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  1. Article ; Online: The Approach to the Child with Joint Complaints.

    Haines, Kathleen A

    Pediatric clinics of North America

    2018  Volume 65, Issue 4, Page(s) 623–638

    Abstract: This article focuses on creating an orderly approach to history taking, examination, and ordering appropriate investigations when caring for a child with joint complaints. It classifies complaints as those with and without pain, swelling, or fever and of ...

    Abstract This article focuses on creating an orderly approach to history taking, examination, and ordering appropriate investigations when caring for a child with joint complaints. It classifies complaints as those with and without pain, swelling, or fever and of short or long duration. It recommends an approach to the physical examination and both suggests and discourages various laboratory and imaging studies.
    MeSH term(s) Adolescent ; Arthralgia/diagnosis ; Arthralgia/diagnostic imaging ; Arthralgia/etiology ; Arthralgia/therapy ; Arthritis/complications ; Arthritis/diagnosis ; Child ; Child, Preschool ; Diagnosis, Differential ; Humans ; Medical History Taking ; Pain Measurement ; Rheumatic Fever/complications ; Rheumatic Fever/diagnosis ; Severity of Illness Index
    Language English
    Publishing date 2018-07-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215711-1
    ISSN 1557-8240 ; 0031-3955
    ISSN (online) 1557-8240
    ISSN 0031-3955
    DOI 10.1016/j.pcl.2018.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Growth Hormone Administration Improves Nonalcoholic Fatty Liver Disease in Overweight/Obesity: A Randomized Trial.

    Dichtel, Laura E / Corey, Kathleen E / Haines, Melanie S / Chicote, Mark L / Lee, Hang / Kimball, Allison / Colling, Caitlin / Simon, Tracey G / Long, Michelle T / Husseini, Jad / Bredella, Miriam A / Miller, Karen K

    The Journal of clinical endocrinology and metabolism

    2023  Volume 108, Issue 12, Page(s) e1542–e1550

    Abstract: Context: Overweight and obesity are associated with relative growth hormone (GH) deficiency, which has been implicated in the development of nonalcoholic fatty liver disease (NAFLD). NAFLD is a progressive disease without effective treatments.: ... ...

    Abstract Context: Overweight and obesity are associated with relative growth hormone (GH) deficiency, which has been implicated in the development of nonalcoholic fatty liver disease (NAFLD). NAFLD is a progressive disease without effective treatments.
    Objective: We hypothesized that GH administration would reduce hepatic steatosis in individuals with overweight/obesity and NAFLD.
    Methods: In this 6-month randomized, double-blind, placebo-controlled trial of low-dose GH administration, 53 adults aged 18 to 65 years with BMI ≥25 kg/m2 and NAFLD without diabetes were randomized to daily subcutaneous GH or placebo, targeting insulin-like growth factor 1 (IGF-1) to the upper normal quartile. The primary endpoint was intrahepatic lipid content (IHL) by proton magnetic resonance spectroscopy (1H-MRS) assessed before treatment and at 6 months.
    Results: Subjects were randomly assigned to a treatment group (27 GH; 26 placebo), with 41 completers (20 GH and 21 placebo) at 6 months. Reduction in absolute % IHL by 1H-MRS was significantly greater in the GH vs placebo group (mean ± SD: -5.2 ± 10.5% vs 3.8 ± 6.9%; P = .009), resulting in a net mean treatment effect of -8.9% (95% CI, -14.5 to -3.3%). All side effects were similar between groups, except for non-clinically significant lower extremity edema, which was more frequent in the GH vs placebo group (21% vs 0%, P = .02). There were no study discontinuations due to worsening of glycemic status, and there were no significant differences in change in glycemic measures or insulin resistance between the GH and placebo groups.
    Conclusion: GH administration reduces hepatic steatosis in adults with overweight/obesity and NAFLD without worsening glycemic measures. The GH/IGF-1 axis may lead to future therapeutic targets for NAFLD.
    MeSH term(s) Adult ; Humans ; Non-alcoholic Fatty Liver Disease/complications ; Non-alcoholic Fatty Liver Disease/drug therapy ; Insulin-Like Growth Factor I/metabolism ; Overweight/complications ; Overweight/drug therapy ; Obesity/complications ; Obesity/drug therapy ; Growth Hormone/therapeutic use ; Double-Blind Method ; Liver/metabolism
    Chemical Substances Insulin-Like Growth Factor I (67763-96-6) ; Growth Hormone (9002-72-6)
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgad375
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  3. Article ; Online: Natural variation in Brachypodium distachyon responses to combined abiotic stresses.

    Ludwig, Ella / Sumner, Joshua / Berry, Jeffrey / Polydore, Seth / Ficor, Tracy / Agnew, Erica / Haines, Kristina / Greenham, Kathleen / Fahlgren, Noah / Mockler, Todd C / Gehan, Malia A

    The Plant journal : for cell and molecular biology

    2023  Volume 117, Issue 6, Page(s) 1676–1701

    Abstract: The demand for agricultural production is becoming more challenging as climate change increases global temperature and the frequency of extreme weather events. This study examines the phenotypic variation of 149 accessions of Brachypodium distachyon ... ...

    Abstract The demand for agricultural production is becoming more challenging as climate change increases global temperature and the frequency of extreme weather events. This study examines the phenotypic variation of 149 accessions of Brachypodium distachyon under drought, heat, and the combination of stresses. Heat alone causes the largest amounts of tissue damage while the combination of stresses causes the largest decrease in biomass compared to other treatments. Notably, Bd21-0, the reference line for B. distachyon, did not have robust growth under stress conditions, especially the heat and combined drought and heat treatments. The climate of origin was significantly associated with B. distachyon responses to the assessed stress conditions. Additionally, a GWAS found loci associated with changes in plant height and the amount of damaged tissue under stress. Some of these SNPs were closely located to genes known to be involved in responses to abiotic stresses and point to potential causative loci in plant stress response. However, SNPs found to be significantly associated with a response to heat or drought individually are not also significantly associated with the combination of stresses. This, with the phenotypic data, suggests that the effects of these abiotic stresses are not simply additive, and the responses to the combined stresses differ from drought and heat alone.
    MeSH term(s) Brachypodium/metabolism ; Biodiversity ; Temperature ; Stress, Physiological/genetics ; Gene Expression Regulation, Plant ; Plant Proteins/genetics ; Plant Proteins/metabolism
    Chemical Substances Plant Proteins
    Language English
    Publishing date 2023-07-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1088037-9
    ISSN 1365-313X ; 0960-7412
    ISSN (online) 1365-313X
    ISSN 0960-7412
    DOI 10.1111/tpj.16387
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  4. Article ; Online: Extracutaneous involvement is common and associated with prolonged disease activity and greater impact in juvenile localized scleroderma.

    Li, Suzanne C / Higgins, Gloria C / Chen, Mallory / Torok, Kathryn S / Rabinovich, C Egla / Stewart, Katie / Laxer, Ronald M / Pope, Elena / Haines, Kathleen A / Punaro, Marilynn / O'Neil, Kathleen M

    Rheumatology (Oxford, England)

    2021  Volume 60, Issue 12, Page(s) 5724–5733

    Abstract: Objective: The aim of this study was to evaluate factors associated with extracutaneous involvement (ECI) in juvenile localized scleroderma (jLS).: Methods: A prospective, multicentre, 6-month observational study was performed. The data collected ... ...

    Abstract Objective: The aim of this study was to evaluate factors associated with extracutaneous involvement (ECI) in juvenile localized scleroderma (jLS).
    Methods: A prospective, multicentre, 6-month observational study was performed. The data collected included disease features, global assessments, and subject symptoms. Bivariate and linear multilevel regression analyses were performed.
    Results: A total of 86 jLS subjects (80% female, 80% Caucasian), median age of disease onset 7.7 years, were evaluated. Most had linear scleroderma or mixed morphea. Of the 86 subjects, 49 (57%) had 125 extracutaneous problems {median 2 [interquartile range (IQR) 1, 3] per subject} from nine organ systems. Most of these subjects had multiple musculoskeletal problems. ECI was associated with more extensive cutaneous involvement, higher number of symptoms, family history of autoimmunity, and ANA and RF positivity. Subjects with ECI had higher scores for physician global assessment of damage (PGA-D), and parental global assessment of disease impact, but not baseline physician global assessment of disease activity (PGA-A). Although subjects with ECI received more MTX and glucocorticoid treatment, they had a slower reduction in PGA-A scores and symptoms over time, suggesting a poorer response to treatment. In logistic regression modelling, female sex had the largest effect on parental impact scores.
    Conclusion: ECI occurred in the majority of subjects with jLS, and was associated with more medication use, longer treatment duration, higher PGA-D scores, and higher parental assessment of disease impact. Our findings suggest that jLS subjects with ECI have greater overall disease burden, both cutaneous and extracutaneous, and poorer response to treatment. More study of the treatment needs of this population is warranted.
    MeSH term(s) Child ; Female ; Follow-Up Studies ; Humans ; Male ; Morbidity/trends ; Musculoskeletal Diseases/epidemiology ; Musculoskeletal Diseases/etiology ; Prospective Studies ; Quality of Life ; Scleroderma, Localized/complications ; Scleroderma, Localized/diagnosis ; Scleroderma, Localized/epidemiology ; Severity of Illness Index ; Time Factors ; United States/epidemiology
    Language English
    Publishing date 2021-03-11
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/keab238
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  5. Article: Juvenile idiopathic arthritis: therapies in the 21st century.

    Haines, Kathleen A

    Bulletin of the NYU hospital for joint diseases

    2007  Volume 65, Issue 3, Page(s) 205–211

    Abstract: Juvenile idiopathic arthritis (JIA) is an umbrella term for seven or more clinical patterns of arthritis of unknown cause in children. Until the mid-1980s, therapy for children, with what was then called juvenile rheumatoid arthritis in the United States ...

    Abstract Juvenile idiopathic arthritis (JIA) is an umbrella term for seven or more clinical patterns of arthritis of unknown cause in children. Until the mid-1980s, therapy for children, with what was then called juvenile rheumatoid arthritis in the United States and juvenile chronic arthritis (JRA) elsewhere, consisted primarily of a small repertoire of antiinflammatory drugs and corticosteroids. However, only a small percentage of children respond to NSAIDs (nonsteroidal antiinflammatory drugs) alone; almost all will respond to corticosteroids, but with the cost of unacceptable toxicities. Juvenile arthritis was often a crippling disease. The controlled trial that demonstrated methotrexate therapy was safe and effective in children was the major advance of that decade. With the burgeoning understanding of the immune system and the advent of biologic agents in the 21st century, pediatric rheumatologists now have many more therapies to offer patients, with the expectation that their disease will be controlled. This review will discuss current therapy and the approach to treatment of JIA.
    MeSH term(s) Abatacept ; Adrenal Cortex Hormones/therapeutic use ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Antibodies, Monoclonal/therapeutic use ; Antibodies, Monoclonal, Humanized ; Antirheumatic Agents/therapeutic use ; Arthritis, Juvenile/classification ; Arthritis, Juvenile/drug therapy ; Arthritis, Juvenile/immunology ; Child ; Etanercept ; Humans ; Immunoconjugates/therapeutic use ; Immunoglobulin G/therapeutic use ; Interleukin 1 Receptor Antagonist Protein/therapeutic use ; Methotrexate/therapeutic use ; Receptors, Tumor Necrosis Factor/therapeutic use
    Chemical Substances Adrenal Cortex Hormones ; Anti-Inflammatory Agents, Non-Steroidal ; Antibodies, Monoclonal ; Antibodies, Monoclonal, Humanized ; Antirheumatic Agents ; Immunoconjugates ; Immunoglobulin G ; Interleukin 1 Receptor Antagonist Protein ; Receptors, Tumor Necrosis Factor ; Abatacept (7D0YB67S97) ; tocilizumab (I031V2H011) ; Etanercept (OP401G7OJC) ; Methotrexate (YL5FZ2Y5U1)
    Language English
    Publishing date 2007
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 390411-8
    ISSN 2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
    ISSN (online) 2328-5273 ; 1936-9727
    ISSN 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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  6. Article ; Online: The Canadian Food Intake Screener for assessing alignment of adults' dietary intake with the 2019 Canada's Food Guide healthy food choices recommendations: scoring system and construct validity.

    Hutchinson, Joy M / Dodd, Kevin W / Guenther, Patricia M / Lamarche, Benoit / Haines, Jess / Wallace, Angela / Perreault, Maude / Williams, Tabitha E / Louzada, Maria Laura da Costa / Jessri, Mahsa / Lemieux, Simone / Olstad, Dana Lee / Prowse, Rachel / Simpson, Janis Randall / Vena, Jennifer E / Szajbely, Kathleen / Kirkpatrick, Sharon I

    Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

    2023  Volume 48, Issue 8, Page(s) 620–633

    Abstract: Novelty: The Canadian Food Intake Screener was developed to rapidly assess alignment of dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations. Scoring is aligned with the Healthy Eating Food Index-2019 to the extent ... ...

    Abstract Novelty: The Canadian Food Intake Screener was developed to rapidly assess alignment of dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations. Scoring is aligned with the Healthy Eating Food Index-2019 to the extent possible. Among a sample of adults, reasonable variation in screener scores was noted, mean screener scores differed between some subgroups with known differences in diet quality, and a moderate correlation between screener scores and total Healthy Eating Food Index-2019 scores based on repeat 24 h dietary recalls was observed. The Canadian Food Intake Screener has moderate construct validity for rapid assessment of overall alignment of adults' dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations.
    Language English
    Publishing date 2023-05-10
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2236708-1
    ISSN 1715-5320 ; 1715-5312
    ISSN (online) 1715-5320
    ISSN 1715-5312
    DOI 10.1139/apnm-2023-0018
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  7. Article ; Online: The GH/IGF-1 Axis Is Associated With Intrahepatic Lipid Content and Hepatocellular Damage in Overweight/Obesity.

    Dichtel, Laura E / Corey, Kathleen E / Haines, Melanie S / Chicote, Mark L / Kimball, Allison / Colling, Caitlin / Simon, Tracey G / Long, Michelle T / Husseini, Jad / Bredella, Miriam A / Miller, Karen K

    The Journal of clinical endocrinology and metabolism

    2022  Volume 107, Issue 9, Page(s) e3624–e3632

    Abstract: Context: Obesity is a state of relative growth hormone (GH) deficiency, and GH has been identified as a candidate disease-modifying target in nonalcoholic fatty liver disease (NAFLD) because of its lipolytic and anti-inflammatory properties. However, ... ...

    Abstract Context: Obesity is a state of relative growth hormone (GH) deficiency, and GH has been identified as a candidate disease-modifying target in nonalcoholic fatty liver disease (NAFLD) because of its lipolytic and anti-inflammatory properties. However, the GH/IGF-1 axis has not been well characterized in NAFLD.
    Objective: We aimed to investigate serum GH and IGF-1 levels in relation to intrahepatic lipid content (IHL) and markers of hepatocellular damage and fibrosis in NAFLD.
    Methods: This cross-sectional study included 102 adults (43% women; age 19-67; BMI ≥ 25 kg/m2) without type 2 diabetes. IHL was measured by magnetic resonance spectroscopy; NAFLD was defined by ≥ 5% IHL. Peak-stimulated GH in response to GH releasing hormone and arginine was assessed as was serum IGF-1 (LC/MS).
    Results: There was no difference in mean age, BMI, or sex distribution in NAFLD vs controls. Mean (± SD) IHL was higher in NAFLD vs controls (21.8 ± 13.3% vs 2.9 ± 1.1%, P < 0.0001). Mean peak-stimulated GH was lower in NAFLD vs controls (9.0 ± 6.3 vs 15.4 ± 11.2 ng/mL, P = 0.003), including after controlling for age, sex, visceral adipose tissue, and fasting glucose. In a stepwise model, peak-stimulated GH predicted 14.6% of the variability in IHL (P = 0.004). Higher peak-stimulated GH was also associated with lower ALT. Higher serum IGF-1 levels were associated with lower risk of liver fibrosis by Fibrosis-4 scores.
    Conclusion: Individuals with NAFLD have lower peak-stimulated GH levels but similar IGF-1 levels as compared to controls. Higher peak-stimulated GH levels are associated with lower IHL and less hepatocellular damage. Higher IGF-1 levels are associated with more favorable fibrosis risk scores. These data implicate GH and IGF-1 as potential disease modifiers in the development and progression of NAFLD.
    MeSH term(s) Adult ; Aged ; Carcinoma, Hepatocellular ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 ; Female ; Human Growth Hormone ; Humans ; Insulin-Like Growth Factor I ; Lipids ; Liver Cirrhosis/etiology ; Liver Cirrhosis/pathology ; Liver Neoplasms ; Male ; Middle Aged ; Non-alcoholic Fatty Liver Disease ; Obesity/complications ; Overweight/complications ; Young Adult
    Chemical Substances IGF1 protein, human ; Lipids ; Human Growth Hormone (12629-01-5) ; Insulin-Like Growth Factor I (67763-96-6)
    Language English
    Publishing date 2022-07-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgac405
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  8. Article ; Online: Top Ten Tips Palliative Care Clinicians Should Know About Trauma and Emergency Surgery.

    Haines, Lindsay K / Cook, Allyson C / Hatchimonji, Justin S / Ho, Vanessa P / Kalbfell, Elle L / O'Connell, Kathleen M / Robenstine, Jacinta C / Schlögl, Mathias / Toevs, Christine C / Jones, Christopher A / Krouse, Robert S / Martin, Niels D

    Journal of palliative medicine

    2021  Volume 24, Issue 7, Page(s) 1072–1077

    Abstract: There is growing interest in, and need for, integrating palliative care (PC) into the care of patients undergoing emergency surgery and those with traumatic injury. Thus, PC consults for these populations will likely grow in the coming years. ... ...

    Abstract There is growing interest in, and need for, integrating palliative care (PC) into the care of patients undergoing emergency surgery and those with traumatic injury. Thus, PC consults for these populations will likely grow in the coming years. Understanding the nuances and unique characteristics of these two acutely ill populations will improve the care that PC clinicians can provide. Using a modified Delphi technique, this article offers 10 tips that experts in the field, based on their broad clinical experience, believe PC clinicians should know about the care of trauma and emergency surgery patients.
    MeSH term(s) Hospice and Palliative Care Nursing ; Humans ; Palliative Care ; Referral and Consultation
    Language English
    Publishing date 2021-06-15
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2021.0158
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  9. Article ; Online: Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma.

    Teichman, Amanda L / Bonne, Stephanie / Rattan, Rishi / Dultz, Linda / Qurashi, Farheen A / Goldenberg, Anna / Polite, Nathan / Liveris, Anna / Freeman, Jennifer J / Colosimo, Christina / Chang, Erin / Choron, Rachel L / Edwards, Courtney / Arabian, Sandra / Haines, Krista L / Joseph, D'Andrea / Murphy, Patrick B / Schramm, Andrew T / Jung, Hee Soo /
    Lawson, Emily / Fox, Kathleen / Mashbari, Hassan Naser A / Smith, Randi N

    Trauma surgery & acute care open

    2023  Volume 8, Issue 1, Page(s) e001041

    Abstract: Background: Intimate partner violence (IPV) is a serious public health issue with a substantial burden on society. Screening and intervention practices vary widely and there are no standard guidelines. Our objective was to review research on current ... ...

    Abstract Background: Intimate partner violence (IPV) is a serious public health issue with a substantial burden on society. Screening and intervention practices vary widely and there are no standard guidelines. Our objective was to review research on current practices for IPV prevention in emergency departments and trauma centers in the USA and provide evidenced-based recommendations.
    Methods: An evidence-based systematic review of the literature was conducted to address screening and intervention for IPV in adult trauma and emergency department patients. The Grading of Recommendations, Assessment, Development and Evaluations methodology was used to determine the quality of evidence. Studies were included if they addressed our prespecified population, intervention, control, and outcomes questions. Case reports, editorials, and abstracts were excluded from review.
    Results: Seven studies met inclusion criteria. All seven were centered around screening for IPV; none addressed interventions when abuse was identified. Screening instruments varied across studies. Although it is unclear if one tool is more accurate than others, significantly more victims were identified when screening protocols were implemented compared with non-standardized approaches to identifying IPV victims.
    Conclusion: Overall, there were very limited data addressing the topic of IPV screening and intervention in emergency medical settings, and the quality of the evidence was low. With likely low risk and a significant potential benefit, we conditionally recommend implementation of a screening protocol to identify victims of IPV in adults treated in the emergency department and trauma centers. Although the purpose of screening would ultimately be to provide resources for victims, no studies that assessed distinct interventions met our inclusion criteria. Therefore, we cannot make specific recommendations related to IPV interventions.
    Prospero registration number: CRD42020219517.
    Language English
    Publishing date 2023-03-16
    Publishing country England
    Document type Journal Article
    ISSN 2397-5776
    ISSN (online) 2397-5776
    DOI 10.1136/tsaco-2022-001041
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  10. Article ; Online: Neuromuscular blockade and oxygenation changes during prone positioning in COVID-19.

    Rollinson, Thomas C / McDonald, Luke A / Rose, Joleen / Eastwood, Glenn / Costa-Pinto, Rahul / Modra, Lucy / Maeda, Akinori / Bacolas, Zoe / Anstey, James / Bates, Samantha / Bradley, Scott / Dumbrell, Jodi / French, Craig / Ghosh, Angaj / Haines, Kimberley / Haydon, Tim / Hodgson, Carol L / Holmes, Jennifer / Leggett, Nina /
    McGain, Forbes / Moore, Cara / Nelson, Kathleen / Presneill, Jeffrey / Rotherham, Hannah / Said, Simone / Young, Meredith / Zhao, Peinan / Udy, Andrew / Neto, Ary Serpa / Chaba, Anis / Bellomo, Rinaldo

    Journal of critical care

    2023  Volume 79, Page(s) 154469

    Abstract: Purpose: Neuromuscular blockers (NMBs) are often used during prone positioning to facilitate mechanical ventilation in COVID-19 related ARDS. However, their impact on oxygenation is uncertain.: Methods: Multi-centre observational study of invasively ... ...

    Abstract Purpose: Neuromuscular blockers (NMBs) are often used during prone positioning to facilitate mechanical ventilation in COVID-19 related ARDS. However, their impact on oxygenation is uncertain.
    Methods: Multi-centre observational study of invasively ventilated COVID-19 ARDS adults treated with prone positioning. We collected data on baseline characteristics, prone positioning, NMB use and patient outcome. We assessed arterial blood gas data during supine and prone positioning and after return to the supine position.
    Results: We studied 548 prone episodes in 220 patients (mean age 54 years, 61% male) of whom 164 (75%) received NMBs. Mean PaO
    Conclusion: During prone positioning, NMB is associated with increased oxygenation compared to non-NMB therapy, with a sustained effect on return to the supine position. These findings may help guide the use of NMB during prone positioning in COVID-19 ARDS.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Middle Aged ; COVID-19/therapy ; Neuromuscular Blockade ; Neuromuscular Diseases ; Prone Position ; Pulmonary Gas Exchange ; Respiration, Artificial ; Respiratory Distress Syndrome/therapy
    Language English
    Publishing date 2023-11-21
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2023.154469
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