Ultrasound Education Group

  • Co-director

    Colin Royse
    T: 0408467548
    E: roysec@unimelb.edu.au
    Location: Ultrasound Education Group, Department of Surgery, University of Melbourne, Level 6 Centre for Medical Research, Royal Parade, Parkville VIC 3052
    W: Personal web page

Research Overview

The Ultrasound Education Group is part of the Department of Surgery, University of Melbourne and is located on the 6th floor of the Centre for Medical Research Building, co-located with The Royal Melbourne Hospital.

The group comprises of three full-time academics and 10 professional staff including Edwina Coller (Manager). The academics; Prof Alistair Royse (cardiothoracic surgeon and Deputy Director of Surgery, UoM), Prof Colin Royse (anaesthetist) and Senior Lecturer David Canty (anaesthetist) are also clinicians who work at Melbourne Hospitals, including Royal Melbourne Hospital. They supervise higher research degree students, undergraduate medical students performing research projects, and post-graduated clinicians pursuing active research and education projects.

Research themes include a wide range of ultrasound including transoesophageal echocardiography for cardiac surgery, clinical point of care diagnostic ultrasound of heart, lungs, abdomen, vascular, invasive procedures, and new techniques. Other active areas of research include cardiac surgery, cardiothoracic anaesthesia, postoperative quality of recovery in all types of surgery, and medical education. In 2015 the unit was successful in obtaining the largest NHMRC grant awarded to a department from The University of Melbourne, which was for The International Multi-centre Randomised Trial on Transfusion Triggers in Cardiac Surgery, led from Ontario, Canada.

As the unit title suggests, Ultrasound Education Group have a busy educational projects. They developed and administer graduate courses in clinical ultrasound including certificate, diploma and masters level, which is well subscribed both within Australia and Internationally. The courses are unique in that they are extremely efficient by utilising state of the art on-line interactive eLearning software and platforms for both educational delivery as well as student enrolment, tracking and engagement. In 2011 UEG received the Teaching Award for Excellence in Program Development with the Postgraduate courses in clinical ultrasound. Recently the UEG has acquired high fidelity simulator equipment and set up a simulator education laboratory and education program, which is led by Dr David Canty, The Director of Simulation. A number of courses have been set up , which have been very successful amongst medical specialists, trainees and residents and are likely to change the way that practical ultrasound skills are learned.. Details of the courses and workshops can be found at www.heartweb.com.au

Staff

Academic Staff

Prof Colin Royse, Co-director, Ultrasound Education Group

Prof Alistair Royse, Co-director, Ultrasound Education Group

Dr David Canty, Senior Lecturer and Director of Simulation, Ultrasound Education Group

Education Professional Staff

Ms Edwina Coller, Manager, Ultrasound Education Group

June Ramsey, Personal Assistant - 90358118

Steven Harvey, Course Co-ordinator - 90354739

Jessica Cheung, casual - 90356463

Arthur Jong, Course Co-ordinator - 83440083

Kristine McDonald, Accounting - 90354605

Laura Mocioaca, Sonographer - 90354700

Anita Wong, Course Co-ordinator - 83440409

Heena Singhania, Course Co-ordinator - 83443069

Michelle Fung, casual - 83442980

Cam Thomas, graphic design - 83443143

Jared Ou-Young, casual - 83481420

Research Staff

Zelda Williams, Research Nurse Manager - 83443148

Lynda Tivendale, Research Nurse - 9342 7000

Natasha Dong, Research Nurse - 9342 7000

Dr Johan Heiberg, PostDoc Research - 0498252429

Collaborators

Monash Health

  • Dr Martin Kim, Clinical Senior Lecturer
  • Dr Shashikanth Manikippa, Clinical Associate Professor
    Western Health
  • Dr Yang Yang, Clinical Senior Lecturer

Eastern Health

  • Clinical Associate Professor Parm Naidoo, Director of Radiology, Dandenong Hospital
    St Vincent's Hospital, Melbourne
  • Dr Tim Haydon
    Epworth Hospital
  • Simulation Centre - Tess Vawser
    Royal Melbourne Hospital
  • Department of Cardiothoracic Surgery
    Saudi Arabia
  • Prof Ahmed Alsaddique
    Tasmania
  • Prof Andrew Palmer, Head of Health Economics, Menzies Institute Tasmania
    London, UK
  • Prof Sam Newman, Neuropsychologist

Funding

NHMRC TRICS $1.5m

ANZCA project grant $52,000 2016-2017

Royal Melbourne Hospital Foundation Equipment grants

  1. 2013 - $140,000 for an ultrasound simulator
  2. 2015 - $43,000 for hand held cardiac ultrasound machines
  3. 2015 - $42,000 for vascular access simulator equipment

Research Opportunities

This research project is available to PhD students to join as part of their thesis.
Please contact the Research Group Leader to discuss your options.

Research Publications

Cardiothoracic Surgery

  1. Whitlock, R.; Healey, J.; Vincent, J.; Brady, K.; Teoh, K.; Royse, A.; Shah, P.; Guo, Y.; Alings, M.; Folkeringa, R. J.; Paparella, D.; Colli, A.; Meyer, S. R.; Legare, J. F.; Lamontagne, F.; Reents, W.; Boning, A.; Connolly, S.  Rationale and design of the Left Atrial Appendage Occlusion Study (LAAOS) III  Ann Cardiothorac Surg  (2014)  3 1 45-54   PMID: 24516797  RGMS ID P12892405. Most relevant to this NHMRC application.
  2. Royse CF, Canty DJ, Faris J, Haji DL, Veltman M, Royse A.  Core review: physician-performed ultrasound: the time has come for routine use in acute care medicine.  Anesth Analg  (2012)  115 5  1007 - 1208 RGMS ID P01483152. A review of physician-performed ultrasound a change that is likely to change clinical practice by providing all physicians with immediate and better diagnostic accuracy.
  3. Canty, D; Kim, M; Royse, C; Andrews, D; Bottrell, S; Royse, A  The Impact of Routine Norepinephrine Infusion on Hemodilution and Blood Transfusion in Cardiac Surgery  Anesthe Clinic Res  (2013)  4 8  1-5 RGMS ID P12285184. This paper illustrate a new approach to blood management by adopting a preventative approach – minimising haemodilution and thus need for blood transfusion.
  4. Haji, D. L.; Royse, A.; Royse, C. F.  Review article: Clinical impact of non-cardiologist-performed transthoracic echocardiography in emergency medicine, intensive care medicine and anaesthesia  Emerg Med Australas  (2013)  25 1  4-12 PMID: 23379446  RGMS ID P12285183. The benefits of point of care ultrasound are widely applicable.
  5. Royse, A. G.; Royse, C. F.  Epiaortic ultrasound assessment of the aorta in cardiac surgery  Best Pract Res Clin Anaesthesiol  (2009)  23 3 335-41 RGMS ID P10490719. Follow up technique paper describing the methods of performing intraoperative ultrasound examination of the aorta prior to manipulation to prevent cerebral atheroembolism. This technique has been performed several thousand times.

Focused Cardiac and lung ultrasound

  1. Canty DJ, Royse CF. Audit of anaesthetist-performed echocardiography on perioperative management decisions for non-cardiac surgery. British Journal of Anaesthesia 2009;103(3):352-8.
  2. Canty, Royse C. Re: Audit or something else? British Journal of Anaesthesia 2009 Jul 21.
  3. Canty DJ, Dhara SS. High frequency jet ventilation through a supraglottic airway device: a case series of patients undergoing extra-corporeal shock wave lithotripsy. Anaesthesia 2009; 64: 1295-8.
  4. Canty D, Royse C, Kilpatrick D, Bowman L, Royse A. The impact of focused transthoracic echocardiography in the pre-operative clinic. Anaesthesia 2012; 67(6): 618-25.
  5. Canty D, Royse C, Kilpatrick D, Williams D, Royse A.The impact of preoperative focused transthoracic echocardiography in emergency non-cardiac surgery patients with known or risk of cardiac disease. Anaesthesia 2012; 67(7): 714-20.
  6. Canty D, Royse C, Kilpatrick D, Bowyer A, Royse A. The impact on cardiac diagnosis and mortality of focused transthoracic echocardiography in hip fracture surgery patients with increased risk of cardiac disease: a retrospective cohort study. Anaesthesia 2012; 67(11): 1202-9.
  7. Royse CF, Canty DJ, et al. Core review: physician-performed ultrasound: the time has come for routine use in acute care medicine. Anesthesia & Analgesia 2012 Nov; 115(5): 1007-28.
  8. Lam K, Canty D, Royse C, Royse A. Hospital survey of point-of-care lung ultrasound use in the assessment of peri-operative and critically ill patients. Crit Care 2012; 16: 437. Canty D, Royse C. A reply. Anaesthesia 2013 Feb; 68(2): 207-208.
  9. Canty D, Royse C. Focused Transthoracic Echocardiography in Hip Fracture Surgery Patients (review). International Journal of Clinical Anesthesia 2013 Sep; 1(3):1014.
  10. Lucas J, Canty D. The Impact of Routine Focused Transthoracic Echocardiography Immediately Before Renovascular Surgery in Patients with End Stage Renal Disease– a Brief Report. International Journal of Clinical Anesthesia 2013 Dec; 1(3): 1017
  11. Alsaddique A, Royse AG, Royse CF, Mobeirek A, El Shaer F, AlBackr H, et al. Repeated Monitoring With Transthoracic Echocardiography and Lung Ultrasound After Cardiac Surgery: Feasibility and Impact on Diagnosis. J Cardiothorac Vasc Anesth 2015.
  12. Heiberg J, El-Ansary D, Canty DJ, Royse AG, Royse CF. Focused transthoracic echocardiography: A systematic review of diagnostic and clinical decision making in anaesthesia and critical care Anaesthesia 2016  in-press
  13. Heiberg J, El-Ansary D,  Royse AG, Royse CF, Canty DJ,. Focused transthoracic echocardiography: A systematic review of diagnostic and clinical decision making in anaesthesia and critical care Anaesthesia 2016  in-press

Postoperative Quality of Recovery

  1. Bowyer A, Jakobsson J, Ljungqvist O, Royse C A review of the scope and measurement of postoperative quality of recovery. Anaesthesia 2014; 69: 1266-78.
  2. Bowyer A, Royse C The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications. Can J Anaesth 2016; 63: 176-83.
  3. Bowyer AJ, Royse CF Postoperative recovery and outcomes--what are we measuring and for whom? Anaesthesia 2016; 71 Suppl 1: 72-7.
  4. Lindqvist M, Royse C, Brattwall M, Warren-Stomberg M, Jakobsson J Post-operative Quality of Recovery Scale: the impact of assessment method on cognitive recovery. Acta Anaesthesiol Scand 2013; 57: 1308-12.
  5. Liu J, Yuan W, Wang X, et al. Peripheral nerve blocks versus general anesthesia for total knee replacement in elderly patients on the postoperative quality of recovery. Clin Interv Aging 2014; 9: 341-50.
  6. Newman S, Wilkinson DJ, Royse CF Assessment of early cognitive recovery after surgery using the Post-operative Quality of Recovery Scale. Acta Anaesthesiol Scand 2014; 58: 185-91.
  7. Royse C Epidurals for cardiac surgery: can we substantially reduce surgical morbidity or should we focus on quality of recovery? Anesthesiology 2011; 114: 232-3.
  8. Royse CF, Chung F, Newman S, Stygall J, Wilkinson DJ Predictors of patient satisfaction with anaesthesia and surgery care: a cohort study using the Postoperative Quality of Recovery Scale. Eur J Anaesthesiol 2013; 30: 106-10.
  9. Royse CF, Newman S, Williams Z, Wilkinson DJ A human volunteer study to identify variability in performance in the cognitive domain of the postoperative quality of recovery scale. Anesthesiology 2013; 119: 576-81.
  10. Royse CF, Williams Z, Purser S, Newman S Recovery after nasal surgery vs. tonsillectomy: discriminant validation of the Postoperative Quality of Recovery Scale. Acta Anaesthesiol Scand 2014; 58: 345-51.
  11. Royse CF, Williams Z, Ye G, et al. Knee surgery recovery: Post-operative Quality of Recovery Scale comparison of age and complexity of surgery. Acta Anaesthesiol Scand 2014; 58: 660-7.

Ultrasound Simulation

  1. Canty DJ, Hayes JA, Story DA, Royse CF. Ultrasound simulator-assisted teaching of cardiac anatomy to preclinical anatomy students: A pilot randomized trial of a three-hour learning exposure. Anat Sci Educ 2014.
  2. Canty DJ, Royse AG, Royse CF. Self-directed simulator echocardiography training: a scalable solution. Anaesth Intensive Care 2015  43(3) 425-

Transoesophageal Echocardiography

  1. Canty DJ, Joshi P, Royse CF, McMillan J, Tayeh S, Smith JA. Transesophageal Echocardiography Guidance of Antegrade Cardioplegia Delivery for Cardiac Surgery. J Cardiothorac Vasc Anesth 2015  29(6) 1498-503.
  2. MacLaren G, Kluger R, Connelly KA, Royse CF. Comparative feasibility of myocardial velocity and strain measurements using 2 different methods with transesophageal echocardiography during cardiac surgery. J Cardiothorac Vasc Anesth 2011  25(2) 216-20.
  3. Maclaren G, Kluger R, Prior D, Royse A, Royse C. Tissue Doppler, strain, and strain rate echocardiography: principles and potential perioperative applications. J Cardiothorac Vasc Anesth 2006  20(4) 583-93.
  4. Royse CF, Connelly KA, MacLaren G, Royse AG. Evaluation of echocardiography indices of systolic function: a comparative study using pressure-volume loops in patients undergoing coronary artery bypass surgery. Anaesthesia 2007  62(2) 109-16.
  5. Conaglen PJ, Ellims A, Royse C, Royse A. Acute repair of traumatic tricuspid valve regurgitation aided by three-dimensional echocardiography. Heart Lung Circ 2011  20(4) 237-40.
  6. Royse CF, Bird H, Royse AG. Routine assessment of coeliac axis and renal artery flow is not feasible with transoesophageal echocardiography. Anaesthesia 2009  64(1) 103-4.