Dr Dominic Nielsen

Dr Dominic Nielsen is a Consultant Paediatric and Adult Anaesthetist and expert witness at King’s College Hospital, where he has held his current consultant post since 2022. His principal areas of clinical expertise include paediatric and neonatal anaesthesia, neuroanaesthesia, paediatric neuroanaesthesia, airway management, regional anaesthesia, acute pain management and the stabilisation of critically unwell children.

With consultant experience since 2021, Dr Nielsen provides anaesthetic care for both children and adults, including patients undergoing major surgery and neurosurgery. His specialist practice encompasses anaesthesia for major trauma in children and adolescents, total intravenous anaesthesia (TIVA) across neonatal, paediatric and adult populations, multimodal analgesia and airway management in neonates and infants. He also has clinical experience in paediatric critical care and paediatric transport medicine, strengthening his expertise in the assessment and stabilisation of seriously unwell children.

Alongside his clinical practice, Dr Nielsen has a strong interest in paediatric anaesthesia research and is an instructor in both Advanced Paediatric Life Support and Advanced Life Support.

Dr Dominic Nielsen has undertaken medico-legal work since 2023, accepting instructions in both clinical negligence and personal injury matters for claimants and defendants. His work includes screening and advisory opinions, breach of duty, causation, and condition and prognosis reports.

His medico-legal practice focuses on cases involving anaesthetic care, particularly paediatric and neonatal anaesthesia, neuroanaesthesia, airway management, peri-operative care, pain management and the management of critically unwell children. He is able to address questions concerning the standard and delivery of anaesthetic care, drawing on the medical records and accepted standards of clinical practice when providing independent expert opinion. His specialist expertise also makes him well placed to consider complex cases involving major surgery, paediatric neuroanaesthesia and the stabilisation and anaesthetic management of seriously unwell children.

Dr Nielsen’s clinical practice has a particular focus on the peri-operative management of neonates, infants and children, including those undergoing major surgery, neurosurgery and treatment following major trauma. His work involves planning and delivering anaesthesia for complex paediatric patients, with particular expertise in managing the additional physiological and airway considerations associated with younger and critically unwell patients.

A key area of his practice is neuroanaesthesia, including paediatric neuroanaesthesia, alongside the stabilisation and anaesthetic management of seriously unwell children. He has specialist expertise in airway management in neonates and infants and uses techniques including total intravenous anaesthesia, regional anaesthesia and multimodal analgesia. His practice also encompasses acute pain management across paediatric and adult patients.

Dr Nielsen also has a specialist interest in near-infrared spectroscopy in neonates and children and maintains an active interest in paediatric anaesthesia research, supporting an evidence-based approach to complex anaesthetic care.

Dr Nielsen has contributed to research across paediatric anaesthesia and peri-operative care, including prospective and retrospective studies and a randomised controlled trial published in Anaesthesia. His work has also appeared in Paediatric Anaesthesia and the British Journal of Anaesthesia, alongside conference abstracts and a published book chapter. He has experience in research design, statistical analysis and academic publication.