Principal Investigator: Dr. Ava John-Baptiste
Co-investigators: Dr. D. Cheng, Dr. J. Martin, Dr. R. Arellano & Dr. P. Jones
Study Title: Clinical impact of disinvestment in hydroyethyl starches for patients undergoing cardiac surgery
The goal of the project is assess the decision to cease using hydroxyethyl starches (HES) as fluid replacement therapy for patients undergoing cardiac surgery at LHSC. We will define two one-year time periods: 1) the era when HES was available at LHSC and 2) the era when HES was no longer available. We will use administrative databases containing clinical information to determine if there were any changes in the number of red blood cell transfusions, length of stay, in-hospital mortality and mortality 30 days after discharge between the two eras.
Principal Investigator: Dr. Philip Jones
Study Title: International Surgical Outcomes Study (ISOS)
The ISOS study is an international 7-day observational cohort study of complications following elective surgery. All patients undergoing non-urgent surgery (expected to stay in hospital for at least one night postoperatively) over a 7-day period in the spring of 2014 will be monitored for clinically-important outcomes for up to 30 days, and these results will be combined from centres around the world to better quantify the risk of people undergoing surgery.
Principal Investigator: Dr. Rakesh Sondekoppam Vijayashankar
Co-investigators: Dr. S. Ganapathy, D. V. Uppal, Dr. K. Armstrong, Dr. S. MacDonald & Dr. J. Howard
Study Title: Ambulatory continuous adductor canal block to facilitate same day discharge following total knee arthroplasty: A pilot study
ASA 1 and 2 patients undergoing total knee arthroplasty will receive a range of perioperative measures to enable fast-tracking these patients for early discharge. The analgesic component to enable early physiotherapy will comprise of continuous adductor canal block along with multimodal analgesia. The study will evaluate the percentage of patients ready for home discharge within the first 24 hours following total knee arthroplasty when these measures are applied. We will also evaluate the pain scores in the first 5 days following the surgery, causes of delayed discharge and any adverse events.