Title: “Benefits of Implementing ERAS Protocols in Ambulatory Surgery: A Retrospective Review.”
Type: Clinical Trial
PI: Matthew Torre
Description: Implemented an advanced ERAS model in which patients receive a multimodal pain management approach including preoperative oral medications, ultrasound-guided nerve blocks, and an intraoperative periarticular injection of a novel medication consisting of bupivacaine, ketamine, and ketorolac (BKK). This study aims to assess the impact of this ERAS protocol implementation on postoperative pain scores, recovery time in the post-anesthesia care unit (PACU), immediate postoperative opiate consumption, and long-term opiate consumption in patients undergoing elective primary ACL reconstruction and ACL reconstruction with meniscal repair at our institution.
Title: “A Novel Approach to Improving Post Operative Pain and Minimizing Opioid Consumption After a Hip Arthroscopy.”
Type: Clinical Trial
PI: Matthew Torre
Description: Comparing the effectiveness of two separate hip arthroscopy protocols: One includes a Marcaine pericapsular injection and the other includes a pericapsular nerve group (PENG) block with a pericapsular injection of premixed bupivacaine, ketamine, and ketorolac (BKK) injection. This study aims to analyze the quality of pain control between these interventions compared to general anesthesia alone. Additional outcomes include time spent in the post-anesthesia care unit (PACU), opiate administration in the PACU as well as the rest of their inpatient stay, and the number of outpatient opioids prescribed.
Title: Netflix streaming services in the operating room during total knee replacement – a feasibility study.
Type: Clinical Trial
PI: Bryant Tran
Description: Patients watch Netflix with VR goggles while getting their knees replaced.
Title: Short-term incidence of stroke following beach chair positioning for orthopedic surgery.
Type: Retrospective data review
PI: Alexander Vap
Co-I: Bryant Tran, Conor O’Neill
Description: This retrospective review determined the incidence of stroke after shoulder surgery in the beach chair. The review also looked at the incidence of “stroke codes” that led to radiology imaging workup
Title: Comparison of mepivacaine versus ropivacaine brachial plexus block on fistula patency after arteriovenous fistula placement
Type: Clinical trial
PI: Bryant Tran
Description: Regional nerve blocks have been shown to improve success rates for AV fistula patency. This blinded RCT will see if there is a difference between two different commonly used local anesthetics
Title: Pharmacological impact of dampened radial artery blood pressure in cardiac surgery
Type: Prospective study
PI: Mark Nelson
Description: It is known that a pressure gradient exists between the radial and femoral arteries which could impact the dosing of vasopressor and inotropic agents. In this prospective study, we are blinding anesthesia providers to the femoral artery pressures and determining if there would have been a difference in vasopressor requirements in patients undergoing coronary artery bypass grafting.
Title: Retrospective Review of Liposomal Bupivacaine in Adductor Canal Blocks for TKA.
Type: Retrospective review
PI: Brooke Trainer
Description: This is a single-center, retrospective study at a large, tertiary Veterans Affairs (VA) Hospital. The primary goal of this study is to compare three types of nerve blocks, a continuous femoral adductor peripheral nerve catheter, single shot bupivacaine femoral adductor nerve block, and single shot bupivacaine with Exparel femoral adductor nerve block, for patients undergoing total knee arthroplasty. Primary endpoints are post-operative pain scores and oral morphine requirements."
Title: Use of Stable Airway Management Device in Monitored Anesthesia Care
Type: Randomized Clinical Trial
PI: Vishal Yajnik
Description: The efficacy of the Stable Airway Management Device in maintaining the head and neck in the correct position during procedures under MAC.