ICS/BIA : Update on Ventilator Associated Pneumonia

Andrew Conway-Morris

Consultant Intensivist

Dr Conway Morris is a critical care consultant and MRC Clinician Scientist based at the University of Cambridge.  He trained at the Universities of Glasgow and Edinburgh, undertaking a PhD in Edinburgh focused on immune failure in critical illness and nosocomial infection.  His research interests include neutrophil function and dysfunction in critical illness, where he identified complement component C5a as a key driver of dysfunction in patients.  He has also developed and tested a number of diagnostics for pneumonia, using both host and pathogen-focussed techniques.  His animating force is a desire to improve the management of infection in intensive care, and combat the rising tide of antimicrobial resistance.  He was recently awarded the Royal College of Anaesthetists 2023 Mackintosh Professorship.   He is the director of the European Society of Intensive Care Medicine’s research and antimicrobial stewardship learning pathways.

: @andymoz78

Ema Swingwood

Consultant Physiotherapist, UK

Ema is a Consultant Therapist (Physiotherapist by background) in Critical Care at University Hospitals Bristol and Weston NHS Foundation Trust. Her area of clinical expertise and interest is ventilation, weaning and complex airway clearance. 

Having completed the Advanced Cardiorespiratory Physiotherapy Msc programme at University College London (UCL) in 2012, Ema has continued her research focusing on the use of Mechanical Insufflation-Exsufflation (MI-E) and other cough augmentation strategies. Her current PhD work focuses on the use of MI-E in the intubated population which is funded through the NIHR Clinical Academic Research Fellowship pathway. 

Extra-curricular activities include contributions to the Undergraduate Physiotherapy programme at the University of the West of England, and post-graduate teachings at University College London and Brunel University. She sits on the Intensive Care Society Physiotherapy Professional Advisory Group and Education Committee, the Equity, Diversity and Belonging Committee of the CSP, and ICUsteps support group network. She has been part of the multi-professional authorship for BTS/ICS documents related to Respiratory Support Units and Weaning Centres. Most recently, she is part of the NHSElect working group for the development of a Critical Care Capability Framework.

: @emaroids1

Kordo Saeed

Consultant clinical microbiologist , University Hospitals Southampton NHS Trust

Currently working as a consultant clinical microbiologist and lead for the bacteriology laboratory at University Hospitals Southampton NHS Foundation Trust & an honorary associate professor at the University of Southampton School of Medicine. His interests are managing infections in intensive care and orthospinal & major trauma-related infections.  He is the chair of the Rapid Diagnostics and Biomarker Working Group of the International Society of Antimicrobial Chemotherapy (ISAC) and the secretary for the Bone and Joint Infection Working Group. He has published on Infection Control, Antibiotic Stewardship, Bone and Joint Infections and sepsis.

Nazima Pathan

Nazima Pathan is Associate Professor and Honorary Consultant in Paediatric Critical Care at the University of Cambridge and Addenbrookes Hospital, Cambridge.

She has a research interest in infection and the host-microbiome interaction in critical illness, and was chief investigator on the NIHR-HTA funded Paediatric Infection Control in Intensive Care (PICNIC) study which examined the feasibility of undertaking a definitive trial of SDD in the PICU setting through a mixed methods and pilot cluster randomised controlled trial.

Nicole Hunfeld

Dr Nicole Hunfeld is a critical care pharmacist in a large academic hospital (Erasmus MC, Rotterdam, The Netherlands).

She is specialized in pharmacology of sedation and antibiotics, with a link to inflammation.

She is chair of the Green ICU project of the ICU of Erasmus MC, chair of the national Green ICU network and she leads a large interdisciplinary research project involving circular hospitals.

Rajeka Lazarus

Consultant in Microbiology and Infectious Diseases

I am a UKHSA Consultant in Infectious Disease and Microbiology based at the Bristol Royal Infirmary.

I completed my infection training in Oxford and Singapore and I'm the Vice President of the British Infection Society - I have recently initiated a collaboration with the Intensive Care Society to optimise the delivery of infection services within critical care.

I am the microbiology ECMO lead at the Bristol Royal Infirmary.

My other clinical and academic interests are adult vaccines, sustainability in healthcare and tuberculosis. 

: @@LazarusRajeka

Reena Mehta

Consultant Pharmacist, Chair of ICS Learning Division & Pharmacy Professional Advisory Group

Reena is a Consultant Pharmacist in Critical Care at King's College Hospital in London and Chair of the Intensive Care Society's Pharmacy Professional Advisory Group.

She has worked in Critical Care for the past 15 years, leading and managing the Critical Care pharmacy service, providing vision and shaping its future strategy during a period of significant structural change and expansion. She has co-authored and provided specialist input locally & nationally into areas such as pharmacy critical care workforce, clinical guidelines, and advanced critical care training. Reena is a Principal Investigator on a number of NIHR CRN Portfolio studies.

Her specialist areas of interest are the ICU Liberation Bundle (A-F) initiatives, transfer of care around medicines and drug use in extra-corporeal circuits, particularly in renal replacement therapy & ECMO.

Reena is the Pharmacy Lead for the South East London ICS - Critical Care/ODN and a member of the United Kingdom Clinical Pharmacy Association Expert Development Practice Group. She is currently undertaking an MSc in Health Economics, Policy & Management at the London School of Economics and Political Science.

: @ReenaM2703

Richard Pugh

Anaesthetics and Critical Care, Glan Clwyd Hospital in North Wales

Dr Richard Pugh is a Consultant in Intensive Care Medicine working in North Wales and Honorary Senior Lecturer with Cardiff University. He chairs the Wales Critical Care Trauma and Emergency Medicine Network Clinical Reference Group for Critical Care, is immediate past Chair of the Welsh Intensive Care Society, and previous member of the Wales Critical Care Steering Group for healthcare-associated infection

Jeffrey Lipman

Professor Jeffrey Lipman AM, received his medical degree (MBBCh) from the University of Witwatersrand, South Africa and has specialist qualifications in anaesthesia (DA, FFA) and intensive care (FFA Crit Care, FCICM).

For over 20 years he was Director of the Intensive Care Services, Royal Brisbane and Womens’ Hospital and has recently stepped aside to concentrate more on research.

He was Professor and Head of Academy of Critical Care, The University of Queensland for over 20 years having recently stepped down. He is the Executive Director of the Burns, Trauma, Critical Care Research Centre at this University. He has Professorial attachments at QUT, University of New South Wales, Chinese University of Hong Kong and his Alma Mater, University of Witwatersrand.

Professor Lipman is a career Intensivist, having worked full-time in Intensive Care Units since 1979. His research interests include all aspects of infection management in intensive care. He has a special interest in the pharmacokinetics of antibiotics, an area in which he completed his MD through the Chinese University of Hong Kong where he still holds an Adjunct Professorial position. More recently has also obtained the DMed(Res) from The University of Queensland on refining beta-lactam dosing in critically ill patients.

He has published over 30 book chapters and over 650 peer-reviewed articles including in high impact journals like NEJM, JAMA and Lancet Infectious Diseases.

Professor Lipman has been the recipient of a number of National and International awards for his service to Intensive Care Medicine and was awarded 2017 Researcher of the Year by Metro North HHS. In 2020 he received the “Member of the Order of Australia” Also in 2020, he was conferred Honorary Membership of European Society of Intensive Care Medicine (only 2nd Australian).

He has set up numerous clinical trials and as Principal Investigator has just published of a randomised clinical trial of 7200 patients run in over 100 ICUs in a number of different countries.