Can preoperative focused cardiac ultrasound improve morbidity and mortality after emergency noncardiac surgery? a pilot RCT
- Research Opportunity
- PhD, Masters by Research, Honours, Master of Biomedical Science
- Number of Honour Places Available
- Royal Melbourne Hospital
|A/Prof David Cantyfirstname.lastname@example.org||0429058878||Personal web page|
|Prof Colin Royseemail@example.com||0408467548||Personal web page|
A major problem in emergency surgery is that there is not usually enough time to adequately diagnose and optimise heart problems. There is usually only time for basic screening tests such as a 12-lead electrocardiogram and chest x-ray. Standard clinical assessment by a doctor, including results of these tests, will miss clinically important heart disease in up to 50 % of patients, which may lead the treating team of doctors to give the wrong treatment. Transthoracic echocardiography (TTE) is a non-invasive ultrasound test that clearly identifies heart disease that can lead to poor outcome after surgery. A challenge is that formal TTE evaluation by the cardiology department is not immediately available and may delay emergency surgery, and is therefore usually not performed, resulting in 50% of patients having the wrong diagnosis and treatment before surgery.
In this study, half of the patients will be randomly allocated to receive FCU prior to their emergency surgery and the other half will receive the current standard of care. The outcomes of death and complications for each group will be compared at 1 month, 3 months and 12 months after the surgery. The aims of the study are to identify whether the whether the study design is correct or whether it needs some adjusting and whether there is some suggestion that FCU may result in less death and complications after surgery. If the results are positive then it would strongly support commitment to the larger study, which if positive would result in a major change in medical practice that could save lives and relieve suffering to an enormous number of patients in Australia and the rest of the World.
School Research Themes
PhD, Masters by Research, Honours, Master of Biomedical Science
Students who are interested in joining this project will need to consider their elegibility as well as other requirements before contacting the supervisor of this research
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