1. PUBLICATIONS
1. Leech M, Bissett B, Kot M, Ntoumenopoulos G (2014): Physiotherapist
initiated lung ultrasound can change intensive care management of a
deteriorating patient and prevent intubation: a case description.
Physiotherapy Theory and Practice: In press.
2. Paratz JD, Ntoumenopoulos G (2014): Detection of secretion retention in the
ventilated patient. Current Respiratory Medicine Reviews: In press.
3. Leech M, Bissett B, Kot M, Ntoumenopoulos G (2014): Lung ultrasound for
critical care physiotherapists. A narrative review. Physiotherapy Research
International Dec 29: doi: 10.1002/pri.1607.
4. Ntoumenopoulos G, Hough J (2014): Diagnostic thoracic ultrasound within
critical care. Journal of Physiotherapy 60:112.
5. Ntoumenopoulos G, Berry M, Camporota L (2014): Effects of manually-
assisted cough combined with postural drainage, saline instillation and airway
suctioning in critically-ill patients during high frequency oscillatory ventilation:
a prospective observational single centre trial. Physio Theory and Practice
30: 306-3011.
6. Berry MP, Camporota L, Ntoumenopoulos G (2013): Vibration response
imaging: protocol for a systematic review. Syst Rev Sept 25;2(1):86.
7. Cork G, Barrett N, Ntoumenopoulos G (2013): Justification for chest
physiotherapy during ultra-protective lung ventilation and extra-corporeal
membrane oxygenation: a case study. Physiother Res Int 19:126-128.
8. Ntoumenopoulos G: Outcome measures for critical care physiotherapists:
Challenges and Opportunities. Cardiorespiratory Physiotherapy e news
update (June
http://ajp.physiotherapy.asn.au/emailmarketer/display.php?M=4013838&C=0
313f106a7651a814d0a0ac4d550992c&S=6664&L=1816&N=3862)
http://ajp.physiotherapy.asn.au/Eccoms/29May_CRPA_OutcomeMeasures.pd
f
9. Marti D, Ntoumenopoulos G, Torres A (2013): Physiotherapy in
Mechanically Ventilated Patients: Why and How. Clinical Pulmonary
Medicine 20:292-299.
10.G Ntoumenopoulos, Y Glickman (2012): Computerized lung sound
monitoring to assess effectiveness of physiotherapy and secretion removal: a
feasibility study. Physiotherapy 98:250-255.
11.Ntoumenopoulos G, Shannon H, Main E (2011): Do commonly used ventilator
settings for mechanically ventilated adults have the potential to embed
secretions or promote clearance? Resp Care 56:1887-92.
12.Valentin A, Ferdinande P; ESICM Working Group on Quality Improvement.
Recommendations on basic requirements for intensive care units: structural
and organizational aspects. Intensive Care Med. 2011 Oct;37(10):1575-87.
13.Hanekom S, Ntoumenopoulos G, Paratz J, Patman S, Berney S (2011):
The validation of a clinical algorithm for the prevention and management of
pulmonary dysfunction in intubated adults – A synthesis of evidence and
expert opinion. J Eval Clin Pract. 17:801-810.
14.G Ntoumenopoulos, Y Glickman (2010): Computerized lung sound
monitoring to assess eff ectiveness of physiotherapy and secretion removal: a
feasibility study. Critical Care 2010, 14(Suppl 1):P169 (doi: 10.1186/cc8401)
15.Bahadur K, Jones G, Ntoumenopoulos G (2008): An observational study of

2. sitting out of bed in tracheostomised patients in the intensive care unit.
Physiotherapy. 94:300-305.
16.Ntoumenopoulos G, Shipsides T (2007): Proposal for a more effective chest
physiotherapy treatment in the neuromuscular patient with copious
secretions, bulbar dysfunction and poor cough: a case report. Physiotherapy
93: 164-167.
17.Hodgson C, Ntoumenopoulos G, Dawson H, Paratz J (2007): The Mapleson
C circuit clears more secretions than the Laerdal circuit during manual
hyperinflation in mechanically-ventilated patients: a randomised cross-over
trial. Aust J Physiother. 53 (1):33-8.
18.Ntoumenopoulos G (2005) Indications for manual lung hyperinflation (MHI) in
the mechanically ventilated patient with chronic obstructive pulmonary
disease. Chronic Respir Dis. 2: 199-207.
19.Holland AE, Hill CJ, Nehez E, Ntoumenopoulos G . (2004): Does
unsupported upper limb exercise training improve symptoms and quality of
life for patients with chronic obstructive pulmonary disease? J Cardiopulm
Rehabil 24(6):422-7.
20.Holland AE, Denehy L, Ntoumenopoulos G, Naughton MT, Wilson JW
(2003): Non-invasive ventilation assists chest physiotherapy in adults with
acute exacerbations of cystic fibrosis. Thorax Oct;58(10):880-4.
21.Ntoumenopoulos G, Presneill JJ, McElholum M, Cade JF (2002): Chest
Physiotherapy for the prevention of Ventilator-Associated Pneumonia. Intens.
Care Med. 28: 850-856.
22.Denehy L, Ntoumenopoulos G, Carroll S, Jenkins S (2001): A randomised
controlled trial comparing periodic mask CPAP with physiotherapy after
abdominal surgery. Physiother Res Int 6: 236-50.
23.Ntoumenopoulos G, Presneill JJ, McElholum M, Cade JF (2000): Chest
Physiotherapy for the prevention of Ventilator-Associated Pneumonia. Intens.
Care Med. 26 (Suppl 3): P1.
24.Hodgson C, Denehy L, Ntoumenopoulos G, Santamaria J, Carroll S (2000):
An investigation of the early effects of manual lung hyperinflation in critically-ill
patients. Anaesthesia and Intensive Care 28: 255-261.
25.Hodgson C, Denehy L, Ntoumenopoulos G, Santamaria J, Carroll S (2000):
The acute effects of manual lung hyperinflation in critically-ill patients.
European Respiratory Journal Suppl. 23: 37S.
26.Ntoumenopoulos G, Gild A and Cooper DJ (1998): The effect of manual lung
hyper inflation and postural drainage on pulmonary complications in
mechanically ventilated trauma patients. Anaesthesia and Intensive Care 26:
492-496.
27.Ntoumenopoulos G, Greenwood KM (1996): Effects of cardiothoracic
physiotherapy on intrapulmonary shunt in abdominal surgical patients.
Australian Journal of Physiotherapy 42: 297-303.
28.Ntoumenopoulos G (1995): Topical issues in cardiopulmonary physiotherapy.
Physiotherapy. 81: 92-94.
29.Ntoumenopoulos G, Greenwood KM (1991): Variation in the provision of
cardiothoracic physiotherapy in Australian Hospitals. Australian Journal of
Physiotherapy 37: 29-36.
Published Conference Abstracts

3. 1. McAlinden B, Ntoumenopoulos G, Stanton W, Jauncey-Cooke J, Schibler A,
Hough, J. The effect of chest physiotherapy on regional lung volume changes
and gas exchange in ventilated children using electrical impedance
tomography. Poster presentation at the Australian and New Zealand Intensive
Care Society (ANZICS) Conference, Hobart, 2013.
2. McAlinden B, Ntoumenopoulos G, Stanton W, Jauncey-Cooke J, Schibler A,
Hough, J. The effect of chest physiotherapy on regional lung volume changes
and gas exchange in ventilated children using electrical impedance
tomography. Poster presentation for 5th Paediatric Intensive and Critical Care
Conference, Istanbul Turkey, 2014.
3. Riley M, Osman L, Ntoumenopoulos G (2014). Does the addition of
diagnostic lung ultra-sound impact on chest physiotherapy intervention in
critically-ill patients? Intensive Care Medicine. In press.
4. McAlinden B, Ntoumenopoulos G, Jauncey-Cooke J, Schibler A, Hough J
(2014). Effect of chest physiotherapy on regional lung ventilation and gas
exchange in ventilated children using electrical impedance tomography.
Pediatric Critical Care Medicine 15: S102-103.
5. Bassi G-L, MD, Aguilera E, Marti J-D, Wyncoll D, Ntoumenopoulos G,
Comaru T, De Rosa F, Rigol M, Rinaudo M, Torres A (2014). Assessment Of
The Efficacy Of A Novel Closed Suctioning System In The Prevention Of
Endotracheal Tube Obstruction By Airway Secretions. AJRCCM A4561-
A4561.
6. Martı JD, Li Bassi G, Comaru T, Rigol M, Ntoumenopoulos G, Terraneo S,
Aguilera E, Rinaudo M, De Rosa F, Peralta RC, Luque N, Torres A (2013): A
COMPARISON OF THE EFFECTS OF MANUAL AND VENTILATOR
HYPERINFLATION ON MUCUS CLEARANCE RATE, GAS EXCHANGES
AND HEMODYNAMICS IN A MODEL OF SEVERE P. AERUGINOSA
PNEUMONIA. Intensive Care Med 39; Suppl 2: S483.
7. Li Bassi G, Aguilera E, Martı JD, Wyncoll D, Ntoumenopoulos G,
Fernandez L, Terraneo S, Rigol M, Comaru T, De Rosa F, Peralta RC,
Rinaudo M, Luque N, Torres A (2013): EFFICACY OF A NOVEL CLOSED
SUCTIONING SYSTEM FOR THE REMOVAL OF ENDOTRACHEAL TUBE
BIOFILM: A PRELIMINARY ASSESSMENT IN AN ANIMAL MODEL OF
SEVERE P. AERUGINOSA PNEUMONIA. Intensive Care Med 39; Suppl 2:
S777
Unpublished Conference Abstracts
8. McAlinden B, Ntoumenopoulos G, Jauncey-Cooke J, Schibler A, Hough J
(2013): The effect of chest physiotherapy on regional lung volume changes in
ventilated children using electrical impedance tomography. APA Conference
2013 Melbourne 17-20.
9. Ntoumenopoulos G (2013): Mobilisation activities whilst on extracorporeal
membrane oxygenation: challenges for physiotherapists. APA Conference
2013 Melbourne 17-20.
INVITED EDITORIALS

4. 1. Ntoumenopoulos G. Endotracheal suctioning may or may not have an impact,
but it does depend on what you measure! Resp Care. 2013 Oct;58(10)1707-
10.
2. Ntoumenopoulos G. High-frequency chest wall compressions: good for the
patient? Good for the clinician? Respir Care. 2012 Feb;57(2):323-5.
3. Ntoumenopoulos G Using titrated oxygen instead of high flow oxygen during
an acute exacerbation of chronic obstructive pulmonary disease (COPD)
saves lives. J Physiother 2011;57:55.
4. Ntoumenopoulos G. Mucus and flow: embed it or expel it: the clinician, the
patient and now the ventilator. Respir Care. 2008 53:1276-9.
5. Ntoumenopoulos G. Intrapulmonary percussive ventilation improves the
outcomes of helmet ventilation. Aust J Physiother. 2007;53(2):129.
BOOK CHAPTERS
6. Marti D, Ntoumenopoulos G, Torres D. Physiotherapy Update for the Adult
Intensive Care Patient. In Annual update in intensive care and emergency
medicine 2013. Edited by Vincent. Springer-Verlag Berlin. 2013: 833-846.
7. Ntoumenopoulos G. Chapter: First do not harm. Title: How to safely mobilize
your intubated and ventilated patient? In Patient Safety and Quality of Care in
Intensive Care Medicine. ESICM Editors: J.D. Chiche, R. Moreno, C.
Putensen, A. Rhodes (2009).
8. Ntoumenopoulos G. Chapter 14. Managing secretions in the ventilated patient
– the role of humidification, suction, physiotherapy, mucolytics, and airway
adjuncts. In Respiratory Disease and its Management. Springer. Editor
Angela McLuckie (2009): 123-133.
9. Jones Alice, Paratz Jennifer, Ntoumenopoulos George. Chapter 8 Intensive
Care for the Critically Ill – Adult in Physiotherapy for Respiratory and Cardiac
Problems 4th
Ed Editors: Pryor J and Prasad S. (2008).
SERIES EDITOR
1. Detection, causes, clinical impact and management of secretion retention in the
intubated and mechanically ventilated patient. Current Respiratory Medicine Reviews
2014: In Press
a. Editorial:
Overview
Ntoumenopoulos
G
b. Detection
of
secretion
retention
Paratz
J
Ntoumenopoulos
G
c. Causes
of
secretion
retention:
Patient
factors,
Ventilation,
Devices,
Drugs
Bassi
G-­‐L
d. Clinical
impact
of
secretion
retention
Ntoumenopoulos
G
e. Clinical
Management
of
secretion
retention
Berry
M,
Marti
J-­‐D

5. LETTERS TO EDITOR
10.Ntoumenopoulos G (2013). Manual rib cage compressions and mucus flow.
Crit Care Med 41(7):e134-5.
11.Ntoumenopoulos G. Comment on: “Chest physiotherapy effectiveness to
reduce hospitalization and mechanical ventilation length of stay, pulmonary
infection rate and mortality in ICU patients.” Resp Med 2013. In press.
12.Ntoumenopoulos G. High frequency chest wall oscillation or chest
physiotherapy after lung resection? Crit Care Med 2013 41(1):e8-9 doi:
1097/CCM.0b013e318270e430.
13.Ntoumenopoulos G. Outcome measures for manual lung hyperinflation: not
there yet! Crit Care. 2012 Nov 8;16(6):457.
14.Ntoumenopoulos G (2012). Comment on “Effectiveness of Physiotherapy for
Ventilator-associated pneumonia.” Crit Care Res and Prac 2012
doi:10.1155/2012/768456.
15.Ntoumenopoulos G (2010). More about chest physiotherapy and ventilator-
associated pneumonia prevention. Indian J Crit Care Med.14:220.
16.Ntoumenopoulos G (2007): Comment on “Chest physiotherapy prolongs
duration of ventilation in the critically ill ventilated for more than 48 hours”
Templeton M and Palazzo G. Intens Care Med. 33:2027
17.Ntoumenopoulos G (2007). Intrapulmonary percussive ventilation improves
the outcomes of helmet ventilation. Aust J Physiother. 53:129.
18.Ntoumenopoulos G (2005). Expiratory rib-cage compression, airway
suctioning, and atelectasis. Respir Care. 50:387
19.Ntoumenopoulos G (2000). Evaluate the complications of prone positioning
in patients with severe ARDS after trauma. J Trauma 49: 791-792.
20.Ntoumenopoulos G (2000). The role of physiotherapy in ventilator-associated
pneumonia. Anaesthesia 55: 490-491.
21.Ntoumenopoulos G and Dawson H (2000). The Pros and Cons of Manual
Lung Hyperinflation. Anaesthesia 55: 492-494.
22.Ntoumenopoulos G (1999). Questioning flutter therapy. Chest 116: 270-
271.
23.Ntoumenopoulos G (1999). Limitations to study on non-invasive ventilation.
Chest 115: 303.
24.Ntoumenopoulos G (1999). Respiratory rehabilitation. Archives of Physical
Medicine and Rehabilitation 79: 1140-1141.
25.Ntoumenopoulos G (1997). Questioning chest physiotherapy. Chest. 112:
292-293.
26.Ntoumenopoulos G (1996). Bronchoscopic insufflation in lobar atelectasis.
Anaesthesia Intensive Care 24: 730-731.
27.Denehy L, Ntoumenopoulos G, MacLellan DG (1994). The cost-efficiency of
incentive spirometry after abdominal surgery. Australian and New Zealand
Journal of Surgery 64: 637-638.
28.Ntoumenopoulos G (1994). Cardiac arrhythmia's during postural drainage
and chest percussion. Chest 105: 1303-1304.
29.Ntoumenopoulos G (1994): Pre-operative pulmonary function testing.
Respiratory Medicine 88: 157-158.
30.Ntoumenopoulos G (1993). Operative assessment and post-operative care
in acutely-ill patients. Medical Journal of Australia 158: 363.

6. 31.Ntoumenopoulos G (1993). Bagging and percussion. Physiotherapy 79:
196.
GRANTS/AWARDS
2014 Royal Brisbane Hospital Research grant: secretion retention detection
in mechanically ventilated patients (Paratz J, Ntoumenopoulos G,
Jones A, Thomas P, Bassi GL, Torres A) $40,000
2012 Hill-Rom Industry funding in aid to support development of secretion
retention tool £8000
2012 Biovo Technologies: Swine model trial Hospital Clinic Barcelona
(Airway Medix Trial: Dr Gian Luigi Bassi, Professor Antoni Torres, Dani
Marti, George Ntoumenopoulos, Duncan Wyncoll) £27700
2011 Awarded 2 Research PA sessions Guy’s and St Thomas’ NHS
Foundation Trust (April 2011-March 2013) £18300
2010 New Services and Innovations Grant (2010): To investigate novel
measures of secretion retention in the intubated and mechanically
ventilated patient. £58000
2010 Guys and St Thomas’ Charity (2010): Online educational video and
learning package for physiotherapists caring for patients ventilated on
high frequency oscillatory ventilation. £9000
2009 Awarded 3 Research PA sessions AHSC GSTT NHS Foundation Trust
£27500
2002 Churchill Fellow: To investigate the effects of chest physiotherapy
techniques on mucociliary clearance in intubated and mechanically
ventilated patients ($Aus)25000
2001 The Alfred Research Trust Research Grant “The effects of non-
invasive ventilation and chest physiotherapy on respiratory muscle
strength and sputum clearance in cystic fibrosis
A Holland, Dr L Denehy Dr G Ntoumenopoulos (Guy’s and St
Thomas’ Trust, London) Associate Professor M Naughton and
Professor J Wilson (Alfred Hospital and Monash University)
(Aus)$20000
2000 Anaesthetic Supplies Grant-in-Aid:Anne Holland, Linda Denehy,
George Ntoumenopoulos (Guy’s and St Thomas’ Trust, London)
Mathew Naughton and John Wilson (Alfred Hospital and Monash
University)‘The Effects of Non-Invasive Ventilation and Chest
Physiotherapy on Respiratory Muscle Strength and Sputum Clearance
in Cystic Fibrosis’ (Aus)$3500
Total grants: £171,150
RESEARCH STUDENT AWARDS
MRes KCL, London Marc Berry (2012): Characterisation of lung recruitment in
patients with acute respiratory distress syndrome.
GSTFT Biomedical Research Centre Scholarship: £68,000
MRes Cardiorespiratory Physiotherapy (UCL) Primary supervisor: Pradha

7. Rajoo (2009): Best Oral Presentation Allied Health 2009: National Health Care
Group Annual Scientific Conference (Singapore).
TEACHING RESPONSIBILITIES
• Coordinated Respiratory Physiotherapy Study Day- valuing our services
Kings Health Partners Therapies Research Network Respiratory Day Thursday
June 28th
2012, London UK.
• Invited lecturer UCL MSc Advanced Cardiorespiratory Physiotherapy 2003 –
current
• Daily bedside clinical teaching to senior and junior staff on all aspects of critical
care physiotherapy and service delivery
• Tutor at annual thoracic ultrasound course Guy’s and St Thomas’ NHS
Foundation Trust 2008 - current
• Invited lecturer to Undergraduate and Entry Level Masters Physiotherapy
Course Kings College London, University College London Advanced Masters in
Cardiopulmonary Physiotherapy.
• Coordinated Annual Singapore General Hospital Post Graduate Allied Health
Institute Annual Cardiopulmonary Physiotherapy Course: Focus on Critical Care
Course Physiotherapy – Clinical Reasoning. Jan 7 and 8, 2010
• CPRC (Dublin): (May 2007): Advanced mechanical study day session
NATIONAL AND INTERNATIONAL CONFERENCE PRESENTATIONS
Invited speaker, chair of sessions, speaker, research presentations
1. G. Li Bassi, MD, PhD1, E. Aguilera, Bsc1, J.D. Marti, RPT, PhD1, D. Wyncoll,
MD2, G. Ntoumenopoulos, RPT, PhD3, T. Comaru, RPT, PhD1, F. De
Rosa, MD1, M. Rigol, DVM, PhD1, M. Rinaudo, MD1, A. Torres, MD1
Assessment Of The Efficacy Of A Novel Closed Suctioning System In The
Prevention Of Endotracheal Tube Obstruction By Airway Secretions,
American Thoracic Society 2014
2. Ntoumenopoulos G (2014): Invited International Speaker XVII International
Symposium of Cardiorespiratory Physiotherapy and Intensive Care
Physiotherapy, September 3-6, 2014, Salvador/Bahia Brazil
3. Martı JD, Li Bassi G, Comaru T, Rigol M, Ntoumenopoulos G, Terraneo S,
Aguilera E, Rinaudo M, De Rosa F, Peralta RC, Luque N, Torres A: A
COMPARISON OF THE EFFECTS OF MANUAL AND VENTILATOR
HYPERINFLATION ON MUCUS CLEARANCE RATE, GAS EXCHANGES
AND HEMODYNAMICS IN A MODEL OF SEVERE P. AERUGINOSA
PNEUMONIA. ESICM 2013
4. Li Bassi G, Aguilera E, Martı JD, Wyncoll D, Ntoumenopoulos G,
Fernandez L, Terraneo S, Rigol M, Comaru T, De Rosa F, Peralta RC,
Rinaudo M, Luque N, Torres A: EFFICACY OF A NOVEL CLOSED
SUCTIONING SYSTEM FOR THE REMOVAL OF ENDOTRACHEAL TUBE
BIOFILM: A PRELIMINARY ASSESSMENT IN AN ANIMAL MODEL OF
SEVERE P. AERUGINOSA PNEUMONIA. ESICM 2013.
5. Ntoumenopoulos G (2013): Thoracic ultrasound in critical care.
Cardiorespiratory Physiotherapists Queensland Conference November 2013.

8. 6. Ntoumenopoulos G (2013): Invited speaker APA pre-conference workshop
“Get your sick patients fit” Session “Exercise and ECMO” Oct 15, Melbourne,
Australia.
7. Ntoumenopoulos G (2013): Invited keynote speaker “2nd
International Italian
Conference Respiratory Physiotherapy, Genova, Italy March 21-23, 2013.
• Mucus on the move – embed or expel
• Atelectasis how to prevent and treat
8. Ntoumenopoulos G (2012): Invited Keynote Lecture: Physiotherapy UK
October 2012 (Liverpool, UK): “Physiotherapy in Critical Care: What’s the
value?”
9. Ntoumenopoulos G (2011) European Society of Intensive Care Medicine
(Berlin): Speaker and Chair of Session: “Rehabilitation after spinal cord injury”
10.Ntoumenopoulos G (2011): Associated of Chartered Physiotherapists in
Respiratory Care Annual Conference, UK: “Secretion Clearance: Complex
Scenarios”
11.World Confederation for Physical Therapy Amsterdam (2011) – Research
presentations
• Ntoumenopoulos G, Shannon H, Main E. Do conventional ventilator
settings for mechanically ventilated adults embed mucus or promote
clearance?
• Berry M, Ntoumenopoulos G: A descriptive study of physiotherapy
intervention for critically ill patients with H1N1 influenza A.
• Scanlan M, Ntoumenopoulos G, Shannon H, Main E: A comparison of
the effects of manual and ventilator hyperinflation on peak expiratory flow,
with and without chest wall vibrations
• Jones A, Main E, Ntoumenopoulos G: How does high-frequency chest
wall oscillation (HFCWO) affect respiratory parameters during mechanical
ventilation? A bench study.
12.Ntoumenopoulos G (2009): 22nd
European Society of Intensive Care Medicine
(Vienna) Speaker and chair of session: How I use ventilator waveforms?
13.Ntoumenopoulos G (2009): 22nd
European Society of Intensive Care Medicine
(Vienna): How I safely mobilise the intubated and ventilated patient?
14.Ntoumenopoulos G (2009): UK Critical Care Trial Forum: Trial design to
evaluate effects of chest physiotherapy for patients on high frequency
oscillatory ventilation.
15.Ntoumenopoulos G (2007): Keynote Speaker Australian Physiotherapy
Association 2007 (October) Cardiothoracic Physiotherapy Conference: Role
of Consultant Physiotherapist.
16.Ntoumenopoulos G (2007): Cardiorespiratory Physiotherapy Association
(QLD) pre-conference workshop: Evidence base for critical care
physiotherapy.
17.Ntoumenopoulos G (2007): 16th
Update in Critical Care for Physiotherapists
University College London Hospital Bloomsbury Course: “Absent cough in the
ICU patient”.
18.Ntoumenopoulos G (2007): ACPRC Annual Conference London 2007 Dec 4
“Research Evidence Base for Physiotherapy in Intensive Care.”
19.Ntoumenopoulos G (2003): Tales of the River Bank, Guys and St Thomas’
Trust ITU Conference: Airway secretion clearance, should we bother?

9. 20.Ntoumenopoulos G (2001): ACCCN Victorian Conference 2001 A Critical
Odyssey: Chest trauma and non-invasive ventilation-a review of the
evidence.
21.Ntoumenopoulos G (2001): European Society of Intensive Care Medicine
13th Annual Congress Rome, Italy: Chest Physiotherapy for the prevention of
Ventilator-Associated Pneumonia.
EDUCATIONAL COURSES RUN
1. Inaugural Thoracic Ultrasound Course for Respiratory Physiotherapists
May 10, 2014 – George Ntoumenopoulos + Peter Esselbach
St Vincents Hospital
• Instruction in basic thoracic ultrasound (physics, governance)
• Practical skills training
o Normal anatomy
o 4 key pathologies (lung consolidation, pulmonary
oedema, pneumothorax, pleural effusion)
INTERNATIONAL RESEARCH COLLABORATION
• Dr Gianluigi Bassi, Dani Marti, Professor Antoni Torres from the IDIBAPS–
Applied Research Group in Respiratory Diseases – Hospital Clinic Barcelona,
Spain. This group have developed intubated ventilated swine models (MRSA,
pseudomonas pneumonia) to investigate various pharmacological and non-
pharmacological therapies. We have designed two trials to investigate the
impact of chest physiotherapy on mucociliary clearance, and a device to
maintain artificial airway patency. Two research projects commenced data
collection in 2012 and are due for completion January 2013:
1. Manual lung hyperinflation vs ventilator hyperinflation on mucus
clearance
2. Investigation of a novel device (Airway Medix) to maintain endotracheal
tube patency and minimise biofilm formation. Industry support from
Biovo Technologies.
• I have also sought industry funding (Smiths Medical) to investigate the validity
and accuracy of a novel device to monitor the presence of upper airway
secretions in the intubated and mechanically ventilated swine model
• I also plan to seek industry support (Hill-Rom Medical) to investigate the
effect of the High Frequency Chest Wall Oscillation on mucus clearance in
the intubated and ventilated swine model.
MASTERS STUDENT SUPERVISION
1. Bronagh McAlinden (MPhil 2014, ACU) – Associate Supervisor – EIT and
lung recruitment after chest physiotherapy
2. Chloe Apps (UCL MSc 2012, London) – Primary Supervisor - Closed
suctioning on a ventilator – does it generate an inspiratory flow bias and is
this sufficient to impact on simulated mucus movement in an intubated and
ventilated mannequin? Draft publication pending

10. 3. Paul Rennie (UCL MSc 2011, London) – Associate Supervisor - Delivery of
Physiotherapeutic Rehabilitation in adult critical care – a retrospective survey
4. Alison Jones (UCL MSc 2010, London) – Primary Supervisor - Potential
safety implications of using high-frequency chest wall oscillation during
mechanical ventilation. A bench study. Industry support: Hill-Rom Medical.
Draft publication awaiting submission.
5. Second supervisor - Magdalena Chamorro Giné UCL MSc 2009: Effects of
different manual hyperinflation techniques on peak inspiratory flow to peak
expiratory flow ratio when used to enhance airway clearance in a test lung
model.
6. Second supervisor – Pradha Rajoo UCL MSc 2009: Do abdominal binders
improve peak expiratory flow during chest wall vibrations in ventilated adult
patients?
7. First Supervisor – Catherine Warsap UCL MSc 2008: Do Adult Intubated
Ventilated patients on General ITU demonstrate expiratory flow bias in steady
state ventilation?
8. Second supervisor – Maria Scanlan UCL MSc 2008: To investigate and
compare the effects of chest wall vibrations on peak expiratory flow during
manual hyperinflation and ventilator hyperinflation in an artificial lung model.
PhD ASSESSMENTS
• 6 PhD assessments (UK, Australia)
• 3 MSc assessments (Master of Advanced Respiratory Physiotherapy, UCL,
London)
EDITORIAL BOARD
• World Journal Critical Care Medicine 2012-current
JOURNAL PEER REVIEWER
1. Intensive Care Medicine
2. European Respiratory Journal
3. Journal of Physiotherapy
4. Physiotherapy
5. Cochrane Centre
6. Physiotherapy Theory and Practice
7. International Journal for Quality in Health Care
8. Respiratory Care
9. Indian Journal of Critical Care Medicine
10.Thorax
11.HSR proceedings
COLLABORATING ASSOCIATES
Dr Gian Luigi Bassi IDIABPS Hospital Clinic, Barcelona Spain
Professor Antoni Torres IDIABPS Hospital Clinic, Barcelona Spain
Dani Marti IDIABPS Hospital Clinic, Barcelona Spain

11. RESEARCH AND ETHICS TRAINING
• Training in Good Clinical Practice (GCP) and EU trials directive (2001/20/EC)
June 2009.
• GCP Update December 2011
CURRENT PROFESSIONAL MEMBERSHIP
•Health Professions Council, United Kingdom HCPC PH: 31955
•CSP member number: 70309
•European Society of Intensive Care Medicine 2008-current
•AHPRA – PHY0001789739
PREVIOUS REGISTRATION HISTORY
• Physiotherapists Registration Board of Victoria No 3722
• Physiotherapists Registration Board of Western Australia No 1276
• Licensed Physical Therapist State of Illinois USA No 070-008814