First meeting was called Advances in ITU in 2004 and held in Castleton at McDonald Norton Grange Hotel. This was a one day meeeting and teh faculties were Prof Mervyn Singer, Dr Jane Eddleston, Dr Peter Nightingale, Dr Rafat Saad, Dr James Coakley and Dr Tracey Watt and the topics include Pressure vs Flow, Immuno Nutrition, VAP, High Frequency Oscillation in DGH, and Crtical Illness Polyneuropathy.