Professor Paul Coulthards 'health services research' offers best evidence for improving surgical practice particularly in the areas of postoperative pain and oral implantology but also other areas.
Clinical pain studies developed from systematic reviews have investigated intraoperative local analgesia and postoperative systemic analgesic strategies. These studies are crucial in providing the evidence for changing clinical practice and improving the pain management for patients after surgery. He has been principal investigator for many clinical trials, several investigating the efficacy and safety of novel analgesics. He is particularly interested in how to translate best research evidence into everyday clinical practice and how to overcome the barriers that can prevent this.
He was part of a small team that has written a comprehensive series of Oral Implant Cochrane Systematic Reviews that provides a reliable summary of the global scientific evidence for best practice and the foundation for future implant research. These reviews are continually being restructured and updated.
He instigated and lead a international multi-centre clinical trial demonstrated equivalent healing with a novel octylcyanoacrylate tissue adhesive compared to traditional alternatives such as sutures for the skin closure of long surgical incisions. This has significant implications in changing the 400-year-old clinical practice of wound closure with sutures. With adhesives there is no risk of needlestick injury and there are no sutures to remove for the patient.
Recently Professor Coulthard has created a tool for assessing a patients need for conscious sedation when undergoing dental treatment and oral surgery. This novel Indicator of Sedation Need (IOSN) tool uses ranked and combined information on the patient's anxiety, general health and treatment complexity. It can be used to support clinicians in their decision making and commissioners who need to identify patient need in order to plan and deliver appropriate sedation services.
He is to leading research to facilitate a global change in the practice of health professionals and their teams regarding identification and referral of their patients who present with physical injury or other signs that might indicate Domestic Violence and Abuse (DVA).
Professor Coulthard has supervised over forty MSc, Mphil and PhD students and has published over 180 scientific papers.
Funding for my research interests totalling in excess of £2.5M personal share has come from the following sources:
- NHS Manchester
- Medical Research Council Studentship
- MDS Harris
- Smithkline Beecham Consumer Healthcare
- Abbott Laboratories
- Ethicon, a Johnson and Johnson Company
- Menarini Richerche
- The Royal College of Surgeons of England
- Medical Research Collaboration Unit, Department of Health, Japan
- National Institute of Dental and Craniofacial Research, National Institute of Health, USA
- The Health Foundation
- NIHR SDO
- NIHR RfPB