In 2003 he was appointed as Lead Consultant for the Cardiac Critical Care Unit and Director of the ECMO service at GOSH. He is currently Divisional Co-Chair and Divisional Director of the West Division.
Specialisms
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Paediatric Cardiac Intensive Care Unit
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Mechanical Support ECMO and VADs
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Patient Safety
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Human Factors
Departments
About the Cardiac Intensive Care Unit
About the Cardiac Imaging department
About the Paediatric Cardiology department
About the Extra Corporeal Life Support Service
About the Heart and Lung Transplant Programme
About the Paediatric and Neonatal Intensive Care Unit (PICU/NICU)
About the Pulmonary Hypertension Service
About the Cardiothoracic Surgery Unit
About the Respiratory Medicine and Transitional Care Unit
About the Tracheal service
Qualifications and training
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MRCP (Paediatrics)
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MB BcH South Africa
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MSc Sports Science, South Africa
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Certificate of completion of training in Paediatrics, London, UK
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Member of the Medical Protection Society
Research interests
Current research projects are:
Human factors/Patient safety
Working on a medication bundle to reduce prescription error on the CICU, briefing and debriefing on the ICU and hospital at night handover on how the hospital is run out of hours.
Mechanical Support for infants and children
The focus of this theme of research is on using mechanical support devices, such as ECMO and the Berlin Heart, to bridge children with acute myocardial failure to either recovery or transplantation.
Outcomes studies
(a) to develop a Paediatric Post Operative Morbidity Survey (PPOMS) in infants and children after congenital heart surgery
(b) a neurological follow-up (in particular memory) of children who had acute hypoxaemic respiratory failure as a neonate
(c) Evaluation of the impact of Pre-ECMO ventilation on outcome in children requiring ECMO for respiratory failure.
His research interests focus on the Human Factors aspect of team interfaces, mechanical support as a bridge to heart/lung recovery or transplantation and the genetic basis of inflammation associated with cardiac bypass.
He was the principle investigator in the study looking at the analogy of a Formula 1pit stop to handover of critically ill children from the operating theatre to the ICU after congenital heart surgery.