Dr Roche is an associate professor in the Department of Anesthesiology, and an adjunct associate professor in the Department of Global Health at the University of Washington, Seattle.

He completed his medical school training and internship at the University of Stellenbosch, South Africa, whereafter he moved to London, England, for his anesthesiology residency at the Royal Free and University College London Medical School. Besides his residency, Dr Roche has also completed fellowship training in cardiothoracic anesthesiology and critical care.

After his fellowship, Dr Roche was recruited to the department of anesthesiology at Duke University, and was on faculty there for 8 years prior to his move to Seattle in September 2011. His clinical and research interests are focused in the areas of intravenous fluid therapy and goal-directed volume resuscitation, outcome effects of perioperative coagulation dysfunction, and perioperative endothelial dysfunction.

He has chaired and co-chaired multiple international conferences on perioperative fluid management in the USA, Canada, and the UK. His passion is partnership and collaboration in healthcare capacity building, teaching and training, and system strengthening in low resource settings in Sub-Saharan Africa, an area where he continues a long-standing partnership with numerous stateside, Canadian and British universities with Mulago Hospital and Makerere University, in Kampala, Uganda.

He recently served on the Global Humanitarian Outreach Committee of the American Society of Anesthesiologists, is the Fellowship Director of the University of Washington Anesthesiology Global Health Fellowship, and serves on the advisory board of Global Partners in Anesthesia and Surgery (www.globalPAS.org).