Imperial College London


Faculty of MedicineDepartment of Surgery & Cancer

Honorary Clinical Senior Lecturer







Building E - Sir Michael UrenWhite City Campus




Research Interests

  • Thermoregulation
  • Autonomic nervous system
  • Obstetric anaesthesia
  • Health informatics


show research
  • BSc(Hons) Physiology, Imperial College, 2005
  • MB BS, Imperial College, 2007
  • FRCA, 2012
  • PhD, Thermoregulation and Obstetric Regional Anaesthesia, Imperial College 2018


show research


  1. Morton, S; Kua, J; Mullington, CJ. A Systematic Review and Meta-Analysis of Epidural Analgesia, Intrapartum Hyperthermia and Neonatal Brain Injury. BJA 2020 [in press].
  2. Mullington, CJ; Malhotra, S. Hyperthermia after epidural analgesia in obstetrics. BJA Ed 2020 [in press].
  3. Mullington, CJ; Low, DA; Strutton, P; Malhotra, S. A mechanistic study of the tremor associated with epidural anaesthesia for intrapartum caesarean delivery. IJOA 2020; 43:56-64.
  4. Mullington, CJ; Low, DA; Strutton, P; Malhotra, S. Body temperature, cutaneous heat loss and skin blood flow during epidural anaesthesia for emergency caesarean section. Anaesthesia 2018; 73(12):1500-1506.
  5. Mullington, CJ et al. Trunk muscle responses following unpredictable loading of an abducted arm. Gait and Posture 2009; 30:181-186.


  1. Mullington, CJ; Shetty, P; Dalton, J. Intubation of COVID patients: always a risky business? Anaesthesia 2020 [online ahead of print].
  2. Mullington, CJ; Kua, J; Malhotra, S. The timing of labor epidurals in COVID-19 parturients: a balance of risk and benefit. Anesth Analg 2020; 131(2):e131-132.


  1. Mullington, CJ; Low, DA; Strutton, P; Malhotra, S. Body temperature, heat balance and skin blood flow before and after epidural extension for emergency caesarean section. An investigation of the mechanism underlying epidural hyperthermia. IJOA 2018; 35(S1):P2.
  2. Mullington, CJ; Low, DA; Strutton, P; Malhotra, S. Tremor, body temperature and temperature sensation following epidural extension for emergency caesarean section. IJOA 2018; 35(S1):O1.
  3. Mullington, CJ; Patel, AD; Malhotra, S. The incidence and severity of side effects following obstetric neuraxial blockade and their impact upon maternal satisfaction. IJOA 2018; 35(S1):P27.
  4. Mullington, CJ; Bartlett, RE; Terry, JE; Low, DA; Strutton, P; Malhotra, S. Is mean body temperature a cause of shivering during elective caesarean section under spinal anaesthesia? A pilot study. IJOA 26(S1): 2016, P33.
  5. Mullington, CJ; Malhotra, S; Low, DA; Strutton, P. Heat flux: an additional driver of physiological shivering? IJOA 2015: 24(S1):S9.
  6. Mullington, CJ; Malhotra, S; Wilkinson CG, Low, DA; Strutton, P. A comparison of the accuracy and precision of four non-invasive core temperature thermometers during cold stress and rewarming. IJOA 2015; 24(S1):S11.
  7. Mullington, CJ; Wrench, CL; He, JJ; Low, DA; Strutton, PH; Malhotra, S. Thermal gradient: the primary driver of shivering? Anaesthesia 2014; 69(S4):38.
  8. Mullington, CJ; Wrench, CL; He, JJ; Malhotra, S; Low, DA; Strutton, PH. Discrete onsets of shivering during cold stress in healthy individuals. Proc Physiol Soc 2014; 31.

On-going studies

show research
  • Neonatal outcome and epidural hyperthermia (NOEH)


show research
  • Best Poster Presentation, Obstetric Anaesthesia 2018, Obstetric Anaesthetists’ Association
  • Best Caesarean Section Poster, Obstetric Anaesthesia 2016, Obstetric Anaesthetists’ Association
  • Goldberg-Schachmann and Freda Becker Memorial Fund Award 2005