• Lauder, Gillian

    Titles
    Investigator, BC Children's Hospital

    Clinical Associate Professor, Division of Pediatric Anesthesiology, Department of Anesthesia, University of British Columbia
    Director of the Integrated Pain Service, BC Children's Hospital
    Pediatric Anesthesiologist

    Degrees / Designations
    MB BCh, FRCA, PG Dip (Med Ed)
    Primary Area of Research
    Evidence to Innovation
    Secondary Area(s) of Research
    Phone
    604-875-2345 ext. 5955
    Fax
    604-875-2767
    Lab Phone
    Mailing Address
    BC Children's Hospital
    Room E400
    4480 Oak Street
    Vancouver, BC V6H 3V4
    Affiliate Websites
    Research Areas

    ·          Pediatric anesthesia

    ·          Pediatric acute/complex pain

    Summary

    As the Director of the Pain Service at BC Children’s Hospital, I hope to integrate existing pain research teams within the organization to establish a robust infrastructure dedicated to pain research in children in the fields of acute, chronic and complex pain. I am also involved in a number of research projects in pediatric anesthesia. My primary focus is on the use of portable ultrasound imaging to improve the safety and reliability of common nerve block techniques.

    Current Projects

    Pediatric Complex Pain and Latency to Discharge

    Chronic pain is defined as pain that persists longer than expected and is known to affect as many as 15 to 25 per cent of children and adolescents. Chronic pain in the pediatric population can evolve into a complex pain syndrome and affect a child's social, emotional, physical and developmental functioning. Despite the prevalence and known impact of complex pain in the pediatric population, it remains inadequately researched and under-treated. This retrospective chart review will present descriptive data summarizing the trajectory of interdisciplinary care received by children and adolescents discharged from the Complex Pain Service at BC Children’s Hospital.

    Pediatric Caudal Epidural Anesthesia: Ultrasonic Evaluation of Local Anesthetic Spread

    The technique of Caudal Epidural Anesthesia (<st1:stockticker w:st="on">CEA) is firmly established in pediatric anesthesia. It is commonly used to provide intra-operative and post-operative analgesia for patients receiving surgery below the umbilicus. For current practice of <st1:stockticker w:st="on">CEA, local anesthetic is injected blindly into the epidural space. This blocks nerve signals and stops pain sensation from areas below the umbilicus. We intend to convert the current blind technique to a directly visualized technique using ultrasound imaging.

    Ultrasound Imaging of Pediatric Abdominal Walls

    To assess if paediatric anesthesiologists are able to identify the Ilio-inguinal (Il) and IlioHypogastric (IH) nerves using ultrasound imaging. To assess how important ultrasound image quality is in nerve identification and if there is a more readily identifiable end point for II/IH nerve blockade.

    Selected Publications

    Refereed Papers

    Hume-Smith H, Lauder GR. Anaesthesia for specialist surgery in infancy. Anaesthesia and Intensive Care Medicine [in press].

    Tooley MA, Lauder GR, Lovell AT. Abnormal drug responses with adrenaline on an educational paediatric simulator: the measurement of the responses and correction of the pharmacological model parameters. Physiological measurement 2007; 28: 1237-50.          

    Skinner AV, Lauder GR. Rectus sheath block: successful use in the chronic pain management of pediatric abdominal wall pain. Pediatric Anesthesia 2007; 17: 1203-11.

    Lauder GR. Preoperative predeposit autologous donation in children presenting for elective surgery: a review. Transfusion Medicine 2007; 17: 75-82.

    Nordmann GR, Lauder GR, Grier DJ. CT guided lumbar sympathectomy in a child with chronic regional pain syndrome; a case report and review of the literature. European Journal of Pain 2005; 10: 409-12.

    Lauder GR, White MC. Neuropathic Pain following multilevel surgery in Children with Cerebral palsy; a case series and literature review. Pediatric Anesthesia 2005; 15: 412-20.

    Lauder GR. Associated medical conditions in children. Anesthesia and Intensive Care Medicine 2003; 4(11): 378-84.

    Published Books

    Problem Based Anesthesia: Paediatric Anaesthesia. PA Stoddart, GR Lauder, eds. <st1:city w:st="on"><st1:place w:st="on">London: Taylor and Francis Books Ltd. 2004.

    Collective Work and Book Chapters

    Lauder GR. Anaesthesia for Orthopaedic Surgery. In: R Bingham, A Lloyd-Thomas and M Sury, eds. Hatch and Sumner’s Textbook of Paediatric Anaesthesia, 3rd Edition. <st1:city w:st="on">Oxford: <st1:city w:st="on"><st1:place w:st="on">Oxford University Press. To be published January 25 2008.

    White M, Lauder GR. Problems in Recovery (postanesthesia care unit). In: PA Stoddart and GR Lauder. Problems in Anaesthesia: Paediatric Anaesthesia. <st1:city w:st="on"><st1:place w:st="on">London: Taylor and Francis Books Ltd. 2004; 23: 137-44.

    Grants
    Honours & Awards

     

    Research Group Members

    The research manager, research assistants and research fellows of the Anesthesia Research Team.