Dr Duncan Macrae

Consultant in paediatric intensive care


Dr Duncan Macrae studied medicine in Scotland. Following that, he continued with postgraduate training in anaesthesia and paediatric intensive care in other parts of the UK and at the Royal Children’s Hospital in Melbourne, Australia.

For ten years, he worked as a consultant paediatric intensivist at Great Ormond Street Hospital for Children.

Dr Duncan Macrae is currently a consultant in paediatric intensive care for Royal Brompton and Harefield Hospital, where he treats both private and NHS patients. He is also clinical lead for paediatric collaboration with Chelsea and Westminster Hospital.

Clinical expertise

Dr Duncan Macrae works in specialist anaesthesia and intensive care, with special interests in:

  • mechanical circulatory support for advance heart failure
  • clinical pharmacology
  • treatment for pulmonary hypertension in intensive care.

Research interests

Dr Duncan Macrae actively pursues clinical research, and has been involved in many important clinical trials including:

  • neonatal extracorporeal membrane oxygenation (ECMO)
  • inhaled nitric oxide
  • control of hyperglycaemia in paediatric intensive care (CHiP)

At the moment, he is researching tight glycaemic control, which is the use of medication to control glucose levels in sick children. There is a clinical trial investigating this potential treatment, which Dr Macrae is coordinating.

In particular, Dr Macrae is interested in discovering the latest ideas from his travels, and implementing different approaches and ways of working as a result. For example, following a visit to the USA, he recently improved processes around risk management in intensive care, to further improve infection control.


Dr Duncan Macrae has published over 100 scientific papers and book chapters. He has extensive experience in reviewing and editing for leading medical journals.

He is the paediatric editor for the European journal Intensive Care Medicine and an associate editor of Pediatric Critical Care Medicine, based in the United States.


Dr Duncan Macrae speaks in the UK and internationally at specialist meetings and courses, congresses and lectures, such as the World Congress of Paediatric Cardiology & Cardiac Surgery.

He plays an active role in international organisations. He is on the scientific committee of the World Congress on Paediatric Critical Care, which meets every four years.


Royal Brompton Hospital