Megan Smith

Expert witness

Consultant anaesthetist


About Dr Megan Smith

Dr Megan Smith is a Consultant Anaesthetist at the Royal Free London NHS Foundation Trust, one of the UK’s leading major teaching hospitals.

Dr Smith qualified as a doctor in 2003 and began her career in anaesthesia in 2006. She has been a consultant anaesthetist since 2015. She specialises in adult and non-tertiary paediatric anaesthesia with a particular focus on orthopaedics, vascular and plastic surgery. Her area of specialist interest is ultrasound guided regional anaesthesia which forms a major part of her practice.

Medical Expertise

  • General anaesthesia for major adult surgery
  • Regional anaesthesia (peripheral nerve blockade including the use of peripheral nerve catheters)
  • Orthopaedic anaesthesia
  • Neuraxial anaesthesia for adults (spinal, epidural, combined spinal and epidural)
  • Anaesthesia for plastic surgery
  • Anaesthesia in trauma patients
  • Airway management and problems with airway management (including dental damage)
  • Acute pain management
  • Care of the acutely unwell adult surgical patient
  • Awareness under anaesthesia
  • Allergy and anaphylaxis
  • Intra-operative care, including patient positioning
  • Law and practice relating to anaesthetic consent
  • Invasive monitoring, including arterial line insertion and central venous cannulation
  • Professional activities

  • Consultant Anaesthetist, Royal Free London NHS Foundation Trust
  • Lead anaesthetist in regional anaesthesia, Royal Free London NHS Foundation Trust
  • Recognised educator of the Royal College of Anaesthetists
  • Member of the Central London School of Anaesthesia’s panel conducting anaesthetic trainees’ Annual Review of Competence and Progress
  • Member of the Safe Anaesthesia Liaison Group, Royal College of Anaesthetists
  • Member of the British Association of Orthopaedic Anaesthetists and speaker at their annual scientific congress on medicolegal topics (negligence and criminal negligence)
  • Member of the Royal Free’s Perioperative Anaesthesia Quality and Improvement Group
  • Instructor on the Royal Free’s Regional Anaesthesia course
  • Lecturer on the Central School of Anaesthesia’s trainee course on the use of ultrasound and regional anaesthesia
  • Professional associations

    Dr Smith has full GMC registration and is on the specialist register (GMC number 6079996). She is a Fellow of the Royal College of Anaesthetists and is also a member/associate member of the following professional bodies:

  • British Medical Association
  • Association of Anaesthetists of Great Britain and Ireland
  • Difficult Airway Society
  • British Association of Orthopaedic Anaesthetists
  • European Society of Regional Anaesthesia and Regional Anaesthesia UK
  • Royal Society of Medicine
  • Medicolegal Society
  • The Honourable Society of Lincoln’s Inn
  • Expert Witness Institute
  • Medical Protection Society
  • Publications

    Navigating a potential minefield: a legal and practical guide to mobile medical application (“app”) development in the United Kingdom and Europe. Journal of Mobile Technology in Medicine, 5:1:52–61, 2016. Smith ME.

    Redesigning incident reporting systems in the post-Mid-Staffordshire era. British Journal of Hospital Medicine, 76(9):510-515, 2015. Smith ME.

    Acute, severe hypoglycemia occurring during general anesthesia in a nondiabetic adult. Anesth Analg., 2007 Aug;105(2):553-4. Ackland GL, Smith M, McGlennan AP.

    Handbook of mechanical ventilation: a user’s guide. Montgomery H, Camporota L, Dlouhy P (eds). The Intensive Care Foundation 2015. Contributing author of chapters on mechanical ventilators and ventilatory modes.

    Contact Megan Smith