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Dr. Jennifer Porter
Clinical Senior Lecturer, Surgery

Biography

Dr Jennifer Porter MB, MD, FCARCSI, MSc, Dip Hlth Man (RCSI/IPA) is a Senior Clinical lecturer based in the Department of Surgery in the School of Medicine, Trinity College Dublin. She is a Consultant Anaesthetist in the Department of Anaesthesia, Intensive Care and Pain Medicine at St James's Hospital (since 2005).

She is a graduate of UCD, completed specialist training in Anaesthesia and Intensive Care in Ireland, an MD degree in University College Cork and undertook clinical and research Fellowship training in the University of Toronto and University Health Network, Canada in ultrasound-guided regional anaesthesia, obstetric and ambulatory anaesthesia before returning to Dublin to take up her post in St James's Hospital. Her interests include Anaesthesia education, human factors in perioperative care, multi-disciplinary simulation training for undergraduates and trainees, the development of quality and safety case-based learning, advanced airway management training, regional anaesthesia, perioperative applications of ultrasound and trauma management.

Earlier research was focused on the non-neural effects of the local anaesthetic agent, ropivacaine, including effects on coagulation and fibrinolysis through the design of in vitro models, mechanisms of cardiotoxicity, pharmacological reversal, quantification of placental transfer, neonatal neurobehavioural effects and effects on neutrophil apoptosis. More recently, her focus has been on enhancing anaesthesia education and perioperative safety with emphasis on human factors' and multi-disciplinary simulation-based education.

She has developed and refined clinical pathway protocols, and expanded criteria for patient selection and procedure type when the Day Surgery Unit in St James's was established in 2005. As a result, St James's was one of the first Irish institutions to achieve day-case laparoscopic cholecystectomy. to She has held College Tutor roles (College of Anaesthesiologists in Ireland, 2005-2013) and is on simulation teaching faculty since 2010, leading the Multi-Disciplinary Anaesthesia and Surgery Operation Training (2014-2020), Anaesthesia Emergencies since 2020, teaches on courses for Consultants and for National Airway Leads. She was an Examiner for both Membership (MCAI) 2000-2016 and Fellowship (2010-2016) postgraduate anaesthesia exams.

She is on Faculty for the national Advanced Trauma Life Support (ATLS) Instructors' course and a bootcamp for surgical trainees, both based in RCSI.

She has been the Lead for Anaesthesia undergraduate teaching in TCD since 2017 and for anaesthesia postgraduate teaching at the St James's campus since 2018.

She is on teaching faculty for the TCD undergraduate Trauma Evaluation and Management (TEAM). In 2018, she established an Anaesthesia safety and quality case-based reporting and learning forum and runs in-situ simulation sessions based in the operating room for students, interns and trainees. Other teaching initiatives include bootcamp training for novices in anaesthesia and intensive care medicine and the development of small group workshop skills' teaching, adapted for pandemic education. She runs a simulation session for the TCD Transition Year programme for students (since 2013).

She completed a MSc in human factors in patient safety at RSCI in 2020 and is a member of a Patient Safety focus group at the College of Anaesthesiologists and a Human Factors in Patient Safety group (RCSI) and contributed to the Helsinki Declaration on Patient Safety in Anaesthesiology project (2020-2021).She undertook mentorship training in 2017 and established a Mentorship and well-being programmes for anaesthesia trainees in St James's campus in 2018.

She contributes to the Creative Life programme for the Mercers' Institute for Successful Ageing in St James's through music facilitation and performance both on-site and online for staff and patients.

Publications and Further Research Outputs

Peer-Reviewed Publications

C Mullins, R Free, D Kelly, J M Porter, A desktop systems' analysis of critical incidents within a university hospital department of anaesthesia, European Journal of Anaesthesia, 2021 Journal Article, 2021

O Morris, P McCauley, R Boylan,C Burlacu, J M Porter, A simulation-based training programme in rapid sequence induction for novice anaesthesiology trainees, utilising a novel checklist, Anaesthesia , 2021 Journal Article, 2021

Pharmacokinetics of Local Anaesthetics in, editor(s)McLeod, McCartney C, Wildsmith JAW , Principles and Practice of Regional anaesthesia, London, Oxford University Press, 2012, [Jenny Porter] Book Chapter, 2012

F Debuck, S Nijs, J Porter, M Vandevelde, D Van Schoubroeck, R Devlieger, L Lewi, R Windrim, S Davies, G Ryan, J Deprest, Outcomes of different anesthetic techniques in fetoscopic laser treatment for TTTS, Ultrasound in Obstetrics and Gynaecology, 19th World Congress on Ultrasound in Obstetrics and Gynaecology, September 2009, 34, (S1), 2009, pp134 - 134 Meeting Abstract, 2009 DOI

Porter JM, McCartney CJ, Chan VW., Needle placement and injection posterior to the axillary artery may predict successful infraclavicular brachial plexus block: a report of three cases., Canadian journal of anaesthesia = Journal canadien d'anesthesie, 52, (1), 2005, p69-73 Journal Article, 2005 DOI

S Davies,J Porter,CE Pennell, F Alkazaleh,GRyan, Optimal anaesthesia for endoscopic placental sugery, Canadian Journal of Anesthesia, 52, (1), 2005, pA186 - A186 Journal Article, 2005

Porter J, Markos F, Snow HM G & Shorten G, The efficacy of nicorandil, calcium chloride and nitroglycerin in treatment of ropivacaine-induced cardiotoxicity, European Journal of Anaesthesiology, 20, (12), 2003, p939 - 945 Journal Article, 2003

J M Porter, J Mc Ginley,, B O Hare, G D Shorten, The effects of ropivacaine hydrochloride on platelet function: an assessment using the platelet function analyser (PFA-100)., Anaesthesia, 56, (1), 2001, p15-18 Journal Article, 2001 DOI

Porter JM, Kelleher N, Flynn R, Shorten GD., Epidural ropivacaine hydrochloride during labour: protein binding, placental transfer and neonatal outcome., Anaesthesia, 56, (5), 2001, p418-423 Journal Article, 2001 DOI

J M Porter, F Markos, HM Snow, GD Shorten, The effects of respiratory and metabolic ph changes on ropivacaine-induced cardiotoxicity, International Monitor of Regional Anaesthesia, European Society of Regional Anaesthesia, Geneva, 1998, 10, (20), 2000, pp20 - 20 Oral Presentation, 2000

O'Rourke N, Bennett M, Porter J, Gallagher DJ, Shorten G., Universal precautions--do Irish anaesthetists comply?, Ir J Med Sci, 169, (3), 2000, p211-214 Journal Article, 2000 DOI

Porter J, Markos F, Snow HM & Shorten G, Effects of respiratory and metabolic pH changes and hypoxia on ropivacaine-induced cardiotoxicity, British Journal of Anaesthesia, 84, (1), 2000, p92 - 94 Journal Article, 2000 DOI

J M Porter, N Fanning, H P Redmond, T G Cotter, G D Shorten, The effects of epidural ropivacaine on neutrophil apoptosis, International Monitor of Regional Anaesthesia, European Society of Regional Anaesthesia, Geneva, 1998, 10, 2000, pp21 - 21 Oral Presentation, 2000

J M Porter, J McGinley, B O' Hare, G D Shorten, The effects of ropivacaine hydrochloride on coagulation and fibrinolysis. An assessment using thromboelastography, Anaesthesia , 54, 1999, p902 - 906 Journal Article, 1999 DOI

Porter JM, Magner J, Phelan D., Anaphylaxis due to suxamethonium--manifested at induction of anaesthesia by bradycardia and cardiac arrest., Ir J Med Sci, 168, (2), 1999, p99-101 Journal Article, 1999 DOI

J M Porter, J McGinley, B O' Hare, G D Shorten, The effects of ropivacaine hydrochloride on platelet function - an assessment using the platelet function analyser (PFA-100), Anesthesiology, American Society of Anestheiologists Annual Meeting, Dallas, USA, 1999, 91, (3A), 1999, ppA10883 - A1083 Poster, 1999

Fanning NF, Porter J, Shorten GD, Kirwan WO, Bouchier-Hayes D, Cotter TG, Redmond HP., Inhibition of neutrophil apoptosis after elective surgery., Surgery, 126, (3), 1999, p527-534 Journal Article, 1999 DOI

Porter JM, Pidgeon C, Cunningham AJ., The sitting position in neurosurgery: a critical appraisal., British journal of anaesthesia, 82, (1), 1999, p117-128 Journal Article, 1999 DOI

J M Porter, J McGinley, B O' Hare, G D Shorten, The effects of ropivacaine hydrochloride on coagulation and fibrinolysis. An assessment using thromboelastography, 82, (S109), 1999, ppA361 - A361 Meeting Abstract, 1999

Porter JM, Page R, Wood AE, Phelan D., Ventricular perforation associated with central venous introducer-dilator systems., Canadian journal of anaesthesia = Journal canadien d'anesthesie, 44, (3), 1997, p317-320 Journal Article, 1997 DOI

J M Porter, J Regan, R Dwyer, Reduced morphine requirements in the elderly, British Journal of Anaesthesia , 1996, 76,S2:128 A413, 1996 Oral Presentation, 1996 DOI

Porter J, Lynch L, Hart S, Keohane C., Unexpected neurological deficits following recovery from anaesthesia., Canadian journal of anaesthesia = Journal canadien d'anesthesie, 41, (4), 1994, p317-320 Journal Article, 1994 DOI

Non-Peer-Reviewed Publications

C Parkash, W Hassan, J M Porter, Anaesthetic management of emergency caesarean section following intracranial haemorrhage, Annual Congress of Anaesthesiology and Pain Medicine, Dublin, May 2021, 2021 Oral Presentation, 2021

S Corbett. J M Porter, Trainee evaluations of the anaesthesiology mentorship scheme at St James's Hospital, Annual Congress of Anaesthesiology and Pain Medicine, Dublin, May 2021, 2021 Oral Presentation, 2021

R Free, D Kelly, C Mullins, J M Porter, A pragmatic approach to incident reporting, analysis and case-based learning in anaesthesia, National Patient Safety in Anaesthesia Conference, Dublin, 2020, 2020 Oral Presentation, 2020 URL

J P Duncan, A Mableson, J M Porter , Fostering safety by design: the use of electronic patient record prescribing plans to automtae patient safety in routine post-operative opioid prescribing, National Patient Safety in Anaesthesia Conference, Dublin, November 2020, 2020 Oral Presentation, 2020 URL

D Kelly, J Porter, The use of a critical incident WhatsApp group as a novel approach to incident reporting, National Patient Safety Conference in Anaesthesia , Dublin, 2019, 2019 Poster, 2019

C MacSweeney, M Mc Crohan, J M Porter, Anaesthesia for hip fracture: a retrospective audit and survey of current practice, Association of Anaesthetists Annual Congress, Dublin, 2018, 2018 Poster, 2018

R Bowe, J M Porter, Drug preparation in anaestheisa, Annual Congress, College of Anaesthesiologists, 2015, Dublin, 2015, 2015 Oral Presentation, 2015

J M Porter, J Regan, R Dwyer, Reduced morphine requirements in the elderly, British Journal of Anaesthesia , 1996, 76,S2:128 A413, 1996 Poster, 1996

Research Expertise

Description

My earlier research focused on the study of non-neural effects of the local anaesthetic, ropivacaine, exploring the influences of acute changes in acid-base status and hypoxia on local anaesthetic- induced cardiotoxicity and also to investigate potential mitigation of often fatal effects using physiological manipulation and also novel pharmacological therapies. My other work investigated the effects of ropivacaine on coagulation, neonatal neurobehavioural scores and immune function (neutrophil apoptosis). Currently, I am interested in the impact of human factors and the role of simulation in enhancing perioperative patient safety, specifically in how simulation-based education can address the gaps in the traditional apprenticeship model of medical education, both within anaesthesia and in multi-disciplinary team training. I am currently developing programmes for training novice anaesthesia trainees in essential airway management competencies such as rapid sequence induction. In addition, I have developed a forum for reporting and sharing local adverse events and excellence to improve local safety cultures and ultimately patient care. This forum encourages direct confidential reporting and I am investigating which events are shared and whether participation in such a forum can change attitudes to reporting adverse events.

Projects

  • Title
    • Review of perioperative traumatic proximal femoral fracture management
  • Summary
    • We are undertaking a review of perioperative hip fracture management, examining time to surgery, preoprative interventions and their utility, mode of anaesthesia and pain management. This will enable us to identify key areas of quality improvement for a subsequent projects
  • Funding Agency
    • None
  • Date From
    • 2020
  • Date To
    • 2022

Keywords

anaesthesia medication error; CARDIOTOXICITY; Clinical Simulation; Human Error; HUMAN FACTORS; local anaesthetic toxicity; Medical Errors

Recognition

Representations

Member of Patient Safety Focus Group, College of Anaesthesiologists in Ireland February 2021

Member of Human Factors in Patient Safety Focus Group at RCSI March 2021

Awards and Honours

Delaney Medal, Faculty of Anaesthesia, RCSI (first place) - The pressor response to laryngeal mask insertion - a comparison with endotracheal intubation in a hypertensive population March 1995

First Prize: Best Free Paper Competition, European Society of Regional Anaesthesia - the effect of epidural ropivacaine on neutrophil apoptosis September 1998

Shortlist: Best Free Paper Competition- European Society of Regional Anaesthesia - the effects of respiratory and metabolic pH changes and hypoxia on ropivacaine-induced cardiotoxicity September 1998

Poster Prize Association of Physicians (GBI) -the influence of acute changes in acid-base status on ropivacaine-induced cardiotoxicity March 1999

Irish Journal of Medical Science JMS Doctor Awards - Finalist 2001

Memberships

Fellow of College of Anaesthesiologists 1994 – 2021

Member of Association of Anaesthetists 1993 – 2021

Member of Regional Anaesthesia, United Kingdom 2020 – 2021

Society in Europe for Simulation applied to Medicine 2021 – 2021

Member of European Society of Anaesthesia 2010 – 2018

Member of Irish Society of Regional Anaesthesia 2021