Randomized, controlled trial of post-operative steroids and pain control after tonsillectomy Save

Date Added
October 2nd, 2018
PRO Number
Pro00081346
Researcher
Clarice Clemmens
Keywords
Pain, Surgery
Summary

Pain control after tonsillectomy is imperative but often difficult. Current post-operative pain medication regimens include opioid analgesics and are often still inadequate. Though not standard of care, it is our practice to prescribe a single dose of oral steroid medication on the third day after surgery, when pain and swelling are at their peak, in order to assist with pain control and reduce opioid consumption. Though this practice has a rational theoretical basis, there is no prospective data supporting or discounting it. We aim to compare pain control, opioid consumption, and complication rates in children receiving post-operative steroids versus those who do not.

Institution
MUSC
Recruitment Contact
Joshua Horton
843-792-2300
hortojos@usc.edu

A RANDOMIZED, DOUBLE-BLIND, PLACEBO CONTROLLED, PHASE 3 STUDY TO EVALUATE THE EFFICACY AND SAFETY OF QPI-1002 FOR THE PREVENTION OF MAJOR ADVERSE KIDNEY EVENTS (MAKE) IN SUBJECTS AT HIGH RISK FOR ACUTE KIDNEY INJURY (AKI) FOLLOWING CARDIAC SURGERY Save

Date Added
September 4th, 2018
PRO Number
Pro00080148
Researcher
Marc Katz
Keywords
Drug Studies, Heart, Kidney, Surgery
Summary

The purpose of this study is to test whether the study drug (QPI-1002) prevents Major Adverse Kidney Events (MAKE) after heart surgery in adult patients who are at high risk of developing Acute Kidney Injuries (AKI). This study is a one-time infusion of the study drug (QPI-1002) with follow-up visits lasting for one year.

Institution
MUSC
Recruitment Contact
Morgan Overstreet
843-792-8896
overstrm@musc.edu

The pathogenesis of Post-Traumatic Pulmonary Embolism: A Prospective Multicenter Investigation by the CLOTT Study Group: Part I Save

Date Added
August 30th, 2018
PRO Number
Pro00075379
Researcher
Bruce Crookes
Keywords
Surgery
Summary

Venous thromboembolism, which includes both deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complication after injury. PE carries a mortality rate of 11% and is the third leading cause of death after injury. Traditionally, PE has been thought to originate from a clot in the lower extremities or vena cava that migrates to the lungs. However, with the liberal use of computed tomography after injury, many small thrombi (pulmonary thrombi or PT) are being found in the pulmonary arteries that may be de novo clots that arise due to pulmonary injury or inflamation. This novel finding has major implications for both prophylaxis and treatment. The CLOTT study group that includes 17 investigators from 17 major trauma centers could not come to a consensus as to the treatment of asymptomatic PT. This prospective observational multicenter study will collect data from seriously injured patients who develope PE/PT admitted to any of our 17 trauma centers without altering the standard of care at any center allowing us to compare two treatment patterns: anticoagulation versus observation. If this study supports our hypothesis that occult PT do not need specific treatment, it would have a major impact on practice patterns and would prevent overtreatment in a large number of injured patients.

Institution
MUSC
Recruitment Contact
Bruce Crookes
(843) 872-3780
crookes@musc.edu

Optimal Resuscitation in Pediatric Trauma - an EAST Multi-center Study Save

Date Added
August 15th, 2018
PRO Number
Pro00078600
Researcher
Christian Streck
Keywords
Pediatrics, Surgery
Summary

This study will focus on collecting coded patient data from pediatric traumas prospectively. Data will be collected to assess inclusion of patients that fit the inclusion criteria of <18 years old with an elevated shock index based on age (Form A). There will also be a post-resuscitation data collection to examine products given to pediatric patients with an elevated shock index (Form B).
These data collection forms will help us determine the impact on primary outcomes of crystalloid administration volume and timing prior to blood products in children presenting in shock following trauma.
We will assess patient factors that predict need for early transfusion of blood products in pediatric trauma patients presenting in shock. We will also relate primary outcomes to ratio of blood products in pediatric trauma patients in shock who are transfused. This study will help define variability in pediatric trauma fluid and blood resuscitation practices between centers.

Institution
MUSC
Recruitment Contact
Denise Garcia
843-754-8555
garciad@musc.edu

Direct measurement of motor cortical responses to transcranial direct current stimulation Save

Date Added
May 15th, 2018
PRO Number
Pro00073545
Researcher
Nathan Rowland
Keywords
Brain, Central Nervous System, Movement Disorders, Muscle, Nerve, Nervous System, Parkinsons, Surgery
Summary

Transcranial direct current stimulation (tDCS) has shown the potential to improve symptoms in patients with Parkinson's disease, however its effects have not been consistent in randomized studies to date, limiting widespread adoption of this technology. A critical gap in our knowledge is a detailed understanding of how tDCS affects motor areas in the brain. We propose using tDCS while recording directly from motor cortex using subdural electrocorticography (sECoG) in Parkinson's patients undergoing deep brain stimulation surgery. We expect this novel approach to broaden our understanding of tDCS application in Parkinson's disease and possibly lead to therapeutic advances in this population.

Institution
MUSC
Recruitment Contact
Sanicqua Robinson Smalls
843-792-8553
robinsst@musc.edu

Utilization of quadratus lumborum block for postoperative analgesia following hip arthroscopy: A prospective, randomized clinical trial. Save

Date Added
March 20th, 2018
PRO Number
Pro00076191
Researcher
Sylvia Wilson
Keywords
Surgery
Summary

The purpose of this research study is to find out if a nerve block named quadratus lumborum block (QL) can provide better pain relief than having no nerve block for patients having their surgery on their hip through several small incisions while the surgeon looks with a camera (hip arthroscopy).

Institution
MUSC
Recruitment Contact
Wanda Jones
843-792-1869
joneswr@musc.edu

Quadratus Lumborum versus Transversus Abdominus Plane Nerve Block: A Comparison in Regional Anesthesia Techniques with an Enhanced Recovery After Surgery Pathway Save

Date Added
March 20th, 2018
PRO Number
Pro00075597
Researcher
Renuka George
Keywords
Surgery
Summary

The purpose of this study is to compare post operative pain control with the use of two nerve blocks, quadratus lumborum and transversus abdominis plane block, after elective laparoscopic abdominal surgery.

Institution
MUSC
Recruitment Contact
Wanda Jones
843-792-1869
joneswr@musc.edu

Safety and Efficacy of the Tao Facemask for Positive Pressure Ventilation in the Patients with Significantly Elevated BMIs Save

Date Added
February 20th, 2018
PRO Number
Pro00073465
Researcher
Tod Brown
Keywords
Surgery
Summary

This study will compare the safety and effectiveness of a new facemask, the Tao mask, as compared to the standard mask for manual ventilation of patients with BMIs of 40 or greater who are undergoing elective surgery. The Tao mask and the standard mask will both be used for each patient but the order of evaluating the masks will be randomized.

Institution
MUSC
Recruitment Contact
Wanda Jones
843-792-1869
joneswr@musc.edu

Quadratus lumborum block versus transversus abdominus plane block for pain management after donor nephrectomy Save

Date Added
January 16th, 2018
PRO Number
Pro00073925
Researcher
Eric Bolin
Keywords
Surgery
Summary

The purpose of this study is to compare post operative pain with the use of two blocks - quadratus lumborum block and transversus abdominis plane block after laparoscopic donor nephrectomy patients.

Institution
MUSC
Recruitment Contact
Wanda Jones
843-876-1869
joneswr@musc.edu

A Multicenter, Observational Trial of Surgical Stabilization of Rib Fractures in Patients with Severe, Non-flail Fracture Patterns (CWIS NON FLAIL) Save

Date Added
January 16th, 2018
PRO Number
Pro00073320
Researcher
Evert Eriksson
Keywords
Surgery
Summary

Recently, surgical stabilization of rib fractures, which involves an operation to place thin titanium plates across the fractures, has been shown to improve outcomes in patients with several fractures on the same ribs of the chest wall. Many surgeons who perform this operation regularly also believe that it will benefit patients with other severe forms of rib fractures, specifically 3 or more severely displaced fractures without multiple fractures of the same rib.

Institution
MUSC
Recruitment Contact
Evert Eriksson
843-792-3780
eriksson@musc.edu

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