Research and Audit

CATS are at the forefront of research in paediatric retrieval medicine at an international level, with numerous publications in high-impact journals and presentations at various critical care conferences. We are part of the Research Group based on the PICU at Great Ormond Street Hospital and the Critical Care Research Group in the Portex Unit, Institute of Child Health, University College London (UCL). There is a strong research ethic within the clinical service, and all staff are encouraged to undertake a research or audit project while working at CATS.


  • The Intensive Care National Audit and Research Centre (ICNARC), London
  • The Paediatric Intensive Care Audit Network (PICANet), University of Leeds

Current themes

  1. Epidemiology of critical illness in children retrieved to PICU
  2. Novel statistical models to predict outcome in retrieved children
  3. Effects of service organisation and delivery on PICU outcome
  4. Role of troponin I as a diagnostic and prognostic biomarker
  5. Central venous catheter-associated bloodstream infections
  6. Children transferred for neurosurgical intervention to PICU
  7. Salbutamol toxicity in children with severe asthma

The DEPICT Study

For more info visit The DEPICT Study site…

Ongoing clinical trials

Presentations and Publications


  1. Krishnaiah A, Soothill J, Wade A, Mok QQ, Ramnarayan P. Central venous catheter-associated bloodstream infections in a pediatric intensive care unit: effect of the location of catheter insertion. Pediatr Crit Care Med. 2012 May;13(3):e176-80. PubMed
  2. Ramnarayan P, Polke E. The state of paediatric intensive care retrieval in Britain. Arch Dis Child. 2012 Feb;97(2):145-9. Epub 2011 Jul 18. Review. PubMed
  3. ** Ramnarayan P, Thiru K, Parslow RC, Harrison DA, Draper ES, Rowan KM. Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales: a retrospective cohort study. Lancet. 2010 Aug 28;376(9742):698-704. Epub 2010 Aug 11. PubMed
  4. Ramachandra G, Shields L, Brown K, Ramnarayan P. The challenges of prompt identification and resuscitation in children with acute fulminant myocarditis: case series and review of the literature. J Paediatr Child Health. 2010 Oct;46(10):579-82. doi: 10.1111/j.1440-1754.2010.01799.x. PubMed
  5. Lampariello S, Clement M, Aralihond AP, Lutman D, Montgomery MA, Petros AJ, Ramnarayan P. Stabilisation of critically ill children at the district general hospital prior to intensive care retrieval: a snapshot of current practice. Arch Dis Child. 2010 Sep;95(9):681-5. Epub 2009 Aug 9. PubMed


  1. European Society of Paediatric & Neonatal Intensive Care (ESPNIC), Istanbul, Oct 2012
  2. Paediatric Intensive Care Society (PICS) Annual Meeting, Dublin, Sept 2012
  3. European Society of Paediatric & Neonatal Intensive Care (ESPNIC), Hannover, Nov 2011
  4. Paediatric Intensive Care Society (PICS) Annual Meeting, Cambridge, Sept 2011
  5. 7th World Congress of Paediatric Critical Care, Sydney, Australia, March 2011