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Comparing Heated Humidified High Flow Nasal Cannula and Continuous Positive Airway Pressure Therapy for Children with Obstructive Sleep Apnoea
Expand descriptionThis trial compared two breathing therapies — high-flow nasal cannula (HFNC) and CPAP (the current standard treatment), to see whether HFNC was effective as well, and also tolerated for children with moderate-to-severe obstructive sleep apnoea. We also asked children which one they found more comfortable. Each child was studied for one night while sleeping, using sensors to measure how well they were breathing and sleeping on each therapy.
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The Momentum Course: A randomised controlled trial of a remotely-delivered health behaviour change intervention for adults with cardiovascular disease or risk and depression or anxiety symptoms
Expand descriptionThe study is testing a new internet-based health program that can be done from home. The aim is to find out if it helps improve important healthy actions (such as diet and exercise), as well as emotional wellbeing, in adults who have heart or blood vessel conditions or are at risk for these, and who also have symptoms of depression or anxiety. The program is psychologically-informed and designed to teach skills for setting goals, maintaining healthy actions in the long term, and overcoming common challenges.
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Hypothermic Oxygenated Perfusion (HOPE) in Donation after Circulatory Death (DCD) for Adult Heart Transplantation Patients
Expand descriptionThe shortage of donors in heart transplantation remains a global issue. Recently, there has been significant advancement in the field of organ preservation including our recent study using hypothermic oxygenated perfusion (HOPE) in donation after brain death (DBD) donor hearts and clinical experience in heart transplantation using donation after cardiac death (DCD) donor hearts. We hypothesize that combining these methods will provide comparable outcomes to current techniques whilst increasing the number of heart donors to address the shortage of donor organs.
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HeartPath+: A single site effectiveness/implementation feasibility study to test the co-designed HeartPath+ website for patients with coronary heart disease
Expand descriptionHeartPath+ is a digital educational resource for individuals who have experienced a coronary heart event. The early stages of transition from leaving hospital to coming home is a crucial time where many have felt uncertain and lacked information and support to manage their heart health and transition through to outpatient programs such as cardiac rehabilitation. HeartPath+ has been designed with lived experienced consumers. The aim is to empower and assist Australian living with heart disease and their family to actively manage their heart health.
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Can the use continuous glucose monitors in a Diabetes Multidisciplinary Team High Risk Foot Clinic improve patient related outcomes - A feasibility study.
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DEXA-DENT: DEXAmethasone as an analgesic adjunct in the management of acute atraumatic DENTal pain: a pragmatic, triple-blind, parallel group, phase 3 randomised placebo-controlled trial
Expand descriptionDental pain is a common condition that affects 1 in 5 Australians. Access to timely dental care is often difficulty, leading to many patients seeking care from the Emergency Department, where treatment options are often limited. This study aims to evaluate the use of a single dose of dexamethasone taken as a capsule to reduce pain in patients presenting to the Emergency Department with dental pain. Dexamethasone is a cheap and readily available medication that has few side effects and an excellent safety profile.
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A pilot trial of the feasibility to use pre-hospital dried plasma for patients with traumatic brain injury
Expand descriptionTraumatic brain injury (TBI) remains the leading cause of death after injury. In animal models, early treatment with plasma significantly attenuated neurological impairment after TBI. Early treatment with plasma is therefore a potential therapy for moderate to severe TBI that requires assessment in randomised trials. The aim of this study is to undertake a pilot RCT of early plasma versus standard care among patients with moderate to severe TBI.
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Building police officer resilience and wellbeing using Mindarma—an online mindfulness-based program
Expand descriptionPolice officers experience unrelenting stress on the job, contributing to high rates of psychological distress. This study will examine if an online mental wellbeing program—Mindarma—can increase psychological resilience in Victoria Police officers and reduce psychological distress. If successful, the Mindarma program may be offered to all Victorian police officers as a vital wellbeing tool.
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The Angel Catheter in Trauma Patients – A Pilot Study
Expand descriptionThe Angel Catheter© is a temporary filter device that can be inserted at the patient’s bedside by a trained trauma clinician, without needing an IR suite or a specialist radiology team. It combines a clot-catching filter with a standard intravenous catheter through which fluids and medication can be administered, serving dual purposes during the highest PE risk window. The catheter is removed after several days, once blood thinners can safely be administered or a longer-term filter is placed in the IR suite. The device is already approved for use overseas (FDA-approved in the US and CE-certified in Europe) and demonstrated a good safety and efficacy profile in international clinical trials. To date, no Australian trauma centre has evaluated the Angel Catheter. This proof of concept feasibility pilot study will do this for the first time.
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A Randomised Controlled Trial Comparing Laparoscopic-Guided and Ultrasound-Guided Transversus Abdominis Plane (TAP) Blocks for Robotic Gynaecological Surgery
Expand descriptionThis study will compare two commonly used methods of providing pain relief after robotic gynaecological surgery: a TAP block performed by the surgeon during the operation and a TAP block performed by the anaesthetist using ultrasound guidance. Participants will be randomly assigned to receive one of the two techniques. The main aim is to determine whether the surgeon-performed TAP block provides similar pain relief, measured by the amount of opioid pain medication required in the first 24 hours after surgery. We will also compare pain scores, nausea and vomiting, length of hospital stay, complications, and the time taken to perform each technique. The results may help identify the most effective and efficient approach to pain management for patients undergoing robotic gynaecological surgery.