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anaesthesia
19
The Centre is internationally studies. Importantly, some younger
renowned for its work and maintains members of the department have
a strong profile at the forefront of instigated individual investigations
Cognition and Anaesthesia research on specific areas of clinical interest.
with follow-up investigations These range from simple clinical
reaching five years. audits to the investigation of complex
issues such as continuous noninvasive
The Regional Anaesthesia Research
cardiac output monitoring. In
Group has a primary focus on
addition, St. Vincent’s Department
St. Vincent’s Department of ultrasound and its use with regional
of Anaesthesia is participating in
Anaesthesia houses the Centre anaesthesia and safety auditing
two multi-national prospective
for Anaesthesia and Cognitive of regional techniques. Led by Dr
clinical trials.
Function and the Regional Michael Barrington, they hold an
Anaesthesia Research Group, enviable reputation worldwide for
Research applications in the
both at the global forefront of their work in this area.
clinical setting
anaesthesia research.
Projects in progress or completed Regional anaesthesia has undergone
About us a revolution as anaesthetists can
There are currently more than 25
now reliably block peripheral
The Department of Anaesthesia clinical research projects being
nerves which can be visualised with
conducts a diverse range of undertaken in the Department of
ultrasonography.
investigator-driven projects, Anaesthesia. This high output is
encouraged and supported by the indicative of the enthusiasm of the
Research outcomes in relation to
Director, Assoc Prof Michael Davies. staff and the powerful research
patient care
culture of the department.
The cognitive research team Reliable peripheral nerve blockade
currently comprises a team of The studies are being undertaken
means avoidance of general
four full-time scientists plus two by members of the department
anaesthesia in many cases and
Advanced Medical Science (AMS) ranging from more senior members
improved postoperative pain relief.
students from the University of to junior registrars, with the support
Melbourne. Another scientist is of professional research staff. The
The team
engaged full time with the regional scope of the projects is reflective
research team and in addition we of the main interests within the Assoc Prof Michael Davies, Director;
have a full-time departmental department. The echocardiography Dr Kara Allen, Anaesthetic Registrar;
research nurse. group is currently undertaking four Dr Michael Barrington, Senior Staff
large projects investigating cardiac Anaesthetist; Dr John Cormack,
The Centre for Anaesthesia and performance. The ultrasound- Visiting Senior Staff Anaesthetist;
Cognitive Function, led by Assoc guided regional anaesthesia group Dr Tim Costello, Visiting Senior Staff
Prof Brendan Silbert and Assoc Prof has embarked on a diverse research Anaesthetist; Dr Brian Cowie, Staff
David Scott holds four major NHMRC program incorporating more Anaesthetist; Dr Roberta Deam,
project grants, an ANZCA project, than 10 individual studies using Visiting Anaesthetist; Lisbeth Evered,
academic enhancement grants and sonography to improve the delivery Research – Scientist/Clinical; Sam
NHF grants, together with a number of regional anaesthesia. The Centre Gledhill, Research Assistant; Dr J
of smaller investigator grants. for Anaesthesia and Cognitive Golshevsky, Anaesthetic Registrar; Dr
Function has registered six clinical Gaylene Heard, Visiting Anaesthetist;
20 ANAEStHESIA
Dr Simon Jones, Visiting and mitral valve dimensions. Selected international
Anaesthetist; Dr Mario Kalpokas, Australia and New Zealand College of presentations
Visiting Anaesthetist; Dr Roman Anaesthetists, (2008-2009), $21,000
Barrington M
Kluger, Senior Staff Anaesthetist;
Lee T, Barrington M, Gledhill S – Speaker, ‘Safety of regional
Dr Sally Lacey, Anaesthetic
Prospective trial of selective anaesthesia in the ultrasound
Registrar; Dr Brad LaFerlita, Visiting
ultrasound-guided obturator nerve ERA’, Australian Society of
Anaesthetist; Dr Bridget Langley,
blockade for lower limb surgery, Anaesthetists/New Zealand
Staff Anaesthetist; Dr Mon Lee,
Pfizer Neurosciences Research Grant, Society of Anaesthetists Combined
Anaesthetic Registrar; Dr Tim Lee,
(2008-2009), $19,000 Scientific Congress, Wellington,
Anaesthetic Registrar; Dr Lisa Lin,
New Zealand, October 2008
Anaesthetic Registrar; Dr Matthew Scott D, Silbert B
Matusik, Staff Anaesthetist; Wendy Langley B
Cardiac Interventions, Surgery and
McDonald, Acute Pain Nurse; Dr Des – Speaker, ‘Anaesthetic complications
Cognitive Outcomes (CISCO) Study.
McGlade, Senior Staff Anaesthetist; 1992-2006 at St. Vincent’s Hospital
Commonwealth Government –
Dr Tim McIvor, Anaesthetic Melbourne’, Australian Society
NHMRC, (2007-2009), $323,375
Registrar; Dr Rowan Molnar, Senior of Anaesthetists/New Zealand
Staff Anaesthetist; Dr David Olive, Dementia In Response to Society of Anaesthetists Combined
Visiting Anaesthetist; Simone Said, Endovascular & Cardiac Surgical Scientific Congress, Wellington,
Research Nurse; Dr Christopher Therapies (DIRECT). Commonwealth New Zealand, October 2008
Scarff, Visiting Anaesthetist; Assoc Government – NHMRC, (2007-2009), Lee T
Prof David A Scott, Deputy Director; $390,000 – Speaker, ‘Evaluation of posterior
Assoc Prof Brendan Silbert, Senior and subcostal ultrasound guided
Scott D, Silbert B, Evered L
Staff Anaesthetist; Dr Gabe Snyder, TAP block’, Australian Society
Anaesthetic Registrar; Dr Michael Coronary Angiography, Transcranial
of Anaesthetists/New Zealand
Solly, Visiting Anaesthetist; Dr Doppler and Cognitive Health
Society of Anaesthetists Combined
Jaclyn Soo, Anaesthetic Registrar; (CATCH) Study. National Research
Scientific Congress, Wellington,
Dr Andrew Stewart, Senior Staff Foundations – National Heart
New Zealand, October 2008
Anaesthetist; Dr Rowan Thomas, Foundation, (2007-2008), $53,070
Molnar R
Senior Staff Anaesthetist; Tuyen Silbert B, Scott D, Evered L – Invited speaker, ‘Anaesthesia for
Tran, Advanced Medical Science
ANZCA Academic Enhancement hemipelectomy’, Annual Scientific
(AMS) Student; Dr Daniel Wong,
Grant (transcranial doppler in Congress of the Royal Australian
Staff Anaesthetist
surgery and cognitive outcome College of Surgeons and the
five years post cardiac surgery). College of Surgeons of Hong Kong,
Grants Australia and New Zealand College of Hong Kong, April 2008
Barrington M Anaesthetists, (2008) $90,000 – Speaker, ‘Passive observation on
Regional Anaesthesia Database high fidelity simulation does not
Anaesthesia, Cognition, Evaluation
Project. Astra-Zeneca, (2008-2009), improve performance of medical
(ACE) Study. Commonwealth
$20,000 students in a cardiac arrest scenario’,
Government – NHMRC, (2007-2008),
8th International Meeting on
Kluger R, Kalpokas M $418,675
Simulation in Healthcare, San
Comparison of 2D with real-time Diego, USA, March 2008
3D transoesophageal echo for
assessment of ventricular volumes
ANAEStHESIA 21
Scarff C Collaborations Rozen WM, Tran TM, Ashton MW,
Barrington MJ, Ivanusic JJ, Taylor GI 2008,
– Invited speaker, ‘Regional National ‘Refining the course of the thoracolumbar
anaesthesia for breast surgery’, nerves: a new understanding of the
– Alfred Hospital
Annual Scientific Congress of innervation of the anterior abdominal wall’,
– Monash Medical Centre Clin Anat, 21, 4, 325-33
the Royal Australian College of
Surgeons and the College of – Monash University Scott D, McDonald W 2008 ‘Assessment
Surgeons of Hong Kong, Hong – Royal Melbourne Hospital measurement and history’, Acute Pain.
Clinical Pain Management, Hodder Arnold
Kong, April 2008
Scott D Publications Silbert BS, Evered LA, Scott DA, Cowie TF
2008, ‘The apolipoprotein E epsilon4 allele
– Invited speaker, ‘Antifrinolytics and Barrington MJ, Scott DA 2008, ‘Do we need is not associated with cognitive dysfunction
procoagulants in cardiac surgery to justify epidural analgesia beyond pain in cardiac surgery’, Ann Thorac Surg, 86, 3,
relief?’ Lancet, 372, 9638, 514-6
– separating myths from reality’ 841-7
and ‘TOE and outcome in cardiac Barrington MJ, Lai SL, Briggs CA, Ivanusic JJ, Silbert B, Evered L, Scott DA, McCutcheon
surgery – is it now the standard of Gledhill SR 2008, ‘Ultrasound-guided mid C, Jamrozik K 2008, ‘Homocysteine and
thigh sciatic nerve block – a clinical and
care?’, Annual Scientific Congress C-reactive protein are not markers of
anatomical study’, Reg Anesth Pain Med, 33, cognitive impairment in patients with
of the Royal Australian College 4, 369-76 major cardiovascular disease’, Dement
of Surgeons and the College of Geriatr Cogn Disord, 25, 4, 309-16
Barrington MJ, Olive DJ, McCutcheon
Surgeons of Hong Kong, Hong
CA, Scarff C, Said S, Kluger R, Gillett N, Wong D 2008, Post Anaesthesia Care Unit
Kong, April 2008 Choong P 2008, ‘Stimulating catheters for Essentials of Neuroanesthesia and Neuro
Silbert B continuous femoral nerve blockade after Intensive Care
total knee arthroplasty: a randomised,
– Speaker, ‘Prospective assessment of controlled, double-blinded trial’, Anesth
cognitive function during elective Analg, 106, 4, 1316-21,
diagnostic coronary angiography’,
Chia AC, Irwin MG, Lee PW, Lee TH, Man SE
Israeli Society of Anaesthetists, Tel 2008, ‘Comparison of stress in anaesthetic
Aviv, Israel, September 2008 trainees between Hong Kong and Victoria,
Australia’, Anaesth Intensive Care, 36, 6,
Wong D
855-62
– Speaker, ‘Sonographic location of
Myles PS, Smith J, Knight J, Cooper DJ,
the radial nerve by confirmed nerve
Silbert B, McNeil J, Esmore DS, Buxton B,
stimulation during brachial plexus Krum H, Forbes A, Tonkin A 2008, ‘Aspirin
blockade’, European Society of and tranexamic acid for coronary artery
Regional Anaesthesia Conference, surgery (ATACAS) trial: rationale and
design’, Am Heart J, 155, 2, 224-30
Genoa, Italy, September 2008
– Speaker, ‘Ultrasound-guided Phan TD, Ismail H, Heriot AG, Ho KM 2008,
‘Improving perioperative outcomes: fluid
axillary supraclavicular, femoral optimisation with the esophageal Doppler
and sciatic nerve blocks’, Teikyo monitor, a meta-analysis and review’, J Am
University Hospital, Japan, Coll Surg, 207, 6, 935-41
December 2008
