Mo Al-Haddad

Mo Al-Haddad

Consultant in Anaesthesia & Critical Care at the Queen Elizabeth University Hospital. Interests are in Training & Education. Co-Programme Director for the MSc Critical Care at University of Glasgow

Location Glasgow, Scotland, United Kingdom


  • Welcome Ali from Kuwait

  • Mo Al-Haddad made a comment

    In response to Tatjana's comment. HFNO can be delivered in a respiratory ward. However, as the trajectory was one of deterioration, it is probably better to provide HFNO in HDU so that if the patient deteriorates further, then invasive ventilation could be provided without the need to move the patient.

    I am not a fan of using portable HFNO, although this...

  • ECMO is currently only delivered in certain specialist centres. There are only a few ICUs in the UK for example where it can be delivered.

    For outcomes after ECMO, have a look at

    which has reference to other work on outcomes

  • See post above

  • We will work on that Tatjana

  • Mo Al-Haddad made a comment

    HFNO was used initially without success. There is little to be gained by a trail of NIV (BiPAP). Oxygen to HFNO to Invasive ventilation would be the usual course of action here.

  • Well done @AnthonyRimmer and excellent summary on page 10 of this document

  • The colostomy is a mucous fistula.

  • Agree Heather. You were taught well I think :) NIV has a limited role in pneumonia.

  • I agree Nicholas. It is very important not to delay invasive ventilation. BIPAP and even CPAP have a very limited role in patients with pneumonia.

  • I would not give an opioid for a patient with pneumonia to relieve respiratory distress. It would risk further respiratory compromise. It can, however, be used in a palliative setting.

  • @DavidIrvine I agree, HFNO would be my first line for escalation. I think in the context of pneumonia, CPAP and NIV have limited use as they tend to delay the decision to invasively ventilate the patient.

    Even with HFNO, if the trajectory is such that the patient is rapidly deteriorating, then this should be skipped and invasive ventilation should be...

  • This is a great response Jennifer.

    There is definitely an argument for admitting to an ICU in case of rapid deterioration. This would allow closer monitoring means we don't have to move the patient to instigate invasive ventilation should he need it.

    Ultimately, this might be determined by the availability of resources and local set up.

  • Ella, mechanical ventilation, in general, is either volume controlled or pressure controlled. This refers to the settings. So, in volume controlled ventilation you set the tidal volume while in pressure control you set the inspiratory pressure, which is the pressure delivered with each tidal volume.

    Pressure support normally refers to a mode of ventilation...

  • Really nice and unexpected. This works very well AJ

  • I like the music of this Jenny

  • Definitely one of the lightest entries I have read today :) thanks

  • Not sure why you are not satisfied. It works very well Erin I think. To me, it speaks of the numbness of a wounded soul.

  • Amazing Cento Phil. Very touching

  • And wisdom? That's my father's face in sleep
    Each act closes with your father fallen

    Both lines from 2 different poems by Li-Young Lee.

    The first from a hymn to childhood

    The second from Have you prayed

    The linking theme is obvious, but placing...


    Have you prayed by Li-Young Lee.

    It touched me because my own father is getting older. Every time I visit my parents in Canada I worry it will be the last. Talking about how I felt and not going into the details of why, it felt like an earthquake of adrenaline with my stomach as the epi-centre

  • I found it easier to search by category rather than poets.

  • Still I Rise by Maya Angelou is a wonderful piece on defiance. Facing it by Yusef Komunyakaa about war, loss and the aftermath; very powerful.

  • I grew up in Iraq and have lived in the UK for over 20 years now. Poetry in the Arabic culture/language has had a special status for centuries. I don't think I would be exaggerating if I were to say that poetry is regarded the highest form of literature. Even now, people often quote a line of poetry in conversation, as you would a proverb. Poems often appear...

  • Really like the point you make in the last paragraph Adrian.

  • And what is the verdict Fran :) ?

  • And one might change tact and take a different direction as well Ann, dont you think? so it is not only improving but writing in a different (new) style as well.

  • Lovely poem Dave. Thanks for sharing. Looks like Bukowski was on the 'it can't be taught' camp :)

  • Despite loving to read and write poems, I have a mathematical mind. And to my mind Talent x Effort = result. This is true for the arts, sports and other things that we 'do'. If you have little talent you need a lot of effort to achieve the same result as someone who had a lot of talent but puts much less effort. If you have zero talent or put in zero effort...

  • Amazing Karl. Absolutely wonderful. I hear you and I may know what the word means, but don't know what that feels like. Please take my word for it, that is how I feel. it is just that.

  • Amazing! It's not old had if you haven't read it. Thanks Mary

  • Mo Al-Haddad made a comment

    I think it is the difference between a decorator and an artist. Both use a brush and paint...the intent, meaning and results are different.

  • Mo Al-Haddad made a comment

    'You' is my chosen word. I often write addressing someone; the ONE. 'You' is simple but different and clearly means and feels different to different people.

  • Wonderful Paric. Then again, there are folk - like me-, who don't know what that word means or feels like.

  • Hi everyone. I declare myself here and now as a pretender. I have not read enough poems to declare a favorite. I write because I feel and I am here to read so that maybe I can find a favorite or favorites :)

  • me too

  • Martin Kratz. That poem by Sujata Bhat brought tears to my eyes. Thank you