Professor Peter Charters MD FRCA MRCP
Consultant Anaesthetist,
Department of Anaesthesia,
University Hospital Aintree,
Liverpool, L9 7AL, UK
Websites established and maintained (with help from Dr John Davies, ex computer services, University of Liverpool) – the Aintree Difficult Airway method for anticipated difficult airway – a “wiki” of airway scenarios and manual for the ADAM site

Journal Articles
Charters P.    Mannitol, Osmolality and Steroids during Renal Transplantation.
Anaesthesia 1983; 38: 327-331.
Charters P, Wilkinson K.   Tactile Orotracheal Tube Placement Test.
Anaesthesia 1987; 42: 801-807.
Horton WA, Perera S, Charters P.   An Additional Tactile Test.
Anaesthesia 1988; 43: 240-244.
Horton WA, Fahy L, Charters P.   Defining a Standard Intubating Position using "Angle Finder".
British Journal of Anaesthesia 1989; 62: 6-12.
Horton WA, Fahy L, Charters P.   Disposition of Cervical Vertebrae, Atlantoaxial Joint, Hyoid and Mandible during X-ray Laryngoscopy in a Standard Position in Normal Volunteers.
British Journal of Anaesthesia 1989; 63: 435-8.
Horton WA, Fahy L, Charters P.  Factor Analysis in Difficult Intubation: Laryngoscopy Induced Airway Obstruction.
British Journal of Anaesthesia 1990; 65: 801-5.
Fahy L, Horton WA, Charters P.  Factor Analysis in Patients with a History of Failed Tracheal Intubation during Pregnancy. 
British Journal of Anaesthesia 1990; 65: 813-5.
AS Jones AS, Viani L, Phillips D, Charters P.   The objective assessment of nasal patency.
Clinical Otolaryngology 1991; 16: 206-11.
Clarke RW, Jones AS, Charters P, Sherman I.  The role of mucosal receptors in nasal sensation of airflow.
Clinical Otolaryngology 1992; 17: 383-7.
Marks RRD, Hancock R, Charters P.  An analysis of laryngoscope blade shape and design: new criteria for laryngoscope evaluation.
Canadian Journal of Anaesthesia 1993; 40: 262-70.
Ralston SJ, Charters P. Cuffed naso-pharyngeal tube as a “dedicated airway” in difficult intubation.
Anaesthesia 1994; 49: 133-6.
Charters P.  Analysis of mathematical model for osseous factors in difficult intubation.
Canadian Journal of Anaesthesia 1994; 41: 594-602.
Atherton DPL, O'Sullivan E, Lowe D, Charters P. A ventilation-exchange bougie for fibreoptic intubations with the laryngeal mask airway.
Anaesthesia 1996; 51: 1123-6.
Rodrigues MA, Gillies DF, Charters P, Marks R.   Computer assisted pre-operative laryngoscopy.
Compugraphics '96 (1996) 114-120.
Hawkins M, O'Sullivan E, Charters P.  Fibreoptic intubation using the cuffed oro-pharyngeal airway and Aintree intubation catheter.
Anaesthesia 1998; 53: 891-4.
Rodrigues MA, Gillies DF, Charters P.  A finite element study of the biomechanics of the tongue during laryngoscopy.
Proceedings of COMPUGRAPHICS 1997, pp 114-120.
Rodrigues MA, Gillies DF, Charters P.   Modelling and simulation of the tongue during laryngoscopy.
Computer Networks and ISDN Systems 30 (1998) 2037-45.
Charters P, O'Sullivan E.   The "Dedicated airway": review of the concept and current practice update.
Anaesthesia 1999; 54: 778-86.
Hawkins M, Charters P, Harrison J. Severe CO poisoning; outcome after hyperbaric therapy. British Journal of Anaesthesia 2000; 84(5): 584-6.
Rodrigues MA, Gillies DF, Charters P.  A biomechanical model of the upper airways for simulating laryngoscopy.
Computer Methods in Biomechanics and Biomedical Engineering 2001; 4(2): 127-48.
Rodrigues MA, Gillies DF, Charters P. Creating a virtual environment for laryngoscopy training.
International Workshop on Medical Imaging and Augmented Reality MIAR01, IEEE Computer Society Press, 2001, ISBN 0-7695-1113-9,125-30.
Halligan M, Charters P.  A clinical evaluation of the Bonfils intubation fibrescope. Anaesthesia 2003; 58(11): 1087-91.
Madhotra D, Fenton JE, Makura ZGG, Charters P, Roland NJ. Airway intervention in acute supraglottis.
Irish Journal of Medical Science 2005; 173(4): 197-9.
Jones TM, Ho MS, Earis JE, Swift AC, Charters P. Acoustic parameters of snoring sound to compare natural snores with snores during “steady-state” propofol sedation.
Clinical Otolaryngology 2006; 31(1): 46-52.
Jones TM, Ho MS, Earis JE, Swift AC, Charters P. Acoustic parameters of snoring sound to assess the effectiveness of sleep nasendoscopy in predicting surgical outcome. Otolaryngology-Head and Neck Surgery 2006; 135: 269-75.
Sethuraman D, Darshane S, Guha A, Charters P. A randomized, crossover trial comparing Dorges, McCoy and Macintosh laryngoscope blades in a standardised difficult intubation scenario.
Anaesthesia 2006; 61: 482-7.
Darshane S, Groom P, Charters P. Responsive Contingency Planning: a novel system for anticipated difficulty in airway management in dental abscess.
British Journal of Anaesthesia 2007; 99(6): 898-905.
Darshane S, Ali M, Sethuraman D, Charters P. Validation of a model of graded difficulty in Laerdal SimMan: functional comparisons between Macintosh, Truview EVO2, Glidescope Video Laryngoscope and Airtraq.
European Journal of Anaesthesiology 2011; 28(3): 175-80.
Vennila R, Sethuraman D, Charters P. Evaluating learning curves for intubation in a simulator setting: a prospective observational cumulative sum analysis.
European Journal of Anaesthesiology 2012; 29(11): 544-5.
Batuwitage B, McDonald A, Nishikawa K, Lythgoe D, Mercer S, Charters P.
Comparison between bougies and stylets for simulated tracheal intubation with the C-MAC D-blade videolaryngoscope.
European Journal of Anaesthesiology 2014; 31: 1-6.

Charters P.  What future is there for predicting difficult intubation?
British Journal of Anaesthesia 1996; 77: 309-11.
Charters P.  Airway devices: where now and where to?
British Journal of Anaesthesia 2000; 85: 504-5.
Case Reports
Charters P.   Renal Transplantation in Diabetes Mellitus.
Anaesthesia 1981; 35: 199-204.
Hopkins CS, Charters P.
An Unusual Case of Causalgia. Relevance to recent hypothesis on mechanisms of causalgia.
Pain 1989; 37: 93-95.
Charters P, Jones AS.   "Pivoting Larynx" - an unusual clinical observation at laryngoscopy.
British Journal of Anaesthesia 1990; 65: 424-426.
Nandapalan V, O'Sullivan DG, Siodlak M, Charters P.   Acute airway obstruction due to a "ruptured aneurysmal Arterio-venous fistula: common carotid artery to internal jugular vein."
Journal of Laryngology and Otology 1995; 109: 562-4.
Sulaiman L, Charters P.  Survival after massive bleeding into the airway in a patient at risk from ‘can’t intubate, can’t ventilate”.
Anaesthesia 2005; 60: 1231-4.

Charters P. Deaths and anaesthesia.
British Medical Journal 1982; 285: 1048.
Charters P.   Transdermal Glyceryl nitrate.
Anaesthesia 1986; 41: 669.
Charters P.   Venous lines - supraclavicular approach. (Report of study - 50 cases.)
Anaesthesia and Intensive Care 1987; 15: 121.
Charters P, Perera S, Horton WA.   Visibilty of pharyngeal structures as a predictor of difficult intubation.
Anaesthesia 1987; 42: 1115.
Charters P.   Postmortem removal of tracheal tube.
Anaesthesia 1987; 42: 1242.
Charters P, Wilkinson K.   Confirmation of tracheal tube placement.
Anaesthesia 1988; 43: 72.
Charters P.   Normal chest expansion in a slender subject with oesophageal placement of a tracheal tube.
Anaesthesia 1989; 44: 365.
Horton WA, Fahy L, Charters P.   Airways re-visited.
British Journal of Anaesthesia 1989; 63: 128-9.
Horton WA, Charters P.   Soft tissues and difficult intubation.
Anaesthesia 1990; 45: 996-7.
Hopkins CS, Charters P.   Comment on Milton L.Cohen and Jesus F.Arroyo.
Pain 1990; 40: 356.
Charters P, Cave-Bigley D, Roysam CS.  Should a laryngeal mask be routinely used in patients undergoing thyroid surgery?
Anesthesiology 1991; 75: 918-9.
Charters P, Cave-Bigley D.   Laryngeal Mask Airway and Thyroid Surgery.
Annals of Royal College of Surgeons 1992; 74: 225-6.
Phillips D, Charters P.   Strap muscles in thyroid surgery: to cut or not to cut?
Annals of Royal College of Surgeons 1993; 75: 378.
Marks RRD, Charters P.   Laryngoscope design.
Canadian Journal of Anaesthesia 1994; 41: 163.
Charters P, Marks RRD.   Laryngoscope blade shape.
Canadian Journal of Anaesthesia 1994; 41: 264-5.
Logan S, Charters P.   Laryngeal mask and fibreoptic tracheal intubation.
Anaesthesia 1994; 49: 543-4.
Charters P, Mannar R, Jones AS.   Laryngeal stenosis after percutaneous tracheostomy.
Anaesthesia 1994; 49: 825-6.
Charters P.   Digital exploration and the laryngeal mask.
Anaesthesia 1996; 51: 990.
Jayousi N, Charters P.   Predicting difficulty - clinical indices and their statistical equivalents.
British Journal of Anaesthesia 1997; 78: 338.
Atherton DPL, O'Sullivan E, Charters P.   Modification to the ventilation-exchange bougie.
Anaesthesia 1997; 52: 611-2.
Charters P.  Hyperbaric oxygen therapy.
British Journal of Anaesthesia 2000; 85: 657-8.
Charters P, Halligan M. Intubation times for using the Bonfils intubation fibrescope.
British Journal of Anaesthesia 2003; 91(5): 757-8.

Chapters in Books
User Guide to Anaesthetic and Intensive Care Equipment, Ed G Arthurs. Chapters on airway equipment. Saldatore Ltd, ISBN 0 948047 046
Key Topics in Otolaryngology 2nd Edn, Ed N Rolands. Chapters on General Anaesthesia and Local Anaesthesia. Bios Scientific Publications Ltd.
Handbook of Clinical Anaesthesia 2nd Edn, Ed Pollard BJ. Churchill Livingstone, 2004. 
Chapters on:
Laryngoscopy and Microsurgery of the Larynx, pp 348-50,
Laryngectomy and Radical Neck Dissection, pp 370-1.
Anaesthetic lead (with Drs Imran Ahmed, Anil Patel, Scott Russel) for "Anaesthesia for Head and Neck Surgery" chapter in: Roland NJ, Paleri V (eds). Head and Neck Cancer: Multidisciplinary Management Guidelines. 4th Edn. London: ENT UK; 2011 © ENTUK, 2011. ISBN-13: 978-0-9570138-0-3

MD Thesis (Peter Charters, University of Liverpool, 1983)
“The use of Mannitol during renal transplantation”

Supervisor/ co-supervisor MD theses
Mr Terry Jones, ENT (University of Liverpool, 2006)
Dr Mark Halligan (University of Liverpool, 2008)
“Bonfils Endoscope: Intubation and Airway Assessment Device”
Dr Seema Charters (University of Liverpool, 2012)
“Comparison of functional and optical properties of indirect laryngoscopes relative to the Macintosh laryngoscope”
Clinical supervisor to computer science students for successful PhD projects (long-term collaboration with Professor Duncan Gillies, Applied Computer Graphics, Imperial College, London)
Andreia Rodrigues, Krista Lam and Eldos Then


Anaesthetic Research Society (UK) Member
Council Member 1998 – 2002
Treasurer 2002 - 2008
Published abstracts presented to this society and published in British Journal of Anaesthesia =51 total.
Member of local research ethics committee (South Sefton) from 1989 to 1996 and Chairman for the last three of these years.
Invited speaker to international meetings
10th European Congress of Anaesthesiology, July 1998, Frankfurt/Main Germany.
"Prediction of difficult intubation. Do we need new screening parameters?"
2nd Conference of the Jordanian Society of Anaesthesia, Intensive Care and Pain Control, May 1999, Amman, Jordan
"Dedicated Airways" (followed by workshop demonstrations)
Advanced airway workshop. Academy of Medicine, Malaysia, College of Anaesthesiologists, Feb 2000
Lecture tour and demonstrations (with Dr Peter Groom, Research Fellow):
Penang (Malaysia)
    "Keep a clear airway". PG
    "Teach yourself fibreoptic intubations". PC
Malacca (Malaysia): PC/PG Principal facilitator/tutors
    "Awake intubation". PG
    "Expected difficult airway management". PC
    "Management of the unexpected difficult airway including obstetrics". PG
    "Emergency tracheal access". PC.
Kuching (Sarawak)
    "Recent advances in pulmonary care in ICU". PC.
    "Mechanisms causing difficult intubation". PC.
    "Difficult intubation techniques". PG.
National University Singapore
    "Comparative anatomy of the upper airway (- obstruction a human problem)". PG.
    "History of devices to maintain upper airway patency". PC. 
    "Clinical case presentations and discussion". PC. 
The success of this lecture tour was important in encouraging the Malaysian College of Anaesthetists to allow the formation of their equivalent of the UK Difficult Airway Society.
2nd European Society of Anaesthetists meeting, April 2000, Vienna
Chairman of Cook mini-symposium, 'Management of the Difficult Airway'
"Evaluation and Management of the Expected Difficult Airway"
3rd Conference of the Jordanian Society of Anaesthesia, Intensive Care and Pain Control, May 2001, Amman, Jordan
"Management of Difficult Airway Problems in Head and Neck Surgery"
"Tracheal Intubation: Theory and Practice"
Malaysian College of Anaesthetists SIG. "3rd Advanced Airway Workshop", Nov 2001, Malacca
“Calcification of the Stylo-Hyoid Ligaments”
“Management of Difficult Airway Problems in Head and Neck Surgery”
“Relevance of the Temporo-Mandibular Joint to Difficult Intubation”
European Society of Anaesthetists, Glasgow, Jun 2003. Chairman, Storz mini-symposium.
"Intubation through the laryngeal mask airway".
14th Annual Conference of Jiangsu Chinese Medical Association on Anesthesiology, Jul 2009, Nanjing China
“Airway Management in Head and Neck Cancer”
Inaugural meeting of the Australian/New Zealand Colleges SIG, Mar 2010, Larne Australia
“ ‘Safe’ FOB – ‘awake’ topicalisation or Remifentanil?”
“Dental abscess – an airway chameleon for the anaesthetist”
“Bonfils laryngoscope – where, when, how?”
BASS Meeting (Belgian Association for Sleep research and Sleep medicine), Oct 2011, Antwerp Belgium.
“Effect of sedative drugs on the upper airway”. 


faculty professor, das professor