ATH - Senior Lecturer
Overview
Dr Julie Lee is a staff specialist anaesthetist at The Royal Brisbane and Women’s Hospital (RBWH) and senior lecturer at The University of Queensland. Her special research interests include perioperative blood management, regional anaesthesia and airway management. She was awarded her PhD on Rotational Thromboelastometry (ROTEM®) in obstetrics in 2021. She has facilitated workshops and published and presented widely on this topic, including at the Gilbert Brown and Gilbert Troup prize sessions at the international ANZCA conferences and was the winner of the Best Open Poster Prize at the 2018 ANZCA ASM. She is a working party member of the Queensland Clinical Guidelines for Primary Postpartum Haemorrhage, RBWH Transfusion for Major Haemorrhage Protocol and Guidelines, the Queensland Health Intrapartum Pain Management Guidelines and the ASA COVID-19 Working Group. She is a reviewer for peer-reviewed journals, the Blood Safe eLearning Australia Courses and Ausmed Education Courses. In 2020, she was awarded the Best Paper award in The International Journal of Obstetric Anaesthesia and the Jeanette Thirlwell Anaesthesia and Intensive Care Best Paper Award. Her paper on the influence of obesity on coagulation in pregnancy as assessed by ROTEM® became Wiley’s top cited article for 2020-2021. In the recent past, she has been awarded the ANZCA Robin Smallwood Bequest for the highest ranking research project, National Blood Authority Early Career Researcher Award, CSL Behring Research Award, HOW Collaborative HSANZ Clinical Fellowship Award, ASA Kevin McCaul Prize, ASA PhD Support Grant and other research grants for her work on perioperative patient blood management.
Research Interests
- Rotational Thromboelastometry (ROTEM)
- Perioperative Patient Blood Management
- Airway Management
- Regional Anaesthesia
Research Impacts
Dr Lee has been awarded over $700,000 in competitive funding as chief investigator for her research work in perioperative blood management and critical care medicine. She has led multidisciplinary teams in her collaborative clinical projects within The Royal Brisbane and Women’s Hospital.
Clinical translation of her research work is evidenced by her involvement in revising local and state-wide guidelines as well as reviewing national educational courses, including the Queensland Clinical Guidelines for Primary Postpartum Haemorrhage, RBWH Transfusion for Major Haemorrhage Protocol and Guidelines. She reviews educational courses and materials for Blood Safe eLearning Australia and Ausmed Education, as well as lecturing and facilitating national and international workshops on massive transfusion, haemorrhage control, postpartum haemorrhage management and using rotational thromboelastometry (ROTEM®).
The significant value and impact of her research findings are also evidenced by citations in major international journals and being awarded Best Paper prizes.
Qualifications
- Doctor of Philosophy of Medicine Surgery, The University of Queensland
- Bachelor of Medicine Surgery, The University of Queensland
- Bachelor of Pharmacy, The University of Queensland
Publications
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Journal Article: Blood management practices during rapid transfer of urgent trauma patients pre- and post-implementation of ROTEM<sup>®</sup>-guided transfusion
Wyssusek, Kerstin H., Wagner, Matthew K., Lee, Julie, Okano, Satomi, Wullschleger, Martin and van Zundert, André A. (2023). Blood management practices during rapid transfer of urgent trauma patients pre- and post-implementation of ROTEM®-guided transfusion. Trauma. doi: 10.1177/14604086231159687
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Lee, Julie, Eley, Victoria A., Wyssusek, Kerstin H., Kimble, Rebecca M.N., Way, Mandy and Zundert, Andre A. (2022). Rotational thromboelastometry (ROTEM ® ) in gestational diabetes mellitus and coagulation in healthy term pregnancy: A prospective observational study in Australia. Australian and New Zealand Journal of Obstetrics and Gynaecology, 62 (3), 389-394. doi: 10.1111/ajo.13474
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Other Outputs: Rotational Thromboelastometry (ROTEM®) in obstetrics: baseline parameters in healthy women at term gestation
Lee, Julie (2021). Rotational Thromboelastometry (ROTEM®) in obstetrics: baseline parameters in healthy women at term gestation. PhD Thesis, Faculty of Medicine, The University of Queensland. doi: 10.14264/e7097ce
Publications
Journal Article
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Wyssusek, Kerstin H., Wagner, Matthew K., Lee, Julie, Okano, Satomi, Wullschleger, Martin and van Zundert, André A. (2023). Blood management practices during rapid transfer of urgent trauma patients pre- and post-implementation of ROTEM®-guided transfusion. Trauma. doi: 10.1177/14604086231159687
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Lee, Julie, Eley, Victoria A., Wyssusek, Kerstin H., Kimble, Rebecca M.N., Way, Mandy and Zundert, Andre A. (2022). Rotational thromboelastometry (ROTEM ® ) in gestational diabetes mellitus and coagulation in healthy term pregnancy: A prospective observational study in Australia. Australian and New Zealand Journal of Obstetrics and Gynaecology, 62 (3), 389-394. doi: 10.1111/ajo.13474
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Wyssusek, Kerstin, Lee, Julie, Hames, Katherine, Koehler-Vargas, Nadia, Hall, Kylie, Steyn, Michael and Van Zundert, André (2021). Departmental preparedness for pandemic readiness in anesthesia: a practical departmental readiness checklist. Bali Journal of Anesthesiology, 5 (3), 149-157. doi: 10.4103/bjoa.bjoa_14_21
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Lee, Julie, Reynolds, Heather and Van Zundert, André (2021). Intraoperative cuff pressure measurements of endotracheal tubes in the operating theater: A prospective audit. Bali Journal of Anesthesiology, 5 (3), 174-177. doi: 10.4103/bjoa.bjoa_11_21
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Paterson, Neil, Lee-Archer, Paul, Shirley, Anna and Lee, Julie (2020). Pediatric liver transplantation in Australia and New Zealand: The case for a collaborative anesthetic database. Pediatric Anaesthesia, 31 (3) pan.14088, 309-315. doi: 10.1111/pan.14088
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Difficult and failed intubation in the first 4000 incidents reported on webAIRS
Endlich, Yasmin, Lee, Julie and Culwick, Martin (2020). Difficult and failed intubation in the first 4000 incidents reported on webAIRS. Anaesthesia and Intensive Care, 48 (6), 477-487. doi: 10.1177/0310057X20957657
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Anaesthesia preparedness for COVID-19 pandemic readiness: a medication preservation strategy
Wyssusek, Kerstin, Eames, Gerard, Peters, Nathan and Lee, Julie (2020). Anaesthesia preparedness for COVID-19 pandemic readiness: a medication preservation strategy. British Journal of Anaesthesia, 125 (3), e332-e334. doi: 10.1016/j.bja.2020.05.027
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How COVID-19 has impacted public and private practice
Lee, Julie (2020). How COVID-19 has impacted public and private practice. Australian Anaesthetist.
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Lee, J., Eley, V. A., Wyssusek, K. H., Kimble, R. M. N., Way, M., Coonan, E., Cohen, J., Rowell, J. and van Zundert, A. A. (2020). Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy labouring women: a prospective observational study. BJOG, 127 (7), 820-827. doi: 10.1111/1471-0528.16094
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Lee, Julie, Eley, Victoria A., Wyssusek, Kerstin H., Kimble, Rebecca M.N., Way, Mandy, Cohen, Jeremy and van Zundert, André A. (2020). The influence of obesity on coagulation in healthy term pregnancy as assessed by rotational thromboelastometry. Australian and New Zealand Journal of Obstetrics and Gynaecology, 60 (5) ajo.13141, 714-719. doi: 10.1111/ajo.13141
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Lee, J., Wyssusek, K. H., Kimble, R. M.N., Way, M., van Zundert, A. A., Cohen, J., Rowell, J. and Eley, V. A. (2020). Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy pregnant Australian women: a comparison of labouring and non-labouring women at term. International Journal of Obstetric Anesthesia, 41, 7-13. doi: 10.1016/j.ijoa.2019.10.003
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Lee, Julie, Reynolds, Heather, Pelecanos, Anita M and van Zundert, André AJ (2019). Bi-national survey of intraoperative cuff pressure monitoring of endotracheal tubes and supraglottic airway devices in operating theatres. Anaesthesia and Intensive Care, 47 (4), 310057X19850581-384. doi: 10.1177/0310057x19850581
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Lee, J., Eley, V. A., Wyssusek, K. H., Coonan, E., Way, M., Cohen, J., Rowell, J. and van Zundert, A. A. (2019). Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy women undergoing elective caesarean delivery: A prospective observational study in Australia. International Journal of Obstetric Anesthesia, 38, 10-18. doi: 10.1016/j.ijoa.2019.01.008
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Lee, J., Wyssusek, K. H., Reynolds, H., Khatun, M. and Van Zundert, A. A. J. (2019). Intraoperative cuff pressure measurements of supraglottic airway devices in the operating theatre : a prospective audit. Acta Anaesthesiologica Belgica, 70 (4), 183-189.
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A case report of preeclampsia causing severe hyponatremia: rare or rarely reported?
Grimmett, Wallace, Lee, Julie, Doherty, James, Cheung, Benjamin and Chinthamuneedi, Meher (2018). A case report of preeclampsia causing severe hyponatremia: rare or rarely reported?. A&A Practice, 12 (8), 1-3. doi: 10.1213/XAA.0000000000000904
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Brown, Hannah, Barrett, Helen L., Lee, Julie, Pincus, Jason M., Kimble, Rebecca M. and Eley, Victoria A. (2017). Case Report: Successful resuscitation of maternal cardiac arrest with disseminated intravascular coagulation guided by Rotational thromboelastometry (ROTEM®) and transoesophageal echocardiogram. A & A Case Reports, 10 (6), 139-143. doi: 10.1213/XAA.0000000000000662
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Rotational thromboelastometry (ROTEM®) in obstetrics
Lee, Julie, Wyssusek, Kerstin, Cohen, Jeremy and van Zundert, Andre (2017). Rotational thromboelastometry (ROTEM®) in obstetrics. Australasian Anaesthesia Blue Book, 95-103.
Conference Publication
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Lee, Julie, Eley, Victoria, Wyssusek, Kerstin, Cohen, Jeremy, Rowell, John, Way, Mandy and van Zundert, Andre (2018). Rotational thromboelastometry (ROTEM®) in obstetrics: baseline parameters in uncomplicated and complicated pregnancies. a prospective observational study on elective Caesarean section patients. ANZCA Annual Scientific Meeting, Sydney, NSW, Australia, 7-11 May 2018. North Sydney, NSW, Australia: Sage Publications.
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Lee, Julie, Eley, Victoria, Wyssusek, Kerstin, Cohen, Jeremy, Rowell, John, Kimble, Rebecca, Way, Mandy and van Zundert, Andre (2018). Rotational thromboelastometry (ROTEM®) in obstetrics: baseline parameters in uncomplicated and complicated pregnancies. a prospective observational study on parturients. ANZCA Annual Scientific Meeting, Sydney, NSW, Australia, 7-11 May 2018. North Sydney, NSW, Australia: Sage Publications.
Other Outputs
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Lee, Julie (2021). Rotational Thromboelastometry (ROTEM®) in obstetrics: baseline parameters in healthy women at term gestation. PhD Thesis, Faculty of Medicine, The University of Queensland. doi: 10.14264/e7097ce
