Intensive Care, Anaesthetic and Perioperative Research Team
The Anaesthetics Research Team was established in 2009. It has two Research Nurses (Danielle Wilcock, Kate Howard) and a Clinical Trials Assistant (Greg Forshaw). The team is led by the Lead Research Nurse Co-ordinator (Hilary Campbell) and is medically supported by the anaesthetists from the perioperative team.
Research plays a key role in improving clinical care. By undertaking various research projects looking into different aspects of perioperative medicine and critical illness, we hope to improve the outcomes for patients undergoing surgery and staying on ICU in the future.
Philosophy of Research Team
- We work as a multidisciplinary team and aim to improve the health of patients through conducting high quality research.
- We aim to give patients sufficient information about research in a clear manner to enable them to make informed choices about their care.
- We respect patients’ rights to confidentiality, privacy and dignity within their right to be looked after in a safe and caring environment.
- We strive to work within the Trust Values at all times
How Patients are involved in Research
Patients who are due to attend pre-assessment and cardiopulmonary exercise clinic are screened for their eligibility against a set criteria. Once identified as eligible patients may be approached with information leaflets either via post or in person. The information leaflets provide details of the study and what is involved for participants, in order for patients to make an informed choice about whether to take part.
As part of the patient pathway when attending pre-assessment clinic patients may be allocated a programmed time slot with a research nurse to discuss the research studies available. If patients have previously been contacted via post or telephone this appointment may be used to take consent and begin completion of study documents.
What’s involved for you as Staff?
Dependent upon the clinical area that you work in, you may be required to care for patients taking part in research studies, and receiving new or different interventions. The Research Nurses will be on hand to support and train staff where needed in order for facilitate the safe delivery of research interventions.
Current Studies relevant to Perioperative Medicine
PRISM (Principle Investigator: John Berridge) - A clinical trial of continuous positive airway pressure (CPAP) to improve lung function for patients who have abdominal surgery. Patients recruited into this study are randomly assigned to either receive 4 hours of CPAP postoperatively, or usual standard care.
The equipment will be set up by one of the research nurses in PACU, and applied once a patient alert and stable post op. The treatment will continue until completed in PACU, NEU, or HDU/ICU only, patients cannot be transferred to ward level based care whilst receiving CPAP. Patients will be followed up on the ward the next day to review for any possible adverse events, and data collection.
PROBESE (Principle Investigator: Simon Davies) - Protective Ventilation with Higher versus Lower PEEP during General Anesthesia for Surgery in Obese Patients. This is a study looking at the best way to ventilate patients during surgery who are overweight and need an operation and a general anesthetic. Patients are randomly assigned to how they are ventilated in theatre; Low Peep 4 without recruitment maneuvers, or High Peep 12 with recruitment maneuvers. This will be done by the research nurses in theatre just before induction of anesthetic, they will then work alongside the anesthetist to deliver the protocol of intervention, and collect data. Patients are then followed up daily for up to 5 days post operatively on the ward.
Perioperative Quality Improvement Programme (Principle Investigator: James Walkington) - The aim is to improve the care and treatment of patients undergoing major surgery in the United Kingdom. We do this by collecting and studying information about patients, their surgery, and then their recovery afterwards. Data will be collected by patients completing questionnaires at time of consent, Day 1, Day 3, 6 & 12 months post op, and from medical notes throughout the perioperative time period.
Patients that are taking part in interventional studies in this hospital are tracked via alerts on our hospital patient database for safety reporting.
(If a patient is admitted to your ward area with an alert regarding a research study, please contact the relevant research team via the contact details identified on the patient database.)
Danielle Wilcock, Kate Howard, Greg Forshaw