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  1. Article ; Online: Omega-3 long chain polyunsaturated fatty acids as a potential treatment for reducing dysmenorrhoea pain: Systematic literature review and meta-analysis.

    Snipe, Rhiannon M J / Brelis, Benjamin / Kappas, Christina / Young, Julie K / Eishold, Lucy / Chui, Jie M / Vatvani, Meher D / Nigro, Gabriella M D / Hamilton, D Lee / Convit, Lilia / Carr, Amelia / Condo, Dominique

    Nutrition & dietetics: the journal of the Dietitians Association of Australia

    2023  Volume 81, Issue 1, Page(s) 94–106

    Abstract: Aim: This systematic literature review with meta-analysis aimed to determine the effect of omega-3 long chain polyunsaturated fatty acids on prostaglandin levels and pain severity in women with dysmenorrhoea and identify adverse side effects.: Methods! ...

    Abstract Aim: This systematic literature review with meta-analysis aimed to determine the effect of omega-3 long chain polyunsaturated fatty acids on prostaglandin levels and pain severity in women with dysmenorrhoea and identify adverse side effects.
    Methods: A literature search was conducted in Embase, Scopus, Web of Science, MEDLINE complete, CINAHL and AMED databases (PROSPERO CRD42022340371). Included studies provided omega-3 long chain polyunsaturated fatty acids compared to a control in women with dysmenorrhoea and reported pain and/or prostaglandin levels. A random effects meta-analysis with Cohen's d effect size (95% confidence interval) was performed in SPPS for studies that reported pain outcomes. Study quality was assessed using the Academy of Nutrition and Dietetics Quality Criteria Checklist.
    Results: Twelve studies (n = 881 dysmenorrhoeal women) of predominantly neutral quality (83%) were included that provided daily supplementation of 300-1800 mg omega-3 long chain polyunsaturated fatty acids over 2 or 3 months. Meta-analysis (n = 8 studies) showed a large effect of omega-3 long chain polyunsaturated fatty acids (d = -1.020, 95% confidence interval -1.53 to -0.51) at reducing dysmenorrhoea pain. No studies measured prostaglandin levels, 86% of studies measuring analgesic use showed a reduction with omega-3 long chain polyunsaturated fatty acids and few studies reported mild adverse side effects in individual participants.
    Conclusions: Findings suggest that daily supplementation of 300-1800 mg omega-3 long chain polyunsaturated fatty acids over 2-3 months are generally well tolerated and reduces pain and analgesic use in women with dysmenorrhoea. However, the neutral quality of research is limited by methodological issues and the mechanism of action remains to be determined.
    MeSH term(s) Female ; Humans ; Dysmenorrhea/drug therapy ; Dysmenorrhea/chemically induced ; Fatty Acids, Omega-3/adverse effects ; Analgesics ; Prostaglandins
    Chemical Substances Fatty Acids, Omega-3 ; Analgesics ; Prostaglandins
    Language English
    Publishing date 2023-08-06
    Publishing country Australia
    Document type Systematic Review ; Meta-Analysis ; Journal Article ; Review
    ZDB-ID 2082047-1
    ISSN 1747-0080 ; 1446-6368
    ISSN (online) 1747-0080
    ISSN 1446-6368
    DOI 10.1111/1747-0080.12835
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  2. Article ; Online: Nasal intermittent positive pressure ventilation during less invasive surfactant administration in preterm infants: An open-label randomized controlled study.

    Dani, Carlo / Napolitano, Marcello / Barone, Ciro / Manna, Angelo / Nigro, Gabriella / Scarpelli, Gianfranco / Bonanno, Elvira / Gatto, Sara / Cavigioli, Francesco / Forcellini, Carlo / Petoello, Enrico / Beghini, Renzo / Ciarcià, Martina / Fusco, Monica / Mosca, Fabio / Lavizzari, Anna / Gitto, Eloisa / Barbuscia, Letteria / Betta, Pasqua /
    Mattia, Carmine / Corvaglia, Luigi / Vedovato, Stefania / Vento, Giovanni / Maffei, Gianfranco / Falsaperla, Raffaele / Lago, Paola / Boni, Luca / Lista, Gianluca

    Pediatric pulmonology

    2024  Volume 59, Issue 4, Page(s) 1006–1014

    Abstract: Introduction: Approximately half of very preterm infants with respiratory distress syndrome (RDS) fail treatment with nasal continuous positive airway pressure (NCPAP) and need mechanical ventilation (MV).: Objectives: Our aim with this study was to ... ...

    Abstract Introduction: Approximately half of very preterm infants with respiratory distress syndrome (RDS) fail treatment with nasal continuous positive airway pressure (NCPAP) and need mechanical ventilation (MV).
    Objectives: Our aim with this study was to evaluate if nasal intermittent positive pressure ventilation (NIPPV) during less invasive surfactant treatment (LISA) can improve respiratory outcome compared with NCPAP.
    Materials and methods: We carried out an open-label randomized controlled trial at tertiary neonatal intensive care units in which infants with RDS born at 25
    Results: We enrolled 101 infants in the NIPPV group and 99 in the NCPAP group. The unadjusted odds ratio for the composite primary outcome was 0.873 (95% confidence interval: 0.456-1.671; p = .681). We found that the SpO
    Conclusions: The application of NIPPV or NCPAP during LISA in very preterm infants supported with NCPAP before and after surfactant administration had similar effects on the short-term respiratory outcome and are both safe. Our study does not support the use of NIPPV during LISA.
    MeSH term(s) Infant, Newborn ; Humans ; Infant, Premature ; Intermittent Positive-Pressure Ventilation ; Surface-Active Agents ; Respiration, Artificial ; Continuous Positive Airway Pressure/adverse effects ; Pulmonary Surfactants/therapeutic use ; Infant, Premature, Diseases/etiology ; Respiratory Distress Syndrome, Newborn/drug therapy
    Chemical Substances Surface-Active Agents ; Pulmonary Surfactants
    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.26879
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2143: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  3. Article ; Online: Lung recruitment before surfactant administration in extremely preterm neonates with respiratory distress syndrome (IN-REC-SUR-E): a randomised, unblinded, controlled trial.

    Vento, Giovanni / Ventura, Maria Luisa / Pastorino, Roberta / van Kaam, Anton H / Carnielli, Virgilio / Cools, Filip / Dani, Carlo / Mosca, Fabio / Polglase, Graeme / Tagliabue, Paolo / Boni, Luca / Cota, Francesco / Tana, Milena / Tirone, Chiara / Aurilia, Claudia / Lio, Alessandra / Costa, Simonetta / D'Andrea, Vito / Lucente, Mariella /
    Nigro, Gabriella / Giordano, Lucio / Roma, Vincenzina / Villani, Paolo E / Fusco, Francesca P / Fasolato, Valeria / Colnaghi, Maria Rosa / Matassa, Piero G / Vendettuoli, Valentina / Poggi, Chiara / Del Vecchio, Antonio / Petrillo, Flavia / Betta, Pasqua / Mattia, Carmine / Garani, Giampaolo / Solinas, Agostina / Gitto, Eloisa / Salvo, Vincenzo / Gargano, Giancarlo / Balestri, Eleonora / Sandri, Fabrizio / Mescoli, Giovanna / Martinelli, Stefano / Ilardi, Laura / Ciarmoli, Elena / Di Fabio, Sandra / Maranella, Eugenia / Grassia, Carolina / Ausanio, Gaetano / Rossi, Vincenzo / Motta, Angela / Tina, Lucia G / Maiolo, Kim / Nobile, Stefano / Messner, Hubert / Staffler, Alex / Ferrero, Federica / Stasi, Ilaria / Pieragostini, Luisa / Mondello, Isabella / Haass, Cristina / Consigli, Chiara / Vedovato, Stefania / Grison, Alessandra / Maffei, Gianfranco / Presta, Giuseppe / Perniola, Roberto / Vitaliti, Marcello / Re, Maria P / De Curtis, Mario / Cardilli, Viviana / Lago, Paola / Tormena, Francesca / Orfeo, Luigi / Gizzi, Camilla / Massenzi, Luca / Gazzolo, Diego / Strozzi, Maria Chiara M / Bottino, Roberto / Pontiggia, Federica / Berardi, Alberto / Guidotti, Isotta / Cacace, Caterina / Meli, Valerio / Quartulli, Lorenzo / Scorrano, Antonio / Casati, Alessandra / Grappone, Lidia / Pillow, J Jane

    The Lancet. Respiratory medicine

    2020  Volume 9, Issue 2, Page(s) 159–166

    Abstract: Background: The importance of lung recruitment before surfactant administration has been shown in animal studies. Well designed trials in preterm infants are absent. We aimed to examine whether the application of a recruitment manoeuvre just before ... ...

    Abstract Background: The importance of lung recruitment before surfactant administration has been shown in animal studies. Well designed trials in preterm infants are absent. We aimed to examine whether the application of a recruitment manoeuvre just before surfactant administration, followed by rapid extubation (intubate-recruit-surfactant-extubate [IN-REC-SUR-E]), decreased the need for mechanical ventilation during the first 72 h of life compared with no recruitment manoeuvre (ie, intubate-surfactant-extubate [IN-SUR-E]).
    Methods: We did a randomised, unblinded, controlled trial in 35 tertiary neonatal intensive care units in Italy. Spontaneously breathing extremely preterm neonates (24 + 0 to 27 + 6 weeks' gestation) reaching failure criteria for continuous positive airway pressure within the first 24 h of life were randomly assigned (1:1) with a minimisation algorithm to IN-REC-SUR-E or IN-SUR-E using an interactive web-based electronic system, stratified by clinical site and gestational age. The primary outcome was the need for mechanical ventilation in the first 72 h of life. Analyses were done in intention-to-treat and per-protocol populations, with a log-binomial regression model correcting for stratification factors to estimate adjusted relative risk (RR). This study is registered with ClinicalTrials.gov, NCT02482766.
    Findings: Of 556 infants assessed for eligibility, 218 infants were recruited from Nov 12, 2015, to Sept 23, 2018, and included in the intention-to-treat analysis. The requirement for mechanical ventilation during the first 72 h of life was reduced in the IN-REC-SUR-E group (43 [40%] of 107) compared with the IN-SUR-E group (60 [54%] of 111; adjusted RR 0·75, 95% CI 0·57-0·98; p=0·037), with a number needed to treat of 7·2 (95% CI 3·7-135·0). The addition of the recruitment manoeuvre did not adversely affect the safety outcomes of in-hospital mortality (19 [19%] of 101 in the IN-REC-SUR-E group vs 37 [33%] of 111 in the IN-SUR-E group), pneumothorax (four [4%] of 101 vs seven [6%] of 111), or grade 3 or worse intraventricular haemorrhage (12 [12%] of 101 vs 17 [15%] of 111).
    Interpretation: A lung recruitment manoeuvre just before surfactant administration improved the efficacy of surfactant treatment in extremely preterm neonates compared with the standard IN-SUR-E technique, without increasing the risk of adverse neonatal outcomes. The reduced need for mechanical ventilation during the first 72 h of life might facilitate implementation of a non-invasive respiratory support strategy.
    Funding: None.
    MeSH term(s) Airway Extubation/methods ; Critical Care/methods ; Female ; Humans ; Infant, Extremely Premature ; Infant, Newborn ; Intensive Care Units, Neonatal ; Intubation, Intratracheal/methods ; Italy ; Lung/physiopathology ; Male ; Pulmonary Surfactants/therapeutic use ; Respiration, Artificial/statistics & numerical data ; Respiratory Distress Syndrome, Newborn/therapy ; Treatment Outcome
    Chemical Substances Pulmonary Surfactants
    Language English
    Publishing date 2020-07-17
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(20)30179-X
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 7041: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Efficacy of a new technique - INtubate-RECruit-SURfactant-Extubate - "IN-REC-SUR-E" - in preterm neonates with respiratory distress syndrome: study protocol for a randomized controlled trial.

    Vento, Giovanni / Pastorino, Roberta / Boni, Luca / Cota, Francesco / Carnielli, Virgilio / Cools, Filip / Dani, Carlo / Mosca, Fabio / Pillow, Jane / Polglase, Graeme / Tagliabue, Paolo / van Kaam, Anton H / Ventura, Maria Luisa / Tana, Milena / Tirone, Chiara / Aurilia, Claudia / Lio, Alessandra / Ricci, Cinzia / Gambacorta, Alessandro /
    Consigli, Chiara / D'Onofrio, Danila / Gizzi, Camilla / Massenzi, Luca / Cardilli, Viviana / Casati, Alessandra / Bottino, Roberto / Pontiggia, Federica / Ciarmoli, Elena / Martinelli, Stefano / Ilardi, Laura / Colnaghi, Mariarosa / Matassa, Piero Giuseppe / Vendettuoli, Valentina / Villani, Paolo / Fusco, Francesca / Gazzolo, Diego / Ricotti, Alberto / Ferrero, Federica / Stasi, Ilaria / Magaldi, Rosario / Maffei, Gianfranco / Presta, Giuseppe / Perniola, Roberto / Messina, Francesco / Montesano, Giovanna / Poggi, Chiara / Giordano, Lucio / Roma, Enza / Grassia, Carolina / Ausanio, Gaetano / Sandri, Fabrizio / Mescoli, Giovanna / Giura, Francesco / Garani, Giampaolo / Solinas, Agostina / Lucente, Maria / Nigro, Gabriella / Del Vecchio, Antonello / Petrillo, Flavia / Orfeo, Luigi / Grappone, Lidia / Quartulli, Lorenzo / Scorrano, Antonio / Messner, Hubert / Staffler, Alex / Gargano, Giancarlo / Balestri, Eleonora / Nobile, Stefano / Cacace, Caterina / Meli, Valerio / Dallaglio, Sara / Pasqua, Betta / Mattia, Loretta / Gitto, Eloisa / Vitaliti, Marcello / Re, Maria Paola / Vedovato, Stefania / Grison, Alessandra / Berardi, Alberto / Torcetta, Francesco / Guidotti, Isotta / di Fabio, Sandra / Maranella, Eugenia / Mondello, Isabella / Visentin, Stefano / Tormena, Francesca

    Trials

    2016  Volume 17, Page(s) 414

    Abstract: Background: Although beneficial in clinical practice, the INtubate-SURfactant-Extubate (IN-SUR-E) method is not successful in all preterm neonates with respiratory distress syndrome, with a reported failure rate ranging from 19 to 69 %. One of the ... ...

    Abstract Background: Although beneficial in clinical practice, the INtubate-SURfactant-Extubate (IN-SUR-E) method is not successful in all preterm neonates with respiratory distress syndrome, with a reported failure rate ranging from 19 to 69 %. One of the possible mechanisms responsible for the unsuccessful IN-SUR-E method, requiring subsequent re-intubation and mechanical ventilation, is the inability of the preterm lung to achieve and maintain an "optimal" functional residual capacity. The importance of lung recruitment before surfactant administration has been demonstrated in animal studies showing that recruitment leads to a more homogeneous surfactant distribution within the lungs. Therefore, the aim of this study is to compare the application of a recruitment maneuver using the high-frequency oscillatory ventilation (HFOV) modality just before the surfactant administration followed by rapid extubation (INtubate-RECruit-SURfactant-Extubate: IN-REC-SUR-E) with IN-SUR-E alone in spontaneously breathing preterm infants requiring nasal continuous positive airway pressure (nCPAP) as initial respiratory support and reaching pre-defined CPAP failure criteria.
    Methods/design: In this study, 206 spontaneously breathing infants born at 24(+0)-27(+6) weeks' gestation and failing nCPAP during the first 24 h of life, will be randomized to receive an HFOV recruitment maneuver (IN-REC-SUR-E) or no recruitment maneuver (IN-SUR-E) just prior to surfactant administration followed by prompt extubation. The primary outcome is the need for mechanical ventilation within the first 3 days of life. Infants in both groups will be considered to have reached the primary outcome when they are not extubated within 30 min after surfactant administration or when they meet the nCPAP failure criteria after extubation.
    Discussion: From all available data no definitive evidence exists about a positive effect of recruitment before surfactant instillation, but a rationale exists for testing the following hypothesis: a lung recruitment maneuver performed with a step-by-step Continuous Distending Pressure increase during High-Frequency Oscillatory Ventilation (and not with a sustained inflation) could have a positive effects in terms of improved surfactant distribution and consequent its major efficacy in preterm newborns with respiratory distress syndrome. This represents our challenge.
    Trial registration: ClinicalTrials.gov identifier: NCT02482766 . Registered on 1 June 2015.
    Language English
    Publishing date 2016-08-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/s13063-016-1498-7
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