Publications by authors named "James Dugal"
Article Synopsis
- * The study compares the effectiveness of aspirin versus enoxaparin in reducing 90-day mortality for patients after hip or knee arthroplasties, part of a larger trial conducted in 31 Australian hospitals.
- * After analyzing 23,458 patients, the results aim to determine if there is a significant difference in 90-day mortality rates between those taking aspirin and those on enoxaparin.
Article Synopsis
- There is a noted gap in research regarding the effectiveness of aspirin alone for preventing symptomatic venous thromboembolism (VTE) following total hip or knee surgeries, prompting this study.
- The objective was to compare the effectiveness of aspirin versus enoxaparin in reducing instances of symptomatic VTE after these surgeries, using a large cluster-randomized trial involving over 9,700 patients in Australia.
- The study found that the trial was stopped early after interim results indicated that aspirin was noninferior to enoxaparin in preventing VTE, with a focus on patient outcomes such as pulmonary embolism, deep vein thrombosis, and other complications within 90 days post-surgery.
Case: An 87-year-old man fell onto a flexed knee and sustained a closed intra-articular patellar dislocation. A closed reduction was performed under intravenous sedation by flexing the knee to 90°, applying an anterior drawer force to the tibia, and applying pressure to the inferior pole of the patella. The day after reduction, weight-bearing was begun in a hinged brace set at 0° to 90°.
View Article and Find Full Text PDFIs knee arthroscopy under local anaesthetic a patient-friendly technique? A prospective controlled trial.
Eur J Orthop Surg Traumatol
August 2016
Purpose: To determine that when the patient chooses their intervention, whether there is any difference in duration of surgery, effectiveness, patient satisfaction and recovery time between two methods of anaesthesia, local anaesthetic (LA) and general anaesthesia (GA) in knee arthroscopy (KA).
Methods: Inclusion criteria were medically fit, adults, undergoing unilateral KA, in a native knee as a day case. Exclusion criteria were requirement for ligament reconstruction or meniscal repair, pre-existing regional sensory impairment or active psychiatric condition.
Objective: To institute and evaluate the benefits of an enhanced recovery after surgery (ERAS) program across three hospitals in Victoria.
Design, Setting And Participants: We used a before-and-after quality improvement study design consisting of three phases: pre-ERAS program data collection from March to September 2012; ERAS training and implementation during September 2012; and change performance measurement following ERAS implementation from October 2012 to May 2013.
Main Outcome Measures: The primary end point was duration of hospital stay after knee or hip arthroplasty.