Alwin Chuan
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Author Swipe
View article: Preoperative focused echocardiography on patients with fractured neck of femur. ECHONOF-III trial: study protocol for a multicenter randomized controlled trial
Preoperative focused echocardiography on patients with fractured neck of femur. ECHONOF-III trial: study protocol for a multicenter randomized controlled trial Open
Registration number: ACTRN12622001546741. Date registered 14/12/2022.
View article: Routine cognitive screening for older people undergoing major elective surgery: Benefits, risks and costs
Routine cognitive screening for older people undergoing major elective surgery: Benefits, risks and costs Open
Cognitive impairment and older age are major risk factors for postoperative delirium. Professional societies have advocated preoperative screening to identify at-risk individuals for implementation of interventions, which have moderate eff…
View article: Using Virtual Reality to teach ultrasound-guided needling skills for regional anaesthesia: A randomised controlled trial
Using Virtual Reality to teach ultrasound-guided needling skills for regional anaesthesia: A randomised controlled trial Open
Novices trained using a hybrid, virtual reality-assisted teaching program showed no superiority to novices trained using a conventional teaching program, but with less burden on teaching resources.
View article: Perioperative Factors Associated With Postoperative Delirium in Patients Undergoing Noncardiac Surgery
Perioperative Factors Associated With Postoperative Delirium in Patients Undergoing Noncardiac Surgery Open
Importance Postoperative delirium (POD) is a common and serious complication after surgery. Various predisposing factors are associated with POD, but their magnitude and importance using an individual patient data (IPD) meta-analysis have …
View article: Poorer outcomes in patients with early postoperative delirium: 120‐day follow‐up of the Delirium Reduction by Analgesia Management in Hip Fracture (DRAM‐HF) study
Poorer outcomes in patients with early postoperative delirium: 120‐day follow‐up of the Delirium Reduction by Analgesia Management in Hip Fracture (DRAM‐HF) study Open
Objectives The Delirium Reduction by Analgesia Management‐Hip Fracture (DRAM‐HF) model of care, which incorporated a multicomponent intervention focussing on perioperative analgesia and medication optimisation, was associated with reduced …
View article: #35899 Post-market clinical investigation of safety, performance and anaesthetist satisfaction of the ‘Safe injection for regional anaesthesia’ (safira) device in ultrasound guided peripheral nerve blockade
#35899 Post-market clinical investigation of safety, performance and anaesthetist satisfaction of the ‘Safe injection for regional anaesthesia’ (safira) device in ultrasound guided peripheral nerve blockade Open
Please confirm that an ethics committee approval has been applied for or granted: Yes: I'm uploading the Ethics Committee Approval as a PDF file with this abstract submission Background and Aims Mechanisms of nerve injury related to a per…
View article: Design and validation of a virtual reality trainer for ultrasound‐guided regional anaesthesia
Design and validation of a virtual reality trainer for ultrasound‐guided regional anaesthesia Open
Summary Virtual reality is a form of high‐fidelity simulation that may be used to enhance the quality of medical education. We created a bespoke virtual reality trainer software using high resolution motion capture and ultrasound imagery t…
View article: Issue Information – Editorial Board
Issue Information – Editorial Board Open
the opioid epidemic: a simple solution or short-lived sensation?M.
View article: Feasibility of virtual reality‐delivered pain psychology therapy for cancer‐related neuropathic pain: a pilot randomised controlled trial
Feasibility of virtual reality‐delivered pain psychology therapy for cancer‐related neuropathic pain: a pilot randomised controlled trial Open
Summary Virtual reality‐delivered psychological therapies have recently been investigated as non‐pharmacological management for acute and chronic pain. However, no virtual reality pain therapy software existed that met the needs of cancer …
View article: Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge
Post-operative delirium in the patient with hip fracture: The journey from hospital arrival to discharge Open
Delirium- an acute disorder of attention and cognition- is the commonest complication following hip fracture. Patients with hip fracture are particularly vulnerable to delirium, and many of the lessons from the care of the patient with hip…
View article: Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project
Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project Open
Background and objectives Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to…
View article: Age-related differences in cognition and postoperative quality of recovery after beach chair position shoulder surgery
Age-related differences in cognition and postoperative quality of recovery after beach chair position shoulder surgery Open
We examined the influence of age in beach chair position shoulder surgery and postoperative quality of recovery by conducting a single-site, observational, cohort study comparing younger aged (18–40 years) versus older aged (at least 60 ye…
View article: Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks
Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks Open
Background There is heterogeneity in the names and anatomical descriptions of regional anesthetic techniques. This may have adverse consequences on education, research, and implementation into clinical practice. We aimed to produce standar…
View article: Contemporary training methods in regional anaesthesia: fundamentals and innovations
Contemporary training methods in regional anaesthesia: fundamentals and innovations Open
Summary Over the past two decades, regional anaesthesia and medical education as a whole have undergone a renaissance. Significant changes in our teaching methods and clinical practice have been influenced by improvements in our theoretica…
View article: The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study
The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study Open
Summary Delirium is a common complication following hip fracture surgery. We introduced a peri‐operative care bundle that standardised management in the emergency department, operating theatre and ward. This incorporated: use of fascia ili…
View article: Recommendations and resources for regional anaesthesia Fellowships in Australia and New Zealand
Recommendations and resources for regional anaesthesia Fellowships in Australia and New Zealand Open
Regional anaesthesia is a fundamental aspect of anaesthesia practice. Structured Fellowships in regional anaesthesia facilitate the development of expert clinicians, scholars and future leaders. The Australian and New Zealand College of An…
View article: Research priorities in regional anaesthesia education and training: an international Delphi consensus survey
Research priorities in regional anaesthesia education and training: an international Delphi consensus survey Open
Objectives Education in regional anaesthesia covers several complex and diverse areas, from theoretical aspects to procedural skills, professional behaviours, simulation, curriculum design and assessment. The objectives of this study were …
View article: One-year results of the pilot multicentre randomised trial of preoperative focused cardiac ultrasound in hip fracture surgery
One-year results of the pilot multicentre randomised trial of preoperative focused cardiac ultrasound in hip fracture surgery Open
David J Canty, Johan Heiberg, Yang Yang, Alistair G Royse, Swaroop Margale, Nagesh Nanjappa ... et al.
View article: Cerebrovascular autoregulation monitoring and patient‐centred outcomes after cardiac surgery: a systematic review
Cerebrovascular autoregulation monitoring and patient‐centred outcomes after cardiac surgery: a systematic review Open
Background Impaired cerebrovascular autoregulation (CVAR) is observed in up to 20% of cardiac surgical patients. This systematic review aims to evaluate the association between impaired CVAR, measured by current monitoring techniques, and …
View article: Pilot multi‐centre randomised trial of the impact of pre‐operative focused cardiac ultrasound on mortality and morbidity in patients having surgery for femoral neck fractures ( <scp>ECHONOF</scp> ‐2 pilot)
Pilot multi‐centre randomised trial of the impact of pre‐operative focused cardiac ultrasound on mortality and morbidity in patients having surgery for femoral neck fractures ( <span>ECHONOF</span> ‐2 pilot) Open
Summary Hip fracture surgery is common, usually occurs in elderly patients who have multiple comorbidities, and is associated with high morbidity and mortality. Pre‐operative focused cardiac ultrasound can alter diagnosis and management, b…
View article: Using graph‐digitising software to retrospectively extract graphical anaesthetic monitor data
Using graph‐digitising software to retrospectively extract graphical anaesthetic monitor data Open
White and Pateman describe a prospective method of physiological and anaesthesia data capture for research analysis 1. We have developed a way of reconstructing retrospective graphical data from anaesthetic charts into an electronic numeri…
View article: A Pilot Study Using Preoperative Cerebral Tissue Oxygen Saturation to Stratify Cardiovascular Risk in Major Non-Cardiac Surgery
A Pilot Study Using Preoperative Cerebral Tissue Oxygen Saturation to Stratify Cardiovascular Risk in Major Non-Cardiac Surgery Open
This prospective pilot study evaluated whether low preoperative cerebral tissue oxygen saturation is associated with unfavourable outcomes after major elective non-cardiac surgery. Eighty-one patients over 60 years of age, American Society…
View article: Is impaired cerebrovascular autoregulation associated with outcome in patients admitted to the ICU with early septic shock?
Is impaired cerebrovascular autoregulation associated with outcome in patients admitted to the ICU with early septic shock? Open
CVAR is impaired early in septic shock and is independently associated with mortality at 3-month follow-up. Information based on bedside monitoring of CVAR in the ICU could form a valuable adjunct to guide haemodynamic optimisation in pati…
View article: A randomised controlled trial comparing meat‐based with human cadaveric models for teaching ultrasound‐guided regional anaesthesia
A randomised controlled trial comparing meat‐based with human cadaveric models for teaching ultrasound‐guided regional anaesthesia Open
Summary The aim of this prospective, blinded, randomised controlled study was to compare novices' acquisition of the technical skills of ultrasound‐guided regional anaesthesia using either a meat phantom model or fresh‐frozen human cadaver…