Ayub K, Patel N, Stewart A, Bell R. Impact of anaesthetic technique on regional anaesthesia to general anaesthesia conversion rate for elective caesarean section: an audit standard. Int J Obstet Anesth 2016; 25: S32

Ng TW, Mangwiro R, Rajani CK, Patel N. An evaluation of postpartum analgesia requirements: development of pre-packaged discharge analgesia for enhanced recovery. Int J Obstet Anesth 2016; 25: S47

Nicholls L, Patel N. Analgesic provision following caesarean section: exploring new avenues to improve quality. Int J Obstet Anesth 2015; 24: S18

Nicholls L, Oswald L, Patel N. What to expect when you're expecting. Int J Obstet Anesth 2015; 25: S20Blightman KJ, Modha J, Khan-Orakzai Z, Patel N. One night only - is enhanced recovery in obstetric surgery working for our patients? Int J Obstet Anesth 2014; 23: S24

Pathmanathan A, Patel N, Bell R, Columb M. Survey of obstetric knowledge, experience and CPD among consultant anaesthetists on a general rota. Int J Obstet Anesth 2013; 22: S57

Kaskos H, Patel N, Bell R. Anaesthetic management and outcome of parturients with hypermobility type Ehlers-Danlos syndrome: a case series. Int J Obstet Anesth 2012; 21: S26

Braham DL, Patel N, Bell R, Berry M, Fernando R. Maternal and fetal effects of starvation times before spinal anaesthesia for elective caesarean section. Int J Obstet Anesth 2010; 19: S24

McGlennan A, Patel N, Sujith B, Bell R. A survey of preloading and vasopressor use during regional anaesthesia for caesarean section. Int J Obstet Anesth 2007;16:S27.

Chakravarti-Chattopadhyay M, Patel N, Bell R. Chemical burns and pressure sores in obstetric anaesthesia: a retrospective audit. Int JObstet Anesth 2007; 16: S16