Critical Care at the Royal Liverpool University Hospital
of Critical Care
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Intensive Care Unit (ICU) [photo]
is a 19 bed (18 staffed) facility situated on the 1st floor of the Hospital, XYZ side. It moved into
present accommodation in 1992.
We also staff a 14 bed High
Dependency Unit (HDU) on the 8th floor (8B-HDU) that was opened in late 2009. HDU admitted 858 patients in 2016.
We are also responsible for a Critical Care Outreach Team (CCOT) which works throughout the hospital.
Both units are housed within
Liverpool University Hospital, an acute
Secretary: Helen Allanson:
0151 706 3191 or 0151 706 3853
Who can be e-mailed
with the format: email@example.com
0151 706 2400
0151 706 5813
- Fax: 0151 706 5853 or 0151 706 5646
overseas dial: + 44 151 706 XXXX]
- Postal address:
Intensive Care, 12th Floor, Royal Liverpool University Hospital,
LIVERPOOL, L7 8XP
Clinical Director of Intensive Care:
other Consultant Intensivist Staff are:
- Dr Andrew D Axon (New Hospital Commissioning Lead; Undergraduate Education Lead)
- Dr Leon J Cloherty (HDU Lead; Critical Incident Lead; Safety Lead)
- Dr Maryam N Crews (Trainee Rostering Lead; Safeguarding Lead; Quality Improvement Lead; IT Lead)
- Dr Elizabeth A Flockton (Consultant Rostering
Lead; ICS Link)
- Dr Alison M Hall (Infection
Prevention & Control Lead)
- Dr Peter A Hampshire (Deputy Clinical Lead; Organ Donation Lead; Simulation Training Lead; Follow-up Clinic)
- Dr Anand G Iyer (Equipment Lead; Faculty Tutor and Education Lead)
- Dr Norman Main (Audit Lead; AED/AMAU Liaison; Deputy Faculty Tutor for physician trainees in ICU)
- Dr Lawrence A McCrossan (Ethics Lead; Transfer Lead; Medical Recruitment; Palliative Liaison.))
- Dr Victoria E Packham (ICNARC Lead; Trainee Rostering)
- Dr Lee A L Poole (AMICU
Treasurer; Deputy Regional Adviser for Anaesthesia; Trust Tracheostomy Lead.)
- Dr Simon A Rogers (Vascualr Lead; MICC Course; joint Infection
Prevention & Control joint Lead)
- Dr Vinoth Sankar (Echo training lead)
- Cllr Dr Richard Wenstone (ICU M&M Lead; BMA POWAR; Nutrition Lead; Rehabilitiation Lead; Liverpool City Councillor) (Local Bronze
Clinical Excellence Award holder.)
with the format: firstname.lastname@example.org
are supported by one or two Clinical Fellows (12 months'
post), although currently none are in post, as well as other
trainees who operate on a shift system designed to produce an average
working week of 48 hours:
are seconded from The
Department of Anaesthesia and from other departments such as
Acute Medicine and Respiratory Medicine as well as "Common Stem"
also train about six Foundation Year doctors.
staff have also managed the hospital's High Dependency Unit (located in
since late 2009
Department of Anaesthesia's medical staff
manage the Hospital's Post-operative Critical Care Unit (POCCU) (about 562 admissions in 2016)
- A "closed", mixed unit providing a range of
acute respiratory and renal support modalities for the population of
Merseyside and beyond.
- Number of admissions: 779 in 2016 (66% of
our patients were invasively ventilated and 18% underwent renal replacement therapy)
- Number of beds: 19 (18 funded currently)
- Mean [median] APACHE II score in 2016: 16 
- Formal consultant intensivist ward
rounds take place twice daily at 0800 hr (0900 hr at weekends) and
again at 1700 or 2000 hr.
- Tutorials for trainees take place Wednesday mornings and Educational, Audit, Radiology Rounds or other
meetings are held weekly.
Development and Audit
have an established research team providing a 7-day recruitment
are active members of Northwest Coast Critical Care Research
Recently completed studies and studies under way:
modulators for the early diagnosis of sepsis (MOD study)
International Multi Centre study to investigate immune modulators for
the early diagnosis of sepsis in patients undergoing major elective
2009. UKCRN ID: 6825. Sponsor:
DstL. Site P.I.s: Dr. Jonathan Walker, Dr. Richard Wenstone
III, international, randomised, double–blind, placebo–controlled
study to assess the safety and efficacy of ART-123 in subjects with
severe sepsis and coagulopathy.
2013. First patient recruited 2015. Only 3 other UK patients
13862. Sponsor: Asahi Kasei Pharma America Corporation.
Site P.I.: Prof Ingeborg Welters
Trial of Invasive and Non-invasive Weaning Off Ventilation
Breathe study is a pragmatic, randomised, controlled, open,
multi-centre, effectiveness trial to determine if the use of Non
Invasive Ventillation as an intermediate step in the protocolised
weaning of patients off invasive ventilation is clinically and cost
effective. Patients with respiratory failure who have received
invasive ventilation for more than 48 hours (from the time of
intubation) and fail a spontaneous breathing test (SBT) will be
randomised in a 1:1 ratio to invasive or non-invasive weaning
ID 13347 Sponsors: Heart
of England NHS Foundation Trust University of Warwick Site
P.I.s Prof Ingeborg Welters, Dr Peter Hampshire
Exclusion of VAP for Improved Antibiotic Stewardship
Randomised Controlled Trial of Biomarker-based Exclusion of VAP to
Improve Antibiotic Stewardship.
ID 14666. Sponsors:
upon Tyne Hospitals NHS Foundation Trust. Site
P.I. Prof Ingeborg Welters
contraction velocity. Improving echocardiography in the critical care
setting and predicting outcomes)
2-Centre study aiming to assess feasibility of using isovolumic
contraction velocity (IVCV) in the critical care setting.
2012. Sponsors: Aintree University Hospitals, Royal Liverpool
P.I.: Prof. Ingeborg Welters.
Multicenter, Non-interventional, Observational, Post-Approval Safety
Study of Updated ACCUSOL 35 Solutions in Continuous Renal Replacement
Phase III Double-Blind, Randomized, Parallel Group, Multicenter Placebo-Controlled Trial to Study the Efficacy and Safety of
Patients with Acquired Thrombotic Thrombocytopenic
is a trial of a new way of treating patients with respiratory
failure. It is a multi-centre clinical trial which aims to determine
whether veno-venous extracorporeal carbon dioxide removal (VV-ECCO2R)
and lower tidal volume mechanical ventilation improves outcomes and
is cost-effective, in comparison with standard care in patients who
are mechanically ventilated for acute hypoxaemic respiratory failure.
Belfast Health and Social Care Trust. Site
P.I.: Dr Ingeborg Welters.
Dysfunction in Trauma)
national prospective point prevalence study of multiple organ
dysfunction in critical care trauma patients.
Clinical Characterisation Protocol for Severe Emerging Infections.
ISARIC/WHO Clinical Characterisation Protocol for Severe Emerging
Infections is a "Rapid Response Research Protocol" that
sits or rather “sleeps" in the DH NIHR Pandemic Preparedness
Phase 3, Placebo-Controlled, Randomized, Double-Blind, Multi- Center
Study of LJPC-501
in Patients with Catecholamine-Resistant
Hypotension (CRH). (Angiotensin II or placebo for catecholamine-resistant hypotension)
P.I.: Prof Ingeborg Welters.
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- The Unit subscribes to the national
case-mix study under the auspices of The Intensive Care National Audit
and Research Centre, ICNARC. Our audit medical lead is Dr Norman Main, and our ICNARC medical lead is Dr Victoria Packham.
- Sister Marie Brady
liaises on behalf of the ITU with our local Critical Care Network, which was set up to promote research, share ideas and promote
collaboration within region.
& Critical Care Outreach
- The Matron, Critical Care is Andrea Fazakerley.
Educational meetings are held regularly. There are also occasional
multi-disciplinary audit or ethics meetings.
- For further
information about nursing staff, activities and job opportunities
e-mail Andrea Fazakerley or telephone at extension 2499.
Nurse CCOT is: Elizabeth Arthan, Lorraine Burgess, Andrea Fazakerley, Karen Francis, Dawn Lacey and Gillian
- The Medical Lead is Dr Elizabeth Flockton
- The Practice/CCOT Educator is Kellie Beever
contacted by e-mail [with
the format: email@example.com]
telephone [ICU direct line:
0151 706 2400; CCOT
direct line: 0151 706 5813]
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As well as
Medical, Nursing, Physiotherapy and Medical Engineering Staff, the Unit
is complemented by a specialist technician (Operating Department
information about Intensive Care in the Cheshire & Mersey area,
follow the links to the Association of Mersey Intensive Care Units, A.M.I.C.U. (A link to the Cheshire
and Mersey Critical Care Network's own web site can be found here.)
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Care in our local area:
Further information about our local network can be found here: www.cmccn.nhs.uk
Page last updated: 30 March 2017
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