21 Percival St, Freetown, Sierra Leone
Mon - Fri : 24hrs Service
+232 30053394
Excellence in Peri‑Operative & Critical Care

Department of Anaesthesia

Delivering safe anaesthesia, peri-operative medicine, pain management, intensive care, training and research across the University of Sierra Leone Teaching Hospitals Complex.

24/7
Critical Care Coverage
WACS
Accredited Training Programmes
2007
Modern Department Growth Era

Department Overview

The Department of Anaesthesia and Critical Care is a core clinical and academic department within the University of Sierra Leone Teaching Hospitals Complex (USLTHC). It is responsible for the provision of safe, high-quality anaesthesia, peri-operative care, pain management, and critical care services at Connaught Hospital and Princess Christian Maternity Hospital (PCMH). Despite operating in a resource-limited setting, the Department has shown consistent growth, resilience, and commitment to national capacity building.

Head of Department

Dr Eva Susan Hanciles

MB ChB BAO, FFARCSI, FWACS, FCPS (SL)

Dr Eva Susan Hanciles obtained her medical degree from the Royal College of Surgeons in Ireland and specialised in anaesthesia, earning the Fellowship of the Faculty of Anaesthesia of the Royal College of Surgeons in Ireland. She completed a fellowship in cardiac anaesthesia in Canada and practised as a consultant anaesthetist in the United Kingdom before returning to Sierra Leone in 2007. She is also the National Anaesthesia Coordinator for the Ministry of Health.

Vision

To ensure that all people of Sierra Leone have access to safe, high-quality anaesthesia and critical care services delivered by qualified professionals

Mission

To deliver excellence in anaesthesia, peri-operative medicine, pain management, and critical care through service, training, education, and collaboration.

Core Services

General, spinal and procedural anaesthesia
Regional anaesthesia & nerve blocks
Pre-operative assessment
Peri-operative care
ICU coordination
Pain management
Emergency resuscitation
Medical education

History & Development

The Department evolved from a single-physician service in 2007 to a structured academic department.
Accredited by the West African College of Surgeons. It achieved full accreditation for the Diploma in Anaesthesia and partial accreditation for Membership and Fellowship training.
The Department continues to expand its workforce, services, and training capacity while supporting regional anaesthesia development.

Key Achievements

Full WACS accreditation for Diploma in Anaesthesia.
Partial accreditation for Membership & Fellowship programmes.
Training of multiple postgraduate graduates.
24/7 ICU medical coverage.

Challenges

Shortage of physician anaesthetists and residents
Limited anaesthesia workforce
Intermittent shortages of essential drugs and supplies
Maintenance challenges of anaesthesia equipment
Insufficient ICU-trained nursing staff

Academic Activities

he Department holds weekly Friday morning academic meetings focusing on teaching, case discussions, morbidity and mortality reviews, and continuous professional development.