Dr George trained in medicine at St. Bartholomew’s Hospital, University of London and subsequently trained in Anaesthesia and Intensive Care at the Westminster Hospital, Oxford and St George’s Hospitals. He is also a fully trained physician ( FRCP) and has trained in Management ( Executive MBA from London Business School)
He has been a Consultant since 1997, practicing as a Consultant in Anaesthesia and Intensive Care at Harefield for 13 years. Subsequently, he was recruited to the Oxford Radcliffe Hospitals to help turn around a struggling service that had invested in a new dedicated Cardiothoracic Crical Care (CTCCU). He led the CTCCU for 4 years, a period of significant change during which throughput had doubled, results greatly improved and new structures, process and personnel were introduced. The financial structure of the CTCCU was transformed from a deficit to the major contributor to the Directorate's profit.
Following this, Dr George has now returned to his roots as a Cardiothoracic Anaesthetist and Intensivist in a specialist unit involved in Transplants and Ventricular Assist Devices, here at Papworth. He is currently the President of the Society of Anaesthetists in Radiology.
Cardiothoracic Anaesthesia and Intensive Care
Specialist Clinical Interests
Regional Anaesthesia in Thoracic Surgery, On and Off pump surgery, Transoesophageal Echocardiography in Cardiac Surgery
FRCA 1992, FRCP 1999, FFICM, 2011, MBA 2009
Membership of the Association of Anaesthetists, Royal College of Anaesthetists, Royal College of Physicians (Edinburgh) , Faculty of Intensive care Medicine, European Society of Intensive Care Medicine, Intensive Care Society, Association of Cardiothoracic Anaesthesia and Critical Care, European Society of Cardiology, European Association of Cardiothoracic Anaesthetists
President of the Society of Anaesthetists in Radiology 2016- Current
[1] Filippo Sanfilippo • Federica Chiarenza • Cesare Cassisi • Cristina Santonocito • Theodoros Tsoutsouras • Marialena Trivella • Stephen Gerry • Marinella Astuto • Shane George • David P. Taggart, The Effects of On- Pump and Off-Pump Coronary artery bypass surgery on Metabolic Profiles in the Early Postoperative Period. Journal of Cardiovascular and ~Thoracic Anaesthesia – in press 2016
[2] S. Asmussen, D.M. Maybauer, J.F. Fraser, K. Jennings, S. George, A. Keiralla, M.O. Maybauer, Extracorporeal membrane oxygenation in burn and smoke inhalation injury., Burns. 39 (2013) 429–35. doi:10.1016/j.burns.2012.08.006.
[3] S. Asmussen, D.M. Maybauer, J.F. Fraser, K. Jennings, S. George, M.O. Maybauer, A meta-analysis of analgesic and sedative effects of dexmedetomidine in burn patients., Burns. 39 (2013) 625–31. doi:10.1016/j.burns.2013.01.008.
[4] S. Westaby, R. De Silva, S. George, D.; Young, Y. Bashir, Lessons learnt from a tragic loss – but will things improve?, Br. J. Cardiol. 19 (2012) 141–143. doi:10.5837/bjc.2012.027.
[5] S.G. Raja, M. Navaratnarajah, C.S. Kitchlu, S. George, C.D. Ilsley, M. Amrani, 10-Year Follow-Up of Off-Pump Multivessel Coronary Artery Bypass Grafting., Asian Cardiovasc. Thorac. Ann. 18 (2010) 260–5. doi:10.1177/0218492310369029.
[6] Shane George, A. Gaunt, Anaesthesia for heart failure and transplantation, in: M. Barnard, B. Martin (Eds.), OSH Card. Anaesth., 1st ed., OUP, Oxford, 2010. doi:10.1093/med/9780199209101.003.32.
[7] S. Al-Ruzzeh, D. Epstein, S. George, M. Bustami, J. Wray, C. Ilsley, M. Sculpher, M. Amrani, Economic evaluation of coronary artery bypass grafting surgery with and without cardiopulmonary bypass: cost-effectiveness and quality-adjusted life years in a randomized controlled trial., Artif. Organs. 32 (2008) 891–7. doi:10.1111/j.1525-1594.2008.00647.x.
[8] B. Parizkova, S. George, Regional Anaesthesia and Analgesia, Part 2: Central Neural Blockade, in: F. Cox (Ed.), Perioper. Pain Manag., 1st ed., Wiley-Blackwell, Oxford, 2008: pp. 144–160.
[9] B. Parizkova, S. George, Regional Anaesthesia and Analgesia, Part 1: Peripheral Nerve Blockade, in: F. Cox (Ed.), Perioper. Pain Manag., 1st ed., Oxford, 2008: pp. 127 – 143.
[10] C. Siegmueller, A. Bell, T. Mittal, S. George, Inadvertent aortic cannulation with a pulmonary artery catheter detected by transesophageal echocardiography., Anesth. Analg. 106 (2008) 55–7, table of contents. doi:10.1213/01.ane.0000296459.51820.64.
[11] K. Dhadwal, S. Al-Ruzzeh, T. Athanasiou, M. Choudhury, P. Tekkis, P. Vuddamalay, H. Lyster, M. Amrani, S. George, Comparison of clinical and economic outcomes of two antibiotic prophylaxis regimens for sternal wound infection in high-risk patients following coronary artery bypass grafting surgery: a prospective randomised double-blind controlled trial., Heart. 93 (2007) 1126–33. doi:10.1136/hrt.2006.103002.
[12] S.J. George, E.I. Kapetanakis, K. Dhadwal, S. Al-Ruzzeh, E. Rigopoulou, M. Bulanade, T. Athanasiou, M. Amrani, A three-dimensional echocardiographic comparison of a deep pericardial stitch versus an apical suction device for heart positioning during beating heart surgery., Eur. J. Cardiothorac. Surg. 32 (2007) 604–10. doi:10.1016/j.ejcts.2007.07.009.
[13] S. Al-Ruzzeh, M. Bustami, T. Athanasiou, S. George, C. Ilsley, M. Amrani, A Technical Failure Changes a Y-graft into a C-conduit Causing Steal Syndrome, ASIAN Cardiovasc. Thorac. Ann. 14 (2006) 155–157. http://aan.sagepub.com/content/14/2/155.short (accessed January 4, 2015).
[14] S. Al-Ruzzeh, S. George, M. Bustami, J. Wray, C. Ilsley, T. Athanasiou, M. Amrani, Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial., BMJ. 332 (2006) 1365. doi:10.1136/bmj.38852.479907.7C.
[15] M. Koertzen, S.J. George, Echocardiography in cardiac anaesthesia and intensive care, Anaesth. Intensive Care Med. 7 (2006) 321–325. doi:10.1053/j.mpaic.2006.06.006.
[16] S. Al-Ruzzeh, T. Athanasiou, O. Mangoush, J. Wray, T. Modine, S. George, M. Amrani, Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery., Heart. 91 (2005) 1557–62. doi:10.1136/hrt.2004.047068.
[17] S. Al-Ruzzeh, T. Athanasiou, S. George, M. Amrani, Methodological approach in adopting off-pump coronary artery bypass surgery in a British cardiothoracic unit: Harefield experience., Perfusion. 19 Suppl 1 (2004) S61–6.
[18] S. Al-Ruzzeh, W. Mazrani, J. Wray, T. Modine, K. Nakamura, S. George, C. Ilsley, M. Amrani, The Clinical Outcome and Quality of Life Following Minimally Invasive Direct Coronary Artery Bypass Surgery, J. Card. Surg. 19 (2004) 12–16. doi:10.1111/j.0886-0440.2004.04003.x.
[19] M. Choudhury, M. Amrani, S. George, Coronary artery bypass surgery in the awake patient, Anaesthesia. 59 (2004) 940. doi:10.1111/j.1365-2044.2004.03759.x.
[20] Al-Ruzzeh S., Mazrani W., Wray J., Modine T., Nakamura K., George S., Ilsley C., Amrani M. The Clinical Outcome and Quality of Life Following Minimally Invasive Direct Coronary Artery Bypass Surgery, J. Card. Surg. 19 (2004) 12–16.
[21] N. Sengupta, K.L. Ang, D. Prakash, V. Ng, S.J. George, Twenty Months’ Routine Use of a New Percutaneous Tracheostomy Set Using Controlled Rotating Dilation, Anesth. Analg. 99 (2004) 188–192. doi:10.1213/01.ANE.0000116925.11961.56.
[22] J. Wray, S. Al-Ruzzeh, W. Mazrani, K. Nakamura, S. George, C. Ilsley, M. Amrani, Quality of Life and Coping Following Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Surgery, Qual. Life Res. 13 (2004) 915–924. doi:10.1023/B:QURE.0000025600.56517.c5.
[23] S. Al-Ruzzeh, M. Amrani, M. Boscoe, J. Farrimond, B. Riedel, I. Wright, S. George, Integrated approach to off-pump coronary artery bypass surgery., Cardiovasc. Surg. 11 (2003) 299–303. doi:10.1016/S0967-2109(03)00028-0.
[24] S. Al-Ruzzeh, K. Nakamura, T. Athanasiou, T. Modine, S. George, M. Yacoub, C. Ilsley, M. Amrani, Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients?: a comparative study of 1398 high-risk patients, Eur J Cardiothorac Surg. 23 (2003) 50–55.
[25] S. Al-Ruzzeh, T. Athanasiou, S. George, B.E. Glenville, A.C. DeSouza, J.R. Pepper, M. Amrani, Is the use of cardiopulmonary bypass for multivessel coronary artery bypass surgery an independent predictor of operative mortality in patients with ischemic left ventricular dysfunction?, Ann. Thorac. Surg. 76 (2003) 444–451. doi:10.1016/S0003-4975(03)00348-5.
[26] S. Al-ruzzeh, G. Hoare, N. Marczin, G. Asimakopoulos, S. George, K. Taylor, M. Amrani, Off-Pump Coronary Artery Bypass Surgery Is Associated with Reduced Neutrophil Activation as Measured by the Expression of CD11b : A Prospective Randomized Study, Heart Surg. Forum. 6 (2003) 89–93.
[27] S. Al-Ruzzeh, S. George, M. Bustami, K. Nakamura, C. Ilsley, M. Amrani, Early clinical and angiographic outcome of the pedicled right internal thoracic artery graft to the left anterior descending artery, Ann. Thorac. Surg. 73 (2002) 1431–1435. doi:10.1016/S0003-4975(02)03399-4.
[28] S. Al-Ruzzeh, S. George, M. Bustami, K. Nakamura, C. Ilsley, M. Amrani, S. Khan, M. Yacoub, The early clinical and angiographic outcome of sequential coronary artery bypass grafting with the off-pump technique, J Thorac Cardiovasc Surg. 123 (2002) 525–530. doi:10.1016/S0003-4975(02)03399-4.
[29] A.C. Anyanwu, S. Al-Ruzzeh, S.J. George, R. Patel, M.H. Yacoub, M. Amrani, Conversion to off-pump coronary bypass without increased morbidity or change in practice, Ann Thorac Surg. 73 (2002) 798–802.
[30] S. George, G. Wright, P. Wilton, Substernal epicardial echocardiography in a patient undergoing left ventricular assist device: a case report, Crit. Care. 6 (2002) 8. doi:10.1186/cc1812.
[31] S.J. George, S. Al-Ruzzeh, M. Amrani, Mitral Annulus Distortion during Beating Heart Surgery: A Potential Cause for Hemodynamic Disturbance — A Three-Dimensional Echocardiography Reconstruction Study, Ann. Thorac. Surg. 4975 (2002) 1424–1430.
[32] A.T. Lovell, B.J.C.J. Riedel, S. George, Transesophageal echocardiography : its role in assessing the hypotensive patient undergoing cardiac surgery, in: Probl. Anaesth. Cardiothorac. Surg., 2002: pp. 73–84.
[33] B.J.C.J. Riedel, A.T. Lovell, S. George, Preioperative transesophageal echocardiography, in: Probl. Anaesth. Cardiothorac. Surg., 2002: pp. 65–72.
[34] S. Al-Ruzzeh, S. George, M. Yacoub, M. Amrani, The clinical outcome of off-pump coronary artery bypass surgery in the elderly patients, Eur J Cardiothorac Surg. 20 (2001) 1152–1156.
[35] M.Y. Chow, M. Misfeld, C. Ilsley, M. Amrani, S.J. George, C.A. Troianos, Case 2--2001: detection of subepicardial hematoma after percutaneous transluminal coronary angioplasty, J Cardiothorac Vasc Anesth. 15 (2001) 111–113.
[36] A. Smith, S.J. George, Utility of transesophageal echocardiography in the management of retained left atrial catheter, J Cardiothorac Vasc Anesth. 15 (2001) 276–277.
[37] S.J. George, M.J. Boscoe, Inhaled nitric oxide for right ventricular dysfunction following cardiac transplantation, Br J Clin Pr. 51 (1997) 53–55.
[38] S.J. George, P. Vuddamalay, M.J. Boscoe, Antiseptic-impregnated central venous catheters reduce the incidence of bacterial colonization and associated infection in immunocompromised transplant patients, Eur J Anaesthesiol. 14 (1997) 428–431.
[39] S.J. George, Air embolism versus right coronary air, J Cardiothorac Vasc Anesth. 10 (1996) 834.–.
[40] S.J. George, Transoesophageal echocardiography in chest trauma, Br J Anaesth. 77 (1996) 700.–.
[41] S.J. George, J.J. Black, M.J. Boscoe, Nitric oxide: unjustified credit?, J Thorac Cardiovasc Surg. 111 (1996) 284–285.
[42] S.J. George, J.J. Black, M.J. Boscoe, Intraoperative transoesophageal echocardiography for implantation of a pulsatile left ventricular assist device, Br J Anaesth. 75 (1995) 794–797.
[43] S. George, C.E. Blogg, Role of the LMA in tracheal extubation?, Br J Anaesth. 72 (1994) 610.–.