Ultrasound Education Group

Research Overview

The Ultrasound Education Group comprises of academics, including Professor Alistair Royse, (Cardiothoracic surgeon, Deputy Director of Surgery), Professor Colin Royse (Anaesthetist), Dr David Canty (Anaesthetist, Senior Lecturer) and Dr Lindsay Bridgford (Emergency Physician, Academic), who supervise higher research degree students, undergraduate medical students performing research projects, and post-graduate clinicians pursuing active research and education projects.

"The Melbourne Biomedical Precinct is made up of over 40 hospitals, research, teaching and biotechnology organisations largely collocated to the north of Melbourne’s CBD in the area extending from East Melbourne, Carlton and North Melbourne to Parkville in the north." - credit: MelbourneBioMed

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.  In 2019 and 2020 there were successful Canadian and Australian grants for the TRICS-IV study, focusing on younger patients.

UEG develop and administer graduate courses in clinical ultrasound at a certificate, diploma or master’s level, which is well subscribed both within Australia and Internationally. The courses are unique in that they are very efficient, implementing a 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 group 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

Ultrasound Education Group Courses

Staff

Academic Staff

    • Dr David Canty, Senior Lecturer and Director of Simulation, Ultrasound Education Group
    • Dr Lindsay Bridgford, Director of Clinical Ultrasound, Ultrasound Education Group
    • Dr Doa El-Ansary, Honorary, Ultrasound Education Group
    • Dr Andrea Bowyer, Honorary, Anaesthetist

Education Professional Staff

    • Ms Edwina Coller, Business Manager, Mobile Learning Unit
    • Ms Elizabeth Hurley, Manager, Ultrasound Education Group
    • Michelle Fung, Salesforce Admin
    • Nicholas Leong, Project Officer
    • Marinella Serafim, Project Officer
    • Khoa Nguyen, Project Officer
    • Matthew White, Project Officer
    • Lacey Whelan, Graphic Designer
    • Kristine McDonald, Finance
    • Alexia Sulistyono, Marketing

Research Staff

  • Lynda Tivendale, Research Nurse Coordinator
  • Zelda Williams, Research Nurse
  • Stuart Boggett, Research Assistant

Collaborators

Monash Health

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

External

  • Professor Ahmed Alsaddique - Department of Cardiothoracic Surgery, Saudi Arabia
  • Professor Andrew Palmer - Head of Health Economics, Menzies Institute Tasmania
  • Professor Sam Newman - Neuropsychologist, London, UK
  • Dr Kyle Brooks - Intensivist
  • A/Prof Kavi Haji - Intensivist
  • Dr Darsim Haji - Emergency Physician
  • Dr Joe Power - Anaesthetist and Medical Perfusionist
  • Dr Kristine Wardle - Anaesthetist and Medical Perfusionist
  • Dr Jethro Dredge - Anaesthetist
  • A/Prof Alwin Chuan - Anaesthetist
  • Clinical Associate Professor Parm Naidoo, Director of Radiology, Dandenong Hospital, St Vincent's Hospital, Melbourne
  • Dr Tim Haydon - Epworth Hospital
  • Tess Vawser - Simulation Centre, Royal Melbourne Hospital

Western Health

  • Dr Yang Yang - Intensivist

Funding

Transfusion Triggers in Cardiac Surgery Australia TRICS-IV trial - Medical Research Future Fund (MRFF) - $950,770

Canadian Institute of Health Research - CAN$861,000

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 Outcomes

Prof Alistair Royse on Google Scholar and ResearchGate

Prof Colin Royse on ResearchGate

Dr David Canty on Google Scholar and ResearchGate

Dr Doa El-Ansary on ResearchGate

Research Publications

View Professor Colin Royse's latest PubMed publications here
View Professor Alistair Royse's latest PubMed publications here

Royse A, Bellomo R, Royse C, Clarke-Errey S, Boggett S, Kelly T and Paterson HS. Radial Artery versus Bilateral Mammary Composite Y Coronary Artery Grafting: 15-year Outcomes. Ann Thorac Surg. 2020 (in press).

Vallely M, Ramponi F, Seco M and Royse A. Multi-Arterial Grafting: Why is it so hard to convince the masses of the benefits? The Journal of Thoracic and Cardiovascular Surgery. 2020 (ePub).

Taggart DP, Gaudino MF, Gerry S, Gray A, Lees B, Dimagli A, Puskas JD, Zamvar V, Pawlaczyk R, Royse AG, Flather M, Benedetto U and investigators ART. Effect of total arterial grafting in the Arterial Revascularization Trial. J Thorac Cardiovasc Surg. 2020 (ePub).

Royse AG, Boggett S, Abraham V and Royse CF. RARAY Operation: Operative Description and Early Results for Achieving Total Arterial Coronary Revascularisation. Heart Lung Circ. 2020 (ePub).

Solinas M, Castillo JC, Baghai M, Royse A, Santarpino G, Troise G, Marnette J-MD, di Bartolomeo R, Walker A, Polesel E, Lewis M, Theodor F, Wippermann J, Argano V and Glauber M. Operative and Follow Up Outcomes of the Perceval Aortic Bioprosthesis from a Real-world Registry. Structural Heart. 2020;4:140-140.

Royse AG, El-Ansary D, Hoang W, Lui E, McCusker M, Tivendale L, Yang Y, Canty DJ and Royse CF. A randomised trial comparing the effects of sternal band and plate fixation of the sternum with that of figure-of-8 wires on sternal edge motion and quality of recovery after cardiac surgery. Interact Cardiovasc Thorac Surg. 2020;30:863-870.

Royse A, Royse C, Boggett S, Clarke-Errey S and Pawanis Z. Why and how to achieve total arterial revascularisation in coronary surgery. Vessel Plus. 2020;2020:1-22.

Royse A, Pamment W, Pawanis Z, Clarke-Errey S, Eccleston D, Ajani A, Wilson W, Canty D and Royse C. Patency of conduits in patients who received internal mammary artery, radial artery and saphenous vein grafts. BMC Cardiovasc Disord. 2020;20:148.

Rocha RV, Tam DY, Karkhanis R, Wang X, Austin PC, Ko DT, Gaudino M, Royse A and Fremes SE. Long-term Outcomes Associated With Total Arterial Revascularization vs Non-Total Arterial Revascularization. JAMA Cardiol. 2020;5:1-8.

Pengelly JMS, Royse AG, Bryant AL, Williams GP, Tivendale LJ, Dettmann TJ, Canty DJ, Royse CF and El-Ansary DA. Effects of Supervised Early Resistance Training versus standard care on cognitive recovery following cardiac surgery via median sternotomy (the SEcReT study): protocol for a randomised controlled pilot study. Trials. 2020;21.

Parameswaran R, Teuwen CP, Watts T, Nalliah CJ, Royse A, Goldblatt J, Larobina M, Sanders P, Kistler P, Orozco-Duque A, Lee G and Kalman JM. Functional Atrial Endocardial-Epicardial Dissociation in Patients With Structural Heart Disease Undergoing Cardiac Surgery. JACC Clin Electrophysiol. 2020;6:34-44.

Parameswaran R, Lee G, Morris GM, Royse A, Goldblatt J, Larobina M, Watts T, Nalliah CJ, Wong G, Al-Kaisey AM, Anderson RD, Voskoboinik A, Sugumar H, Chieng D, Sanders P, Kistler PM and Kalman JM. Simultaneous epicardial-endocardial mapping of the sinus node in humans with structural heart disease: Impact of overdrive suppression on sino-atrial exits. Heart Rhythm. 2020.

Parameswaran R, Kalman JM, Royse A, Goldblatt J, Larobina M, Watts T, Walters TE, Nalliah CJ, Wong G, Al-Kaisey A, Anderson RD, Voskoboinik A, Sugumar H, Chieng D, Sanders P, Kistler PM, Gerstenfeld EP and Lee G. Endocardial-Epicardial Phase Mapping of Prolonged Persistent Atrial Fibrillation Recordings: High Prevalence of Dissociated Activation Patterns. Circ Arrhythm Electrophysiol. 2020.

Katijjahbe MA, Denehy L, Granger CL, Royse A, Royse C, Logie S, Sturgess T, Md Ali NA, McManus M, Sandy CE and El-Ansary D. Psychometric evaluation of the shortened version of the Functional Difficulties Questionnaire to assess thoracic physical function. Clin Rehabil. 2020;34:132-140.

Hu X, Li X, Boggett S, Yang Y, Chun-Ting W, Anstey J, Royse A and Royse C. Routine Intraoperative Inhaled Milrinone and Iloprost Reduces Inotrope Use in Patients Undergoing Cardiac Surgery: A Retrospective Cohort Pilot Study. Anesth Analg. 2020;131:527-536.

Denault AY, Delisle S, Canty D, Royse A, Royse C, Serra XC, Gebhard CE, Couture EJ, Girard M, Cavayas YA, Peschanski N, Langevin S and Ouellet P. A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure. Can J Anaesth. 2020.

Cid X, Canty D, Royse A, Maier AB, Johnson D, El-Ansary D, Clarke-Errey S, Fazio T and Royse C. Impact of point-of-care ultrasound on the hospital length of stay for internal medicine inpatients with cardiopulmonary diagnosis at admission: study protocol of a randomised controlled trial-the IMFCU-1 (Internal Medicine Focused Clinical Ultrasound) study. Trials. 2020;21:53.

Canty DJ, Kim M, Guha R, Pham T, Royse AG, Errey-Clarke S, Smith JA and Royse CF. Comparison of Cardiac Output of Both 2-Dimensional and 3-Dimensional Transesophageal Echocardiography With Transpulmonary Thermodilution During Cardiac Surgery. J Cardiothorac Vasc Anesth. 2020;34:77-86.

Boggett S, Chahal R, Griffiths J, Lin J, Wang D, Williams Z, Riedel B, Bowyer A, Royse A and Royse C. A randomised controlled trial comparing deep neuromuscular blockade reversed with sugammadex with moderate neuromuscular block reversed with neostigmine. Anaesthesia. 2020.

Balachandran S, Denehy L, Lee A, Royse C, Royse A, El-Ansary D. Motion at the Sternal Edges During Upper Limb and Trunk Tasks In-Vivo as Measured by Real-Time Ultrasound Following Cardiac Surgery: A Three-Month Prospective, Observational Study. Heart Lung Circ 2019;28:1283-91.

Boggett S, Ou-Young J, Heiberg J, De Steiger R, Richardson M, Williams Z, Royse C. A randomised trial of desflurane or sevoflurane on postoperative quality of recovery after knee arthroscopy. PLoS One 2019;14:e0220733.

Canty D, Barth J, Yang Y, Peters N, Palmer A, Royse A, Royse C. Comparison of learning outcomes for teaching focused cardiac ultrasound to physicians: A supervised human model course versus an eLearning guided self- directed simulator course. J Crit Care 2019;49:38-44.

Canty DJ, Heiberg J, Yang Y, Royse AG, Margale S, Nanjappa N, Scott DA, Maier AB, Sessler DI, Chuan A, Palmer AJ, Bucknill A, French CJ, Royse CF. One-year results of the pilot multicentre randomised trial of preoperative focused cardiac ultrasound in hip fracture surgery. Anaesth Intensive Care 2019;47:207-8.

Canty DJ, Kim M, Guha R, Pham T, Royse AG, Errey-Clarke S, Smith JA, Royse CF. Comparison of Cardiac Output of Both 2-Dimensional and 3-Dimensional Transesophageal Echocardiography With Transpulmonary Thermodilution During Cardiac Surgery. J Cardiothorac Vasc Anesth 2019.

Denault A, Canty D, Azzam M, Amir A, Gebhard CE. Whole body ultrasound in the operating room and intensive care unit. Korean J Anesthesiol 2019;72:413-28.

El-Ansary D, LaPier TK, Adams J, Gach R, Triano S, Katijjahbe MA, Hirschhorn A, Mungovan S, Lotshaw A, Cahalin LP. An Evidence-Based Perspective on Movement and Activity Following Median Sternotomy. Phys Ther 2019.

Farragher JB, Pranata A, Williams G, El-Ansary D, Parry SM, Kasza J, Bryant A. Effects of lumbar extensor muscle strengthening and neuromuscular control retraining on disability in patients with chronic low back pain: a protocol for a randomised controlled trial. BMJ Open 2019;9:e028259.

Gach R, Triano S, El-Ansary D, Parker R, Adams J. Altering driving restrictions after median sternotomy. Proc (Bayl Univ Med Cent) 2019;32:301-2.

Garg AX, Chan MTV, Cuerden MS, Devereaux PJ, Abbasi SH, Hildebrand A, Lamontagne F, Lamy A, Noiseux N, Parikh CR, Perkovic V, Quantz M, Rochon A, Royse A, Sessler DI, Shah PJ, Sontrop JM, Tagarakis GI, Teoh KH, Vincent J, Walsh M, Yared JP, Yusuf S, Whitlock RP, Investigators S. Effect of methylprednisolone on acute kidney injury in patients undergoing cardiac surgery with a cardiopulmonary bypass pump: a randomised controlled trial. CMAJ 2019;191:E247-E56.

Katijjahbe MA, Denehy L, Granger CL, Royse A, Royse C, Logie S, Sturgess T, Md Ali NA, McManus M, Sandy CE, El-Ansary D. Psychometric evaluation of the shortened version of the Functional Difficulties Questionnaire to assess thoracic physical function. Clin Rehabil 2019:269215519879476.

Pengelly J, Pengelly M, Lin KY, Royse C, Karri R, Royse A, Bryant A, Williams G, El-Ansary D. Exercise Parameters and Outcome Measures Used in Cardiac Rehabilitation Programs Following Median Sternotomy in the Elderly: A Systematic Review and Meta-Analysis. Heart Lung Circ 2019;28:1560-70.

Pengelly J, Pengelly M, Lin KY, Royse C, Royse A, Bryant A, Williams G, El-Ansary D. Resistance Training Following Median Sternotomy: A Systematic Review and Meta-Analysis. Heart Lung Circ 2019;28:1549-59.

Reade MC, Marks DC, Bellomo R, Deans R, Faulke DJ, Fraser JF, Gattas DJ, Holley AD, Irving DO, Johnson L, Pearse BL, Royse AG, Wong J, Cryopreserved vs Liquid Platelet Investigators tA, New Zealand College of Anaesthetists Clinical Trials N, the A, New Zealand Intensive Care Society Clinical Trials G. A randomised, controlled pilot clinical trial of cryopreserved platelets for perioperative surgical bleeding: the CLIP-I trial (Editorial, p. 2759). Transfusion 2019;59:2794-804.

Royse AG, Clarke-Errey S, Brennan AP, Pawanis Z, Royse CF. Reply: Better Survival With Radial Grafting: Is it Really All About the Conduit? J Am Coll Cardiol 2019;73:735-6.

Royse AG, Pawanis Z, Clarke-Errey S, Royse CF. Calcium-Channel Blockers and Radial Artery Grafting. J Am Coll Cardiol 2019;74:1422.