Evaluating And Disseminating The Implementation Success Of A Surgical Training Program
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Removal of the uterus (hysterectomy) is the most commonly performed major surgical procedure in women (30,000/yr in Australia). Internationally, only about 25% of hysterectomies are still performed through an open abdominal approach, compared to 40% in Australia. This means that too many women in Australia will suffer unnecessary side-effects, pain and long recovery, keeping them away from their family and usual tasks longer than necessary.
Improving Patient Outcomes In Surgery: Implementing The WHO Surgical Safety Checklist
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
Surgery is central to health care with an estimated 234 million operations being performed each year around the world. Over the past decade, the use of checklists in surgery has been seen as a way of reducing or prevention adverse events. However, there is inconsistent uptake and sustained use of checklists as a communication tool in surgery. The aim of this implementation project is to evaluate the feasibility of an intervention designed to increase the adoption and use of the WHO Checklist in ....Surgery is central to health care with an estimated 234 million operations being performed each year around the world. Over the past decade, the use of checklists in surgery has been seen as a way of reducing or prevention adverse events. However, there is inconsistent uptake and sustained use of checklists as a communication tool in surgery. The aim of this implementation project is to evaluate the feasibility of an intervention designed to increase the adoption and use of the WHO Checklist in clinical practice.Read moreRead less
Risk Prediction For Surgical Site Infections Following Prosthetic Joint Replacement Surgery
Funder
National Health and Medical Research Council
Funding Amount
$376,449.00
Summary
With an ageing population the number of patients undergoing total joint replacement surgery is rapidly increasing. Surgical site infections are one of the most devastating complications of this surgery and are associated with patient suffering and significant healthcare costs. This research aims to identify those patients at greatest risk of infection and to investigate strategies to aid clinical judgment for early diagnosis of surgical site infection.
Non-invasive Methods For Localising Epileptic Brain Activity
Funder
National Health and Medical Research Council
Funding Amount
$662,889.00
Summary
Drug-resistant epilepsy, which arises from areas of damaged brain surface, affects 20 million people. A major challenge is the accurate identification of the location of seizure origin. We will measure the brain's electrical activity (EEG) and changes in blood oxygenation (fMRI), and combine both using advanced mathematical techniques in order to non-invasively pinpoint damaged regions for targeted removal or implantation of a seizure control device.
Perioperative Beta-blockade To Prevent Cardiac Morbidity In High-risk Patients Undergoing Surgery (The POISE Study)
Funder
National Health and Medical Research Council
Funding Amount
$189,625.00
Summary
Non-cardiac surgery is associated with significant risk of complications and death, particularly in elderly patients who are known to have heart disease, or who have risk factors for it (ie smoking, high blood pressure). About 11% of the Australian population are currently taking medications for heart disease or high blood pressure and about 80% have at least one risk factor for heart disease. As more than 2 million Australians have general anaesthesia for non-cardiac surgery every year, a subst ....Non-cardiac surgery is associated with significant risk of complications and death, particularly in elderly patients who are known to have heart disease, or who have risk factors for it (ie smoking, high blood pressure). About 11% of the Australian population are currently taking medications for heart disease or high blood pressure and about 80% have at least one risk factor for heart disease. As more than 2 million Australians have general anaesthesia for non-cardiac surgery every year, a substantial group of patients are therefore at risk of an adverse outcome following surgery. Despite the magnitude of this problem, however, few studies have established treatments to decrease the risk of complications and death following surgery. Beta-blockers are a group of drugs which have been used for decades in the treatment of heart disease and high blood pressure. Beta-blockers are known to improve the way the heart copes with the stress of surgery. They decrease the heart rate, make the heart more efficient at using energy and reduce the likelihood of imbalance between oxygen supply and demand. Some previous studies showed that beta-blockers may reduce the risk of heart attack and death for up to 2 years after surgery. However, other studies have shown no effect of beta-blockers on outcome. These previous studies have involved small numbers of patients who may not represent the broader population having surgery. We therefore propose to undertake a large trial to definitively answer the question about whether beta-blockers improve the outcome after non-cardiac surgery in patients with, or at risk of, heart disease. Even if the effect of beta-blockers is relatively modest, because such large numbers of patients with heart disease have surgery, the overall effect on the rate of complications and death in the population could be very significant. The results of this study could have major implications for the success of, and cost of, surgery worldwide.Read moreRead less
Protecting Fatty Livers From Hepatic Ischemia-reperfusion Injury In Liver Surgery And Transplantation
Funder
National Health and Medical Research Council
Funding Amount
$624,960.00
Summary
About one third of the population have a fatty liver, and this greatly increases risks of liver failure after liver surgery or when fatty donor livers are used for transplantation (such organs are currently disposed of). The disease process is called ischemia-reperfusion injury (IRI). The investigators have recently shown that both fibrates and statins provide partial protection against IRI in fatty livers. This research is directed at establish the protective mechanisms, and whether combination ....About one third of the population have a fatty liver, and this greatly increases risks of liver failure after liver surgery or when fatty donor livers are used for transplantation (such organs are currently disposed of). The disease process is called ischemia-reperfusion injury (IRI). The investigators have recently shown that both fibrates and statins provide partial protection against IRI in fatty livers. This research is directed at establish the protective mechanisms, and whether combination drugs are more effective.Read moreRead less
THE CONTROL OF TYPE 2 DIABETES THROUGH WEIGHT LOSS IN INDIGENOUS AUSTRALIANS: THE FEASIBILITY AND ACCEPTABILITY OF LAGB
Funder
National Health and Medical Research Council
Funding Amount
$600,854.00
Summary
Our recent clinical trial showed that 3 out of every 4 obese people with type 2 diabetes who undergo substantial weight loss have their diabetes go into remission. In this project we recognise in the Indigenous people specific cultural and socio-economic factors and family and community approach to health care and seek to test if the Lap-Band procedure is acceptable to them and if it is feasible to achieve substantial weight loss and control of diabetes as was seen in a European population.
Neurocognitive Studies Of Brain Plasticity Associated With Surgical Treatment Of Arteriovenous Malformations
Funder
National Health and Medical Research Council
Funding Amount
$701,922.00
Summary
We will use state-of-the-art brain imaging methods to test whether specific brain areas which have been chronically starved of adequate blood supply can regenerate, informing debate about limits on brain plasticity. Arteriovenous malformations (AVMs) are longstanding defects which can cause thinking skills to 'migrate' to other brain regions in childhood without noticeable impact. Surgical correction allows a test of what happens to the previously inactive area: Does the area 'start to think'?
CROSSFIRE: Combined Randomised And Observational Study Of Surgery For Fractures In The Distal Radius In The Elderly
Funder
National Health and Medical Research Council
Funding Amount
$551,077.00
Summary
Fractures (breaks) near the wrist are the most common fractures treated. Treatment previously consisted of straightening and plaster casting in the emergency department, but standard treatment now includes admission to hospital and surgery to apply a plate and screws to the bone. The best evidence we have (which is limited) is that surgical plating does not provide important benefits over plastering. We aim to perform a multicentre trial comparing plating to plaster for these common fractures.