South West Anaesthesia Research Matrix


Comprehensive moUth-care to reduce Post-operative PneumoniA (CUPPA)

SWARM have been successful in obtaining a NIAA research grant for their first multi-centre randomised control trial. The trial is titled "Comprehensive moUth-care to reduce Post-operative PneumoniA (CUPPA)".  It is a pilot study looking to see if comprehensive mouth-care reduces the incidence of post operative pneumonia in high risk ward patients.  The trial was undertaken across the Peninsula.

Data collection is now complete and cleaning up of data underway - a big thanks to everyone who took part!

We have also been in touch with a questionnaire asking for your feedback on your experience of being involved in CUPPA - this is the first anaesthetic trainee RCT so we're sure there will be lots to learn, and improve on.

The pilot data is going to be shared with a peri-operative care group from The Midlands - they have a much larger study planned (COMMA) looking into the incidence of pneumonia after the use of chlorhexidine mouthwash in the anaesthetic room immediately prior to surgery.  Our invaluable contribution will form part of the funding application for COMMA.




UK POM CTN Autumn Meeting, 9th November 2016, Dr Tori Field (view programme)

RAFT Winter Meeting, 13th January 2017, Dr Johannes Retief (poster presentation)

GAT Annual Scientific Meeting, Cardiff 5th-7th July 2017, Dr Kate Smurthwaite (poster), (abstract published in Anaesthesia Volume 72 S3)


SASWR, 24th-25th November 2016, Dr Tori Field (view poster)


Contribution to CUPPA by hospital:

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Torbay Hospital, Torquay
47 patients
Derriford Hospital, Plymouth
24 patients
Royal Devon & Exeter Hopsital, Exeter
22 patients
Royal Cornwall Hospital, Truro
22 patients
Musgrove Park Hospital, Taunton
3 patients
North Devon District Hospital, Barnstaple
2 patients
120 patients
Regional Trust Project Lead

Dr Charly Gibson, Royal Devon & Exeter Hospital
Local Trust Project Leads
Derriford Hospital, Plymouth
Dr Natalie Smith
Dr Victoria Field
Royal Cornwall Hospital, Truro
Dr Barney Scrace
Dr Kathleen Mulcahy
Torbay Hospital, Torquay
Dr Aidan Melia
Dr Louise Cossey
Dr Victoria Lewis
Musgrove Park Hospital, Taunton
Dr Alexandra Jones
Dr Carmen Marginean
North Devon District Hospital, Barnstaple
Dr Marc Brown
Royal Devon & Exeter Hospital, Exeter
Dr Katharine Smurthwaite
Dr Wren Holdom
Dr Charly Gibson

Local Trust Project Investigators

Derriford Hospital, Plymouth
Dr Craig Holdstock
Dr Juleen Fasham
Dr Tom Nightingale
Dr Ian O'Brian
Torbay Hospital, Torquay
Dr Theresa Hinde
Dr Danielle Franklin
Dr Sandeep Kusre
Local Trust Project Contributors
Derriford Hospital, Plymouth
Dr Mark Abou-Samra
Dr Anna Fergusson
Dr Sophie Gray
Dr Catharine Hoyer
Dr Jane Vanhoutte
Dr Carlen Reed-Poysden
Dr Graham Blair
Dr Sarah Stoneman
Torbay Hospital, Torquay
Dr James Matthams
Dr Caroline Kane
Dr Susan Cummings
Dr Navreem Chima
Dr Ella Downey
Dr Anna Perham
Dr Tim Warrener
North Devon District Hospital, Barnstaple
Dr Katie Pass
Royal Devon & Exeter Hospital, Exeter
Dr Richard Wassell
Dr Lawrie Helliwell
Dr Aiden Melia
Dr Francesca Mazzola
Dr Adam Green
Dr Emily Hatton-Wyatt
Dr Sam Spinney