Royal Papworth Hospital NHS Trust

Contact Details
  • Address: Royal Papworth Hospital NHS Trust, Papworth Road, Cambridge Biomedical Campus, Cambridge, CB2 0AY
  • ICU Department Contact Details - 01223 638180
  • Faculty Tutor Name: Dr Jagan Murugachandran -   jagan.murugachandran@nhs.net 
Unit Structure
  • Number of Beds:  Open to 36 beds                         
  • Number of Admissions per year: ~ 2500 admissions per year, predominantly Level 3
  • Percentage of Elective vs Emergency Admissions: Elective 75%, Emergency 25%
Overview of Case Mix within the Unit:
  • Average occupancy by speciality:

  • Cardiac surgery = 50-60%

  • Transplant/heart failure/VADS =15- 20%

  • Respiratory ECMO = 5-10%

  • Pulmonary Thromboendarterectomy = 5%

  • Respiratory/thoracic = 5%

  • Cardiology = 10%

 

Research projects being undertaken within this Unit:

 

GenOMICC

 

 

Genetics of susceptibility and mortality in critical care  https://genomicc.org/results/

 

RECOVERY

 

 

Randomised Evaluation of COVID-19 Therapy

https://www.recoverytrial.net/results

 

Remains open to recruitment of Covid patients and patients with Influenza with the following comparisons:

 

SARS-CoV-2

  • High-dose dexamethasone (among patients on non-invasive or invasive ventilatory support) 
  • Empagliflozin 
  • Sotrovimab 
  • Molnupiravir 
  • Nirmatrelvir-ritonavir (Paxlovid) 

Influenza

  • Baloxavir
  • Oseltamivir
  • Low dose steroids (hypoxic, SARS-CoV-2 negative)

 

REMAP-CAP

 

Randomized, Embedded, Multifactorial, Adaptive Platform trial for Community-Acquired Pneumonia  https://www.remapcap.org/media

 

Open for recruitment of Influenza and Covid19 patients who have been on ICU level care <48hrs

 

Open comparisons:

  • Oseltamivir 
  • Macrolide Antibiotics

 

Awaiting Baloxivir comparison

 

Statin domain now closed

 

 

UK-ROX

 

 

Evaluating the clinical and cost-effectiveness of a conservative approach to oxygen therapy for invasively ventilated adults in intensive care

 

 

 

NOTACS

 

 

Effect of High-Flow Nasal Therapy on Patient-Centred Outcomes in Patients at High Risk of Postoperative Pulmonary Complications After Cardiac Surgery: A Multicentre Randomised Controlled Trial.

 

 

High-flow aerosol generation study (NOTACS sub study)

 

 

Aerosol generation after tracheal extubation with high-flow nasal oxygen therapy compared with standard low-flow oxygen therapy: a randomised controlled trial

 

CCP

 

 

ISARIC/WHO Clinical Characterisation Protocol for Severe Emerging Infections

 

Hibernated for Covid Oct 2021

 

Reactivated for Monkey Pox June 2022

T4P

The Threshold for Platelets study: A prospective randomised trial to define the platelet count below which critically ill patients should receive a platelet transfusion prior to an invasive procedure ​

 

Overview of the staffing for the Unit (including medical, ACCP, AHPs)

Day

  • 2 - 3 Consultants
  • 4 - 6 ICU junior doctors (FY2/IMT/ICM StR/ICM fellow)
  • 1 Surgical registrar
  • 1 Critical Care Scientist

Night

  • 1 Consultant
  • 4 ICU junior doctors (FY2/IMT/ICM StR/ICM fellow)
  • 1 Anaesthesia StR/fellow
  • 1 Surgical registrar

Training

Training opportunities when working at this Unit:
  • Management of complex cardiothoracic disease

  • Heart/lung transplantion

  • Mechanical circulatory support (IABP/VA-ECMO/VADs)
  • VV-ECMO (in-house and national retrieval service)
  • Pulmonary thromboendarterectomy
  • Post-op major aortic surgery
  • Cardiology including PCI/EP/structural/OOHCA
  • Complex respiratory disease including pulmonary hypertension, cystic fibrosis, interstitial lung disease
  • Point of Care heart/lung ultrasound
  • Trans-oesophageal echocardiography
Departmental Teaching:
  • Monday 0730 – 0830: ICU teaching (peer to peer)
  • Tuesday 0730 – 0830: POCUS teaching
  • Wednesday 0730 – 0830: ICU teaching (consultant led)
  • Thursday 0730 – 0830: Anaesthesia teaching, Echo teaching
  • Friday 0730 – 0830: Journal Club
Details of clinical governance meeting days and/or M & M:                             
  • Monday 1700 – 1800:  ECMO MDT (monthly)
  • Tuesday 1600 – 1700: Complex Patient Meeting (weekly)
  • Wednesday 1600 – 1730: ICU M&M and MDT (weekly)
The medical specialties and subspecialties it is possible to complete within theTrust/Health Board:
  • Stage 1:    
  • Stage 2:  
  • Which SSYs are offered in your unit:  
Other facilities: