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1. Taking time to think: The tyranny of being 'too busy' and the practice of wildlife management

Author: Daniel J. Decker, Emily F. Pomeranz, Ann B. Forstchen, Shawn J. Riley, Patrick E. Lederle, Michael V. Schiavone, Meghan S. Baumer, Christian A. Smith, R. Kipp Frohlich, R. Joseph Benedict, and Richard King
Subjects: effectiveness, job satisfaction, planning, productivity, time management, professionalism, General. Including nature conservation, geographical distribution, QH1-199.5
Published: 2022
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2. Ratcheting up Rigor in Wildlife Management Decision Making

Author: Angela K. Fuller, Daniel J. Decker, Michael V. Schiavone, and Ann B. Forstchen
Subjects: agency, decision analysis, decision making, objectives, public trust, wildlife management, General. Including nature conservation, geographical distribution, QH1-199.5
Abstract: ABSTRACT The wildlife management institution has been transforming to ensure relevance and positive conservation outcomes into the future. Continuous improvement of decision making is one aspect of this transformation. Managers and policy makers with responsibility for wildlife decisions have an exceedingly challenging job because the set of objectives they wish to achieve is so complex, multifaceted, and often contentious. Many wildlife management agencies desire decision‐making processes that are transparent, replicable, engage partners, and communicate effectively with the public. Using a decision science approach offers a framework to allow agencies to achieve these objectives so the decision‐making process is consistent with their desires. One can point to many excellent examples of formal decision science applications by state and federal agencies in the United States, but many obstacles hinder systematic approaches to decision making. We describe our observations—based on first‐hand experiences—with decision making in wildlife management, present reasons why making decisions is difficult, identify challenges faced by wildlife managers at various levels of governance, and address measures wildlife managers can employ to help overcome these challenges. We acknowledge that no panacea, simple recipe, or one‐size‐fits‐all prescription exists for wildlife management decision making. Nevertheless, we hope that by a) describing how a systematic decision science framework can help agencies achieve their objectives, while simultaneously benefiting stakeholders, managers, and conservation outcomes, and b) providing specific suggestions for overcoming challenges associated with decision making, we will help agencies in the midst of their challenges to improve decision‐making processes consistent with their objectives. © 2020 The Authors. Wildlife Society Bulletin published by Wiley Periodicals, Inc. on behalf of The Wildlife Society.
Published: 2020
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3. Metal coordinating inhibitors of Rift Valley fever virus replication.

Author: Elizabeth Geerling, Valerie Murphy, Maria C Mai, E Taylor Stone, Andreu Gazquez Casals, Mariah Hassert, Austin T O'Dea, Feng Cao, Maureen J Donlin, Mohamed Elagawany, Bahaa Elgendy, Vasiliki Pardali, Erofili Giannakopoulou, Grigoris Zoidis, Daniel V Schiavone, Alex J Berkowitz, Nana B Agyemang, Ryan P Murelli, John E Tavis, Amelia K Pinto, and James D Brien
Subjects: Medicine, Science
Abstract: Rift Valley fever virus (RVFV) is a veterinary and human pathogen and is an agent of bioterrorism concern. Currently, RVFV treatment is limited to supportive care, so new drugs to control RVFV infection are urgently needed. RVFV is a member of the order Bunyavirales, whose replication depends on the enzymatic activity of the viral L protein. Screening for RVFV inhibitors among compounds with divalent cation-coordinating motifs similar to known viral nuclease inhibitors identified 47 novel RVFV inhibitors with selective indexes from 1.1-103 and 50% effective concentrations of 1.2-56 μM in Vero cells, primarily α-Hydroxytropolones and N-Hydroxypyridinediones. Inhibitor activity and selective index was validated in the human cell line A549. To evaluate specificity, select compounds were tested against a second Bunyavirus, La Crosse Virus (LACV), and the flavivirus Zika (ZIKV). These data indicate that the α-Hydroxytropolone and N-Hydroxypyridinedione chemotypes should be investigated in the future to determine their mechanism(s) of action allowing further development as therapeutics for RVFV and LACV, and these chemotypes should be evaluated for activity against related pathogens, including Hantaan virus, severe fever with thrombocytopenia syndrome virus, Crimean-Congo hemorrhagic fever virus.
Published: 2022
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4. Successful Wildlife Conservation Requires Good Governance

Author: Emily F. Pomeranz, Darragh Hare, Daniel J. Decker, Ann B. Forstchen, Cynthia A. Jacobson, Christian A. Smith, and Michael V. Schiavone
Subjects: wildlife conservation, wildlife management, program evaluation, public trust, good governance, relevancy, General. Including nature conservation, geographical distribution, QH1-199.5
Abstract: Public wildlife management in the United States is transforming as agencies seek relevancy to broader constituencies. State agencies in the United States, while tasked with conserving wildlife for all beneficiaries of the wildlife trust, have tended to manage for a limited range of benefits in part due to a narrow funding model heavily dependent on hunting, fishing, and trapping license buyers. To best meet the needs, interests, and concerns of a broader suite of beneficiaries, agencies will need to reconsider how priorities for management are set. This presents an opportunity for conservation program design and evaluation to be elevated in importance. We argue that success in wildlife conservation in the U.S. requires assessment of both decision-making processes and management results in relation to four questions: conservation of what, under what authority, for what purposes, and for whom?
Published: 2021
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5. Antiviral activity of amide-appended α-hydroxytropolones against herpes simplex virus-1 and -2

Author: Andreu Gazquez Casals, Alex J. Berkowitz, Alice J. Yu, Hope E. Waters, Daniel V. Schiavone, Diana M. Kapkayeva, Lynda A. Morrison, and Ryan P. Murelli
Subjects: General Chemical Engineering, General Chemistry
Abstract: Amide-appended α-hydroxytropolones from a previously described library suppressed herpes simplex virus (HSV) replication in cell culture. A targeted follow-up library led to potent analogs against HSV-1 and -2, including acyclovir-resistant mutants.
Published: 2023
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6. Wildlife governance in the 21st century—Will sustainable use endure?

Author: Daniel J. Decker, John F. Organ, Ann B. Forstchen, Cynthia A. Jacobson, William F. Siemer, Christian A. Smith, Patrick E. Lederle, and Michael V. Schiavone
Subjects: good governance, governance principles, public trust, sustainable use, wildlife management, General. Including nature conservation, geographical distribution, QH1-199.5
Abstract: ABSTRACT In light of the trajectory of wildlife governance in the United States, the future of sustainable use of wildlife is a topic of substantial interest in the wildlife conservation community. We examine sustainable‐use principles with respect to “good governance” considerations and public trust administration principles to assess how sustainable use might fare in the 21st century. We conclude that sustainable‐use principles are compatible with recently articulated wildlife governance principles and could serve to mitigate broad values and norm shifts in American society that affect social acceptability of particular uses. Wildlife governance principles emphasize inclusive discourse among diverse wildlife interests, which could minimize isolated exchanges among cliques of like‐minded people pursuing their ambitions without seeking opportunity for sharing or understanding diverse views. Aligning governance practices with wildlife governance principles can help avoid such isolation. In summary, sustainable use of wildlife is likely to endure as long as society 1) believes the long‐term sustainability of wildlife is not jeopardized, and 2) accepts practices associated with such use as legitimate. These are 2 criteria needing constant attention. © 2017 The Wildlife Society.
Published: 2017
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7. Investigations into a Stoichiometrically Equivalent Intermolecular Oxidopyrylium [5 + 2] Cycloaddition Reaction Leveraging 3-Hydroxy-4-pyrone-Based Oxidopyrylium Dimers

Author: Ryan P. Murelli, Diana M Kapkayeva, and Daniel V. Schiavone
Subjects: chemistry.chemical_classification, Cycloaddition Reaction, Bicyclic molecule, 010405 organic chemistry, Chemistry, Dimer, Organic Chemistry, Intermolecular force, Alkyne, Stereoisomerism, 4-Pyrone, 010402 general chemistry, 01 natural sciences, Article, Cycloaddition, 0104 chemical sciences, Solvent, chemistry.chemical_compound, Chromones, Pyrones, Computational chemistry, Ylide
Abstract: Oxidopyrylium [5 + 2] cycloaddition reactions are powerful strategies for constructing complex bicyclic architectures. However, intermolecular cycloadditions of oxidopyrylium ylides are limited due to competing dimerization processes; consequently, high equivalents of dipolarophiles are often used to help intercept the ylide prior to dimerization. Recent studies by our lab have revealed that oxidopyrylium dimers derived from 3-hydroxy-4-pyrones are capable of reverting back to ylides in situ and as a result can be used as clean oxidopyrylium ylide sources. The following manuscript investigates intermolecular cycloaddition reactions between 3-hydroxy-4-pyrone-derived oxidopyrylium dimers and stoichiometrically equivalent ratios of alkyne dipolarophiles under thermal conditions. With certain reactive alkynes, pure cycloadducts can be obtained following a simple evaporation of the solvent, which is a benefit of the completely atom-economical reaction conditions. However, when less reactive alkynes are used the yields suffer due to a competing dimer rearrangement. Finally, when reactive-yet-volatile alkynes are used, such as methyl propiolate, competing 2:1 ylide/alkyne cycloadducts are observed. Intriguingly, these complex cycloadducts, which can be obtained in good yields from the pure cycloadducts, form with high regio- and stereoselectivities; however, both the regio-and stereoselectivities differ remarkably based on the source of the oxidopyrylium ylide.
Published: 2021
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8. Effects of the COVID‐19 pandemic on 2020 spring turkey hunting across the United States

Author: Zachary D. Danks, Michael V. Schiavone, Adam B. Butler, Kent Fricke, Alicia Davis, and David T. Cobb
Published: 2022
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9. Accelerating development of fish and wildlife professionals will take more than training

Author: William F. Siemer, Meghan S. Baumer, Emily F. Pomeranz, Daniel J. Decker, Ann B. Forstchen, Shawn J. Riley, Michael V. Schiavone, Christian A. Smith, and Patrick E. Lederle
Published: 2022
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10. P17-22 Zebrafish, a novel key player for human risk assessment: latest advances on developmental neurotoxicity from an international consortium

Author: C. Miguel Sanz, J. Ibarra, D. Rubbini, J.-H. Hsieh, L. Ellis, A. Alzualde, L. Truong, N. Kluver, A. Muriana, K. Ryan, M. Behl, B. Molina, J. Legradi, S. Padilla, C. Woodland, R. Tanguay, B. Hill, T. Shafer, M. Sachana, J. Terriente, V. Di Donato, V. Schiavone, and E. Hessel
Subjects: General Medicine, Toxicology
Published: 2022
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11. Synthesis of Polyoxygenated Tropolones and their Antiviral Activity Against Hepatitis B Virus and Herpes Simplex Virus-1

Author: Daniel V. Schiavone, Diana M. Kapkayeva, Qilan Li, Molly E. Woodson, Andreu Gazquez Casals, Lynda A. Morrison, John E. Tavis, and Ryan P. Murelli
Subjects: Hepatitis B virus, Cycloaddition Reaction, Organic Chemistry, General Chemistry, Herpesvirus 1, Human, Antiviral Agents, Catalysis, Article, Tropolone
Abstract: Polyoxygenated tropolones possess a broad range of biological activity, and as a result are promising lead structures or fragments for drug development. However, structure-function studies and subsequent optimization have been challenging, in part due to the limited number of readily available tropolones and the obstacles to their synthesis. Oxidopyrylium [5+2] cycloaddition can effectively generate a diverse array of seven-membered ring carbocycles, and as a result can provide a highly general strategy for tropolone synthesis. Here, we describe the use of 3-hydroxy-4-pyrone-based oxidopyrylium cycloaddition chemistry in the synthesis of functionalized 3,7-dimethoxytropolones, 3,7-dihydroxytropolones, and isomeric 3-hydroxy-7-methoxytropolones through complementary benzyl alcohol-incorporating procedures. The antiviral activity of these molecules against herpes simplex virus-1 and hepatitis B virus is also described, highlighting the value of this approach and providing new structure-function insights relevant to their antiviral activity.
Published: 2022

12. Successful wildlife conservation requires good governance

Author: Ann B. Forstchen, Daniel J. Decker, Michael V. Schiavone, Darragh Hare, Emily F. Pomeranz, Cynthia A. Jacobson, and Christian A. Smith
Subjects: Program evaluation, Relation (database), General. Including nature conservation, geographical distribution, program evaluation, QH1-199.5, public trust, relevancy, Good governance, wildlife conservation, good governance, Public trust, wildlife management, Wildlife management, Program Design Language, Business, Environmental planning, Wildlife conservation
Abstract: Public wildlife management in the United States is transforming as agencies seek relevancy to broader constituencies. State agencies in the United States, while tasked with conserving wildlife for all beneficiaries of the wildlife trust, have tended to manage for a limited range of benefits in part due to a narrow funding model heavily dependent on hunting, fishing, and trapping license buyers. To best meet the needs, interests, and concerns of a broader suite of beneficiaries, agencies will need to reconsider how priorities for management are set. This presents an opportunity for conservation program design and evaluation to be elevated in importance. We argue that success in wildlife conservation in the U.S. requires assessment of both decision-making processes and management results in relation to four questions: conservation of what, under what authority, for what purposes, and for whom?
Published: 2021

13. Moving the paradigm from stakeholders to beneficiaries in wildlife management

Author: Michael V. Schiavone, Daniel J. Decker, Patrick E. Lederle, R. Kipp Frohlich, William F. Siemer, Christian A. Smith, Emily F. Pomeranz, and Ann B. Forstchen
Subjects: Good governance, Ecology, General Earth and Planetary Sciences, Wildlife management, Business, Environmental planning, Ecology, Evolution, Behavior and Systematics, Nature and Landscape Conservation, General Environmental Science
Published: 2019
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14. Structural Monitoring and Dynamic Characterization of the Main Fire Station Building in Naples

Author: Mariacristina Spizzuoco, Giorgio Serino, Daniele Losanno, V. Schiavone, Iolanda Nuzzo, Spizzuoco, M., Losanno, D., Nuzzo, I., Schiavone, V., and Serino, G.
Subjects: Bearing (mechanical), business.industry, Computer science, Vibration control, Suspended structure, Structural engineering, law.invention, Characterization (materials science), Structural monitoring system, Seismic control system, Dynamic monitoring, law, Strategic structure, Seismic retrofit, business, Structural monitoring
Abstract: The main Firemen Station of Naples is a steel–concrete composite building structure, that is peculiar due to its suspended configuration and to the seismic devices installed at the time of construction. The latters represents one of the first Italian applications of vibration control systems and the assessment of seismic performance according to current codes is strongly needed. The installation of a static and dynamic monitoring system of the structure and the performing of a rising test of one seismic bearing could allow to better understand the structural behaviour and to determine the best choice of seismic retrofit intervention of the building. A simplified structural model is developed to be used for predicting and evaluating the experimental results of dynamic shaking tests with vibrodine.
Published: 2021

15. Amide-Containing α-Hydroxytropolones as Inhibitors of Hepatitis B Virus Replication

Author: Juan A. Villa, Qilan Li, Alex J. Berkowitz, Maureen J. Donlin, Americo J. Fraboni, Feng Cao, John P. Stasiak, Daniel V. Schiavone, Emilio Gallicchio, Elena Lomonosova, Lauren P. Bejcek, Rudolf G. Abdelmessih, Brienna Milleson, Austin T O'Dea, Ryan P. Murelli, Anastasiya Lyubimova, John E. Tavis, and John-Charles Baucom
Subjects: 0301 basic medicine, Models, Molecular, Hepatitis B virus, 030106 microbiology, medicine.disease_cause, Virus Replication, Antiviral Agents, Article, Tropolone, law.invention, Cell Line, 03 medical and health sciences, law, Virology, Drug Discovery, medicine, Humans, Ribonuclease, RNase H, Escherichia coli, Pharmacology, Cryptococcus neoformans, biology, Chemistry, Active site, biology.organism_classification, Hepatitis B, Amides, 030104 developmental biology, Biochemistry, Docking (molecular), biology.protein, Recombinant DNA
Abstract: The Hepatitis B Virus (HBV) ribonuclease H (RNaseH) is a promising but unexploited drug target. Here, we synthesized and analyzed a library of 57 amide-containing α-hydroxytropolones (αHTs) as potential leads for HBV drug development. Fifty percent effective concentrations ranged from 0.31 to 54 μM, with selectivity indexes in cell culture of up to 80. Activity against the HBV RNaseH was confirmed in semi-quantitative enzymatic assays with recombinant HBV RNaseH. The compounds were overall poorly active against human ribonuclease H1, with 50% inhibitory concentrations of 5.1 to >1,000 μM. The αHTs had modest activity against growth of the fungal pathogen Cryptococcus neoformans, but had very limited activity against growth of the Gram - bacterium Escherichia coli and the Gram + bacterium Staphylococcus aureus, indicating substantial selectivity for HBV. A molecular model of the HBV RNaseH templated against the Ty3 RNaseH was generated. Docking the compounds to the RNaseH revealed the anticipated binding pose with the divalent cation coordinating motif on the compounds chelating the two Mn++ ions modeled into the active site. These studies reveal that that amide αHTs can be strong, specific HBV inhibitors that merit further assessment toward becoming anti-HBV drugs.
Published: 2020

16. Treatment of Hemorrhoids with Rubber Band Ligation (Rbl) In A Single Outpatient Centre. Suggestions of Treatment in Sars-Covid Age

Author: M, Gentile, primary, A, Vitiello, additional, N, Velotti, additional, G, Berardi, additional, and V, Schiavone, additional
Published: 2021
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17. Correction to: The Intensive Care Global Study on Severe Acute Respiratory Infection (IC-GLOSSARI): a multicenter, multinational, 14-day inception cohort study

Author: R. Di Pasquale, F. Zand, C. Chavez, P. Hopkins, G. Almekhlafi, H. Haake, A. Martinho, A. Jung, R. Montoiro Allue, T. Pellis, R. Ferrer Roca, S. Busani, A. Gordon, N. Salahuddin, F. Belda, J. Rubio Mateo-Sidron, A. Goldmann, P. Deschamps, K. Mach, J. Nentwich, F. Rubulotta, G. Lunch, A. Jonas, R. Matos, A. Carvalho, T. Vymazal, M. Guillot, D. Morocho, D. Barrios, K. Koopmans, J. Machon, D. Tomescu, X. Wu, N. Cimic, C. de Cabo, M. Kol, M. Papanikolaou, C. Aragon, S. Afonso, S. Mukkera, T. Szakmany, Z. Mitrev, A. Alsheikhly, P. Garcia Olivares, M. de la Torre-Prados, A. Donnelly, M. Girardis, V. Schiavone, N. Unni, A. Vujiaklija Brajkovic, J. van den Bosch, F. Udwadia, R. Losser, L. Bormans, J. Tomás Marsilla, F. Bloos, A. Puerto-Morlan, F. Guarracino, M. Faraz, E. Meany, K. Ravi, J. Vincent, K. Zacharowski, R. Shetty, B. Misset, V. Pota, L. Sanchez-Hurtado, B. Villamagua, C. Pierrakos, C. Nutt, S. Humphreys, P. Dennesen, M. de Groot, J. Robles, J. Meyer, W. Samaniego, Q. Zhai, L. Yu, V. Koulouras, P. Gottardo, E. Caser, M. Cecconi, S. John, I. von Osten, G. Kekstas, C. Leite Mendes, H. Jamaati, A. Raj, P. Csabi, N. Catorze, R. Gueret, F. Sifrer, G. Plantefeve, A. Macri, S. Den Boer, C. Ortiz-Leyba, M. Gurjar, J. Palo, S. Hoersch, G. Kyriazopoulos, M. Balla, Z. Kheladze, M. Hobrok, T. Nguyen, L. Srinivasa, S. Henderson, G. Dominguez, A. Maghrabi, S. Mathew, M. Blahut-Zugaj, S. Spadaro, A. Lange, K. Fiedler, L. Chao, G. Pellerano, A. Rojas, L. Brochard, S. Brett, I. Soultati, A. Albis, J. Timsit, R. Quispe Sierra, A. Pais-de-Lacerda, N. Di Tomasso, E. Scarlatescu, Y. Sakr, M. Hegazi, A. Gottschalk, N. Anguel, C. Volta, M. Alvarez, K. Psaroulis, P. Monedero, L. Fernandes, M. Niesen, G. Francois, D. Debels, M. Stotz, R. Riessen, J. Auer, E. Massa, Y. Ikeda-Maquiling, J. Izura, M. Chruscikowski, F. Franco, G. Aguilar, R. Bigornia, J. Teboul, K. Bhowmick, R. Srinivasan, J. Mallat, G. Bellani, C. Van Haren, F. Philippart, F. Honig, I. Gornik, D. Filipescu, M. Fulop, M. Albarrak, S. Behrens, E. Bermudez-Aceves, K. Schwarzkopf, N. Ramakrishnan, P. Mazzini, K. Mccalman, V. Tomic, R. Catalan, M. Giannakou, D. Molano, M. Savioli, M. Watters, X. Zhang, X. Jing, P. Araujo Aguilar, C. Joya, R. Beale, M. Garfield, A. Nichol, G. Barraza, H. Siegel, D. Gkika, L. Bouadma, T. Helmes, A. Bendtsen, R. Moreno, U. Kaisers, B. Thompson, A. Araujo, C. Teixeira, T. Hurst, M. Ostermann, T. Anguseva, I. Serra, M. Deja, J. Blanquer, A. Faltlhauser, J. Strachan, V. Corcoles Gonzalez, U. Goebel, V. Karosas, J. Wauters, F. Taccone, A. Wieczorek, C. Fernandez Gonzalez, R. Smith, A. Kübler, N. Petrucci, G. Kluge, T. Pham, U. Jaschinski, M. Vander Laenen, A. Molin, G. Barberet, M. Kuiper, C. Santos, R. Medici, J. Nielsen, S. Whittle, P. Meybohm, E. Schreurs, C. Dao, J. Bedford, R. Cardiga, G. Schatzl, M. Baumgaertel, O. Balogun, J. Gutierrez Rubio, I. Martins, G. Vlachogianni, K. Guerra, E. Novy, A. Gatta, M. Mikaszewska-Sokolewicz, B. Adamik, J. Baltazar-Torres, S. Hraech, D. Higgs, A. Ferguson, F. Cecchini, E. Zogheib, S. Dixit, M. Darmon, Z. Costa, S. O’Kane, B. Siepe, S. Ñamendys-Silva, R. Ferrer, M. Popescu, B. Floccard, O. Beck, M. Christ, F. Daviaux, N. Smalley, P. Alexander, J. Lopez-Delgado, K. Reinhart, R. Jha, J. Chiche, C. Lovesio, J. Fried, D. Rodriguez, P. Vera Aratcoz, A. Cortegiani, T. Aisa, N. Remache-Vargas, E. Salgado-Yepez, A. Olmo, E. Rupnik, M. Haap, C. Motherway, M. Sungur, R. Stoica, R. Nikandish, P. Reddy, M. Miclo, N. Chinellato, E. Mouloudi, O. O’Neill, J. Lehmke, G. Nikos, P. Bauer, M. Barger, H. Atalan, J. Ferrer Agüero, A. Bellini, G. Janssen, S. Allgaeuer, G. Strandvik, P. Simon, D. Castanares, H. Ceunen, A. Rhodes, S. Simran, S. Hashemian, A. Pravin, I. Sagoschen, E. Rezende, H. Wong, J. Sole Violan, V. Castelain, S. Raineri, K. Indraratna, E. Nives Carbonell, T. Suonsyrjä, D. Wu, G. Brescia, H. Gruber, M. Sim, T. Lazowski, C. Gonzalez, C. Dellera, J. Rajasinhe, UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, and UCL - (SLuc) Service de soins intensifs
Subjects: Male, medicine.medical_specialty, Severe acute respiratory infections, Critical Care and Intensive Care Medicine, Severe Acute Respiratory Syndrome, Risk Assessment, Severity of Illness Index, Severe acute respiratory infection, Seven-Day Profile Publication, Risk Factors, Intensive care, Medicine, Humans, Hospital Mortality, Prospective Studies, Intensive care medicine, Outcome, Aged, business.industry, Age Factors, Correction, Pneumonia, Middle Aged, INCEPTION COHORT, Intensive Care Units, Female, business
Abstract: Purpose In this prospective, multicenter, 14-day inception cohort study, we investigated the epidemiology, patterns of infections, and outcome in patients admitted to the intensive care unit (ICU) as a result of severe acute respiratory infections (SARIs). Methods All patients admitted to one of 206 participating ICUs during two study weeks, one in November 2013 and the other in January 2014, were screened. SARI was defined as possible, probable, or microbiologically confirmed respiratory tract infection with recent onset dyspnea and/or fever. The primary outcome parameter was in-hospital mortality within 60 days of admission to the ICU. Results Among the 5550 patients admitted during the study periods, 663 (11.9 %) had SARI. On admission to the ICU, Gram-positive and Gram-negative bacteria were found in 29.6 and 26.2 % of SARI patients but rarely atypical bacteria (1.0 %); viruses were present in 7.7 % of patients. Organ failure occurred in 74.7 % of patients in the ICU, mostly respiratory (53.8 %), cardiovascular (44.5 %), and renal (44.6 %). ICU and in-hospital mortality rates in patients with SARI were 20.2 and 27.2 %, respectively. In multivariable analysis, older age, greater severity scores at ICU admission, and hematologic malignancy or liver disease were independently associated with an increased risk of in-hospital death, whereas influenza vaccination prior to ICU admission and adequate antibiotic administration on ICU admission were associated with a lower risk. Conclusions Admission to the ICU for SARI is common and associated with high morbidity and mortality rates. We identified several risk factors for in-hospital death that may be useful for risk stratification in these patients. Electronic supplementary material The online version of this article (doi:10.1007/s00134-015-4206-2) contains supplementary material, which is available to authorized users.
Published: 2017

18. Addressing wild turkey population declines using structured decision making

Author: William F. Siemer, Daniel J. Decker, Duane R. Diefenbach, Michael V. Schiavone, Kelly F. Robinson, Angela K. Fuller, and Bryan L. Swift
Subjects: 0106 biological sciences, education.field_of_study, Ecology, business.industry, Environmental resource management, Population, Stakeholder, Wildlife, Expert elicitation, 010603 evolutionary biology, 01 natural sciences, 010601 ecology, Geography, Population model, Agency (sociology), General Earth and Planetary Sciences, Wild turkey, business, education, Ecology, Evolution, Behavior and Systematics, Nature and Landscape Conservation, General Environmental Science, Decision analysis
Abstract: We present a case study from New York, USA, of the use of structured decision making (SDM) to identify fall turkey harvest regulations that best meet stakeholder objectives, in light of recent apparent declines in abundance of wild turkeys in the northeastern United States. We used the SDM framework to incorporate the multiple objectives associated with turkey hunting, stakeholder desires, and region-specific ecological and environmental factors that could influence fall harvest. We identified a set of 4 fall harvest regulations, composed of different season lengths and bag limits, and evaluated their relative achievement of the objectives. We used a stochastic turkey population model, statistical modeling, and expert elicitation to evaluate the consequences of each harvest regulation on each of the objectives. We conducted a statewide mail survey of fall turkey hunters in New York to gather the necessary information to evaluate tradeoffs among multiple objectives associated with hunter satisfaction. The optimal fall harvest regulation was a 2-week season and allowed for the harvest of 1 bird/hunter. This regulation was the most conservative of those evaluated, reflecting the concerns about recent declines in turkey abundance among agency wildlife biologists and the hunting public. Depending on the region of the state, the 2-week, 1-bird regulation was predicted to result in 7–32% more turkeys on the landscape after 5 years. The SDM process provided a transparent framework for setting fall turkey harvest regulations and reduced potential stakeholder conflict by explicitly taking the multiple objectives of different stakeholder groups into account. © 2017 The Wildlife Society.
Published: 2017
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19. Retention of Riveted Aluminum Leg Bands by Wild Turkeys

Author: Duane R. Diefenbach, Michael V. Schiavone, Wendy C. Vreeland, and Mary Jo Casalena
Subjects: 0106 biological sciences, education.field_of_study, Veterinary medicine, Ecology, Population, Biology, biology.organism_classification, 01 natural sciences, 010601 ecology, 010104 statistics & probability, Animal Science and Zoology, Wild turkey, 0101 mathematics, education, Meleagris gallopavo, Ecology, Evolution, Behavior and Systematics, Nature and Landscape Conservation
Abstract: In order for mark–recapture models to provide unbiased estimates of population parameters, it is critical that uniquely identifying tags or marks are not lost. We double-banded male and female wild turkeys with aluminum rivet bands and estimated the probability that a bird would be recovered with both bands
Published: 2016
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20. Fall-Winter Survival of Ruffed Grouse in New York State

Author: Bryan L. Swift, William F. Porter, Michael V. Schiavone, and Megan M. Skrip
Subjects: Population decline, Forest age, Habitat, Abundance (ecology), Ecology, Wildlife, Grouse, Biology, biology.organism_classification, Ecology, Evolution, Behavior and Systematics, Predation
Abstract: In New York, Bonasa umbellus (Ruffed Grouse) abundance has declined since the 1960s, presumably due to forest maturation. Wildlife managers expressed concern that hunting may contribute to the population decline as habitat quality decreases. We monitored fall—winter survival of 169 radio-marked Ruffed Grouse at 2 study areas in New York differing in forest age and composition. Fewer than 11% of radio-marked birds were harvested, and seasonal survival was similar at the 2 study areas in both study years (0.38 and 0.51, 2007–2008; 0.48 and 0.48, 2008–2009). Predation, particularly by raptors, was the largest source of mortality, but locations of predation events were not associated with forest age or configuration within 300 m. We found no evidence to support a reduction in harvest limits, although our harvest estimates may have been biased low.
Published: 2011
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21. Variation in spring harvest rates of male wild turkeys in New York, Ohio, and Pennsylvania

Author: Mary Jo Casalena, Wendy C. Vreeland, Robert C. Boyd, Robert Eriksen, Duane R. Diefenbach, Michael Reynolds, Michael V. Schiavone, and Bryan L. Swift
Subjects: geography, education.field_of_study, geography.geographical_feature_category, Ecology, Population, Wildlife, Biology, Adult age, Animal science, Population model, Spring (hydrology), General Earth and Planetary Sciences, Wild turkey, education, Ecology, Evolution, Behavior and Systematics, Nature and Landscape Conservation, General Environmental Science
Abstract: Spring harvest rates of male wild turkeys (Meleagris gallapavo) influence the number and proportion of adult males in the population and turkey population models have treated harvest as additive to other sources of mortality. Therefore, hunting regulations and their effect on spring harvest rates have direct implications for hunter satisfaction. We used tag recovery models to estimate survival rates, investigate spatial, temporal, and demographic variability in harvest rates, and assess how harvest rates may be related to management strategies and landscape characteristics. We banded 3,266 male wild turkeys throughout New York, Ohio, and Pennsylvania during 2006–2009. We found little evidence that harvest rates varied by year or management zone. The proportion of the landscape that was forested within 6.5 km of the capture location was negatively related to harvest rates; however, even though the proportion forested ranged from 0.008 to 0.96 across our study area, this corresponded to differences in harvest rates of only 2–5%. Annual survival was approximately twice as high for juveniles as adults . In turn, spring harvest rates for adult turkeys were greater for adults than juveniles . We estimated the population of male turkeys in New York and Pennsylvania ranged from 104,000 to 132,000 in all years and ranged from 63,000 to 75,000 in Ohio. Because of greater harvest rates for adult males, the proportion of adult males in the population was less than in the harvest and ranged from 0.40 to 0.81 among all states and years. The high harvest rates observed for adults may be offset by greater recruitment of juveniles into the adult age class the following year such that these states can sustain high harvest rates yet still maintain a relative high proportion of adult males in the harvest and population. © 2011 The Wildlife Society.
Published: 2011
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22. Loss of Butt-End Leg Bands on Male Wild Turkeys

Author: Robert Eriksen, Bryan L. Swift, Mary Jo Casalena, Duane R. Diefenbach, Robert C. Boyd, Michael V. Schiavone, David A. Swanson, and Michael Reynolds
Subjects: Materials science, Animal science, Ecology, Spur, General Earth and Planetary Sciences, Anatomy, Ecology, Evolution, Behavior and Systematics, Nature and Landscape Conservation, General Environmental Science
Abstract: We estimated loss of butt-end leg bands on male wild turkeys (Meleagris gallapavo) captured in New York, Ohio, and Pennsylvania (USA) during December–March, 2006–2008. We used aluminum rivet leg bands as permanent marks to estimate loss of regular aluminum, enameled aluminum, anodized aluminum, and stainless steel butt-end leg bands placed below the spur. We used band loss information from 887 turkeys recovered between 31 days and 570 days after release (x¯ = 202 days). Band loss was greater for turkeys banded as adults (>1 yr old) than juveniles and was greater for aluminum than stainless steel bands. We estimated band retention was 79–96%, depending on age at banding and type of band, for turkeys recovered 3 months after release. Band retention was
Published: 2009
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23. Electrophysiological study of neurologically asymptomatic HIV1 seropositive patients

Author: Antonello Grippo, A. Ragazzoni, Francesco Lolli, Francesco Mazzotta, P. Ghidini, V. Schiavone, Francesco Pinto, and L. Mecocci
Subjects: Adult, Male, Pathology, medicine.medical_specialty, Central nervous system, Neuropsychological Tests, Audiology, Electroencephalography, Asymptomatic, Event-related potential, Immunopathology, HIV Seropositivity, Evoked Potentials, Auditory, Brain Stem, medicine, Humans, Evoked Potentials, Subclinical infection, Analysis of Variance, medicine.diagnostic_test, business.industry, Brain, General Medicine, Electrophysiology, medicine.anatomical_structure, Neurology, HIV-1, Female, Neurology (clinical), medicine.symptom, business, Complication
Abstract: EEGs, brainstem auditory evoked potentials (BAEPs) and auditory event-related potentials (ERPs) were recorded from 33 individuals infected with the human immunodeficiency virus, type 1 (HIV1 + patients: 13 CDC Class II or III; 20 Class IV). All were neurologically asymptomatic, non-demented, and had a past history of intravenous drug abuse. Sixteen age- and sex-matched normals and 10 HIV1 - former drug addicts served as controls. Half of the HIV1 + and HIV1 - subjects displayed mild EEG anomalies and, except for one HIV1 + patient, BAEPs were normal in both groups. ERPs were normal in all HIV1 - subjects but anomalous (longer latencies of components P2, N2, P3; reduced amplitude of P3) in 9 HIV1 + patients (27%), the incidence of such anomalies being higher for Class IV than Class II/III patients. Auditory ERPs proved the most sensitive and specific of these electrophysiological procedures in detecting subclinical central nervous system involvement in HIV1 infection.
Published: 2009
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24. Use of psychiatric inpatient services by heavy users: Findings from a national survey in Italy

Author: M, Morlino, A, Calento, V, Schiavone, G, Santone, A, Picardi, G, de Girolamo, L, Zecca, Morlino, Massimo, A., Calento, V., Schiavone, G., Santone, A., Picardi, G., de Girolamo, Calento, A., Schiavone, V., Santone, G., Picardi, A., and de Girolamo G., for the PROGRES Acute group
Subjects: Adult, Male, Mental Health Services, medicine.medical_specialty, Population, Poison control, Context (language use), 030501 epidemiology, Patient Readmission, Occupational safety and health, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Patient Admission, Inpatient Service, Public inquiry, Risk Factors, Injury prevention, Epidemiology, Medicine, Humans, Family, Psychiatry, education, Aged, Aged, 80 and over, education.field_of_study, Inpatients, TSO, business.industry, Public health, Mental Disorders, Middle Aged, 030227 psychiatry, Psychiatry and Mental health, Italy, Psychiatric Unit, Female, 0305 other medical science, business
Abstract: PurposeTo analyze factors associated with a patient's probability of being a Heavy User (HU) of inpatient psychiatric services and to compare the HU inpatient population with Non-Heavy Users (NHUs).Patients and methodsThe survey was conducted among inpatients enrolled in the PROGRES-Acute-project, an Italian nationwide survey of public and private inpatient facilities. Patients with three or more admissions over the last 12 months were considered HUs, and patients who had undergone one or two admissions during the same period made up the NHU group.ResultsFour hundred and thirty-five (40.5%) were HUs, and 640 (59.5%) NHUs. HUs were younger, more frequently unmarried, unemployed, receiving a disability-pension, and either homeless or living in a residential facility. HUs were more likely to have experienced conflicts with their partners or family members during the week prior to admission. A logistic regression analysis revealed that age, age at first admission, number of life-time admissions, and having been the victim of violence were the most important predictive factors for the HU phenomenon.ConclusionOur study suggests that specific attention should be given to patients’ family context, due to its crucial role in daily informal care and in the triggering of events leading to rehospitalization.
Published: 2011

25. 40. The Neurophysiology in Florence Spinal Unit : A 25years long history

Author: A. Cassardo, G. de Scisciolo, V. Schiavone, and R. Caramelli
Subjects: medicine.medical_specialty, medicine.diagnostic_test, business.industry, Physical examination, Neurophysiology, Spinal cord, Functional recovery, medicine.disease, Sensory Systems, Peripheral, Surgery, medicine.anatomical_structure, Physical medicine and rehabilitation, Neurology, Physiology (medical), Medicine, Spinal cord lesion, In patient, Autonomic dysreflexia, Neurology (clinical), business
Abstract: In 1991, in Florence began a tight collaboration between Spinal Unit and Neurophysiological Service. From the beginning it became evident that neurophysiological examinations (NE) was a valid asset to clinical examination, because it helps to better define the real damage in patients with spinal cord lesion, traumatic but also vascular, neoplastic, iatrogenic, etc.. Although at the beginning NE was mainly used for diagnostic purposes, its prognostic value became evident for prediction of functional outcome with a higher reliability and be helpful for planning and selection of appropriate therapeutic-rehabilitative approaches. NE comprise SEPs, MEPs, EMG/ENG, SSR, LEPs. Until now 2510 patients (6–84 years old) were studied, many of whom were recorded multiple times also during the acute period. We observed every type of NE alterations; in cases where the NE responses were absent, even during acute stage, no functional recovery occurred. NE became very important for diagnosis of spinal patients with peripheral involvement or CIPM and for detecting cases at risk for autonomic dysreflexia. We agree with Curt and Dietz (2009), who wrote: “combination of SEPs, MEPs and/or EMG measurements provides information about spinal cord function that is not retrievable by other clinical means and may have additional value in predicting functional benefit”.
Published: 2016
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26. Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach

Author: V. Schiavone, C. M. Muto, R. Galardo, S. Scarpelli, N. Pedana, and G. Guida
Subjects: Male, medicine.medical_specialty, medicine.medical_treatment, Hernia, Inguinal, Neurosurgical Procedures, Genitofemoral nerve, Pelvis, medicine, Humans, Retroperitoneal space, Hernia, Retroperitoneal Space, Laparoscopy, Digestive System Surgical Procedures, medicine.diagnostic_test, business.industry, Nerve Compression Syndromes, Neurectomy, medicine.disease, Hernia repair, Hernia, Femoral, Surgery, Nerve compression syndrome, medicine.anatomical_structure, Neuralgia, business
Abstract: Inguinal neuralgia after open and laparoscopic hernia, repair occurs in about 0.5% of treated patients. If the pain and the functional inability persist, it is possible that the genitofemoral nerve and ileoinguinal nerve are involved in entrapment, and surgical treatment is a possible option. This paper reports a personal endoscopic retroperitoneal approach for ileoinguinal and genitofemoral branches neurectomy.A 12-mm trocar is inserted into the lower retroperitoneum and insufflated to create a work space. Neurectomy is performed under endoscopic guidance.Six patients were treated using this technique. The operating time was 55 min, and all patients were completely pain-free after surgery. All patients were discharged the first day after operation and there were no complications.This retroperitoneal endoscopic approach is proposed as a new surgical technique for treating inguinal entrapment neuralgia. It is simple and feasible.
Published: 2005
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27. 29. Can the neurophysiologic study help for the right diagnosis of narrow canal?

Author: V. Schiavone, G. de Scisciolo, S. Troiano, C. Martinelli, R. Caramelli, and A. Cassardo
Subjects: medicine.medical_specialty, medicine.diagnostic_test, Spinal stenosis, business.industry, Lumbar spinal stenosis, Neurological examination, medicine.disease, Spinal column, Asymptomatic, Sensory Systems, Surgery, Stenosis, Lumbar, Neurology, Neuroimaging, Physiology (medical), medicine, Neurology (clinical), medicine.symptom, business
Abstract: Spinal stenosis is an abnormal narrowing of the spinal column that may occur in any of the regions of the spine. The most common clinical features are lumbar spinal stenosis (LSS). There are three major types of lumbar stenosis, and accurate identification is vital to stenosis treatment: lateral, central and foraminal. If the narrowing is substantial, it causes compression of the nerves, which causes the painful symptoms of LSS. In our laboratory were studied 136 patients (41–81 years), both asymptomatic and symptomatic neurophysiological test were performed in all patients. EMG/ENG was abnormal in all symptomatic patients. In accordance with many studies there was no correlation between clinical symptoms and radiological findings; in fact, even if the neuroimaging investigation can distinguish mono- and multisegmental stenosis and its severity, often there is not correlation between the pain and functional symptoms. The electrophysiological recordings indicate a lumbar root involvement that is complementary to the history and neurological examination of the patient as well as the neuroimaging Therefore we think that for a correct diagnosis of LSS only the combination of clinical, radiological and neurophysiological recordings could be useful and may be helpful for the planning and selection of appropriate and early therapeutic approaches.
Published: 2016
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28. P1026: Neurophysiological examinations in two cases of rare syndrome: Hirayama disease and Fraccaro syndrome

Author: V. Schiavone, A. Comanducci, A. Cassardo, C. Fonda, R. Caramelli, A. Ammannati, and G. de Scisciolo
Subjects: medicine.medical_specialty, Neurology, business.industry, Physiology (medical), Medicine, Rare syndrome, Neurology (clinical), Disease, business, Dermatology, Sensory Systems
Published: 2014
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29. Proposal of a new criterion for electrodiagnosis of meralgia paresthetica by evoked potentials

Author: Giuseppe de Scisciolo, S. Fossi, R. Caramelli, V. Schiavone, Francesco Pinto, Francesca Del Corso, and A. Cassardo
Subjects: Adult, Male, Electrodiagnosis, Physiology, Normal values, Lateral femoral cutaneous nerve, Asymptomatic, Sensitivity and Specificity, Physiology (medical), Evoked Potentials, Somatosensory, medicine, Reaction Time, Humans, Paresthesia, Meralgia paresthetica, Aged, medicine.diagnostic_test, Femoral Neuropathy, Nerve Compression Syndromes, Middle Aged, medicine.disease, Electric Stimulation, Neurology, Somatosensory evoked potential, Anesthesia, Female, Neurology (clinical), medicine.symptom, Tibial Nerve, Psychology, Cutaneous stimulation
Abstract: We examined 19 subjects with meralgia paresthetica (bilateral in three cases), recording bilateral somatosensory-evoked potentials (SSEPs) after stimulation of the tibial posterior nerve (TPN) and cutaneous stimulation in the region of the lateral femoral cutaneous nerve (LFCN). We calculated the difference between TPN SSEPs and LFCN SSEPs cortical potentials, identifying a temporal parameter that we termed D SEP . We defined D SEP normal values in a control group. D SEP evaluation showed good sensitivity and specificity (85.7% and 82.4%, respectively; accuracy, 83.3%) in discriminating affected limbs from unaffected. The main advantage of this method is to disengage from the necessity of contralateral comparison of LFCN recordings, joined with a reduction of interindividual variability of LFCN SSEPs amplitude and latency that often causes a lower sensitivity of other methods. As an interesting consideration, D SEP evaluation appears to mark out a possible subclinical involvement of LFCN in the asymptomatic side of patients with meralgia paresthetica.
Published: 2006

30. 34. The neurophysiological evaluation in spinal cord injury during acute stage

Author: V. Schiavone, F. Del Corso, R. Caramelli, A. Cassardo, G. de Scisciolo, and E. Provvedi
Subjects: medicine.diagnostic_test, business.industry, Pudendal nerve, Spinal shock, Physical examination, Neurophysiology, medicine.disease, Sensory Systems, Acute stage, Lesion, Neurology, Physiology (medical), Anesthesia, Ambulatory, medicine, Neurology (clinical), medicine.symptom, business, Spinal cord injury
Abstract: ASIA Impairment Scale, (AIS) is essential to assess acute spinal cord injury. Could the neurophysiological investigations (NI) add value to AIS during acute stage? We have to consider if instrumental evaluation could add more information in diagnosis-prognosis and in therapy – rehabilitative treatment. 1. Timing 2. Which exam 3. Added prognostic value of each exam 1. Right timing is not indicate in literature. However Authors agree about no effect of spinal shock over early components of SEPs, SSR and (electrical) MEPs. Moreover only NI is useful to asses diagnostic-prognostic overview of uncooperative or sedated patients. 2. To evaluate site and extension of the lesion, SEPs and MEPs are common performed. SSR could give useful information about the possibility to occur in autonomic dysriflexia. 3. Hand ability outcome is related to Median-Ulnar nerves SEPs; lesions seriousness and ambulatory outcome are related to both Tibial posterior nerve and sacral SEP; bladder somatic function is related to Pudendal nerve SEP. In cooperative patients no more information are added to clinical examination by MEPs even if these exams have good correlation, but MEPs could add more information about site lesion. Combination of AIS and NI can increase significantly predictivity of functional outcome with high reliability.
Published: 2013
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31. 119. Dermatomal sensory evoked potentials in sensory neuropathies of lower limb

Author: V. Schiavone, A. Comanducci, C. Martinelli, G. de Scisciolo, A. Cassardo, F. Del Corso, and R. Caramelli
Subjects: Magnetic resonance neurography, Stimulation, Sensory system, Anatomy, Sensory Systems, Lower limb, Peripheral, medicine.anatomical_structure, Neurology, Somatosensory evoked potential, Physiology (medical), Dermatomal, medicine, Terminal nerve, Neurology (clinical), Psychology, Neuroscience
Abstract: Peripheral neuropathies of sensory nerves in thighs and legs are uncommon and also hard to confirm by neurophysiologic tests. Often neurography and somatosensory evoked potentials from mixed nerve stimulation are not enough selective, sensitive or even useable in those clinical hypothesis. Dermatomal sensory evoked potentials (dSEP) obtained stimulating cutaneous regions with a specific innervation can be an useful tool to investigate those neuropathies. The key of this method, because of frequent anatomic variants and topographic embedding of terminal nerve fibres, is that maximum care must be placed in the choice of cutaneous regions to stimulate. In our experience, we found some cases in which dSEP confirmed a clinical suspicion of sensitive neuropathy. We studied Genitofemoral, Iliohypogastric, Ilioinguinal, Lateral Femoral Cutaneous, Saphenous, Calcanear nerves. We will present our normative data and some case reports.
Published: 2013
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32. Iliac obturator laparoscopic lymphadenectomy in metastatic melanoma: When, how and why

Author: A. Farnetti, F. Deluca, Luigi Santoro, P. De Paolis, V. Schiavone, A. Ronco, P. Pochettino, and R. Mattio
Subjects: medicine.medical_specialty, Oncology, Metastatic melanoma, business.industry, Medicine, Surgery, General Medicine, business, Laparoscopic lymphadenectomy
Published: 2012
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33. 89. Segmental muscular neurogenic hypertrophy: Two case reports with different site of lesion

Author: V. Schiavone, A. Cassardo, R. Caramelli, G. de Scisciolo, and Aldo Amantini
Subjects: Proximal femur, business.industry, Chronic inflammatory demyelinating polyneuropathy, Anatomy, Motor neuron, medicine.disease, Sensory Systems, Muscle hypertrophy, Lesion, Mononeuropathy, Myelopathy, medicine.anatomical_structure, Neurology, Physiology (medical), Etiology, Medicine, Neurology (clinical), medicine.symptom, business
Abstract: The usual semiotic sign of motor neuron damage is hypotrophy of target muscle. However, in rare cases, a motor neuron damage results in hypertrophy: this is principally due to a chronic triggering of spontaneous activity in affected motor units, with continuous or subcontinuous activation of target muscular fibers. Muscular neurogenic hypertrophy was reported during radiculopathy, mononeuropathy, focal myelopathy, tethered cord syndrome, chronic inflammatory demyelinating polyneuropathy. In this report we present classification of muscular neurogenic hypertrophy, based on topography, etiology and type of spontaneous activity possibly observed. We present also two cases: the first one due to spondyloarthrosis associated with T11–T12 discopathy, the second one due to ischiatic nerve neuropathy related to proximal femur fracture.
Published: 2015
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34. 59. Can sacral SSR recordings be useful in the assessment of autonomic nervous dysfunction in patients with sacral-pudendal impairment?

Author: C. Martinelli, M. Bastianelli, G. de Scisciolo, E. Provvedi, V. Schiavone, F. Del Corso, R. Caramelli, and A. Cassardo
Subjects: Pelvic floor, business.industry, food and beverages, Anatomy, Wrist, Neurophysiology, Sensory Systems, Somatic nervous system, body regions, medicine.anatomical_structure, Neurology, Physiology (medical), Anesthesia, medicine, Reflex, Neurology (clinical), Abnormality, business, Penis, Mons pubis
Abstract: While it is well know the usefulness of neurophysiological tests to investigate somatic nervous system of pelvic floor, it is not yet recognized the real efficacy of sympathetic skin response (SSR). In the last years we examined more than 1500 patients with different pelvic disorders (age range 7–85 years). All patients were studied with pudendal EMG, SEP, MEP, sacral reflexes. SSR was recorded from skin of sacral area (i.e. penis or mons pubis, perineal area, perianal area according to symptoms), applying random single square pulses at wrist or supraorbital region. SSR latency and amplitude were measured and the results were compared by mean age with those of control group. We observed alterations in latency and/or amplitude and in some cases SSR changes were the only present abnormality. We have also observed that it is important to differentiate anterior from posterior perineal area in SSR recording. SSR test may be a useful tool to investigate autonomic sacral involvement, because until now it is the only test to explore autonomic system. In our experience SSR is always present, in absence of pathology, so it could become a standard investigation for clinical routine of patients with sacral disorders.
Published: 2015
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35. P442: The value of SSR recordings in the assessment of autonomic nervous dysfunction in patients with sacral-pudendal impairment

Author: G. de Scisciolo, A. Cassardo, E. Provvedi, R. Caramelli, F. Del Corso, M. Bastianelli, V. Schiavone, and C. Martinelli
Subjects: medicine.medical_specialty, Neurology, business.industry, Clinical neurophysiology, medicine.disease, Dysphagia, Sensory Systems, Stereoelectroencephalography, Sacral plexus, Physical medicine and rehabilitation, Swallowing, Physiology (medical), Laryngeal Muscle, Medicine, Neurology (clinical), medicine.symptom, business, Spinal cord injury
Abstract: s of Poster Presentations / Clinical Neurophysiology 125, Supplement 1 (2014) S1–S339 S167 Methods: By screening Medline, existing knowledge and research about LEMG and laryngeal electrostimulation was identified. Additionally evidence-based recommendations for the performance and interpretation of LEMG and also for electrostimulation for functional evaluation were considered, as well as published reports based on expert opinion and single-institution retrospective case series. The working group discussed knowledge about LEMG and laryngeal electrostimulation and performed the techniques together. Consensus was achieved on: minimum technical equipment; best practical implementation; criteria for interpreting [1]. To disseminate the techniques, several modalities where used: Presentations using slides and videos, publications in scientific journals, handson-training on patients, animal models, and anatomic specimens, and a web-blog [2]. Results: Co-registration of the laryngeal EMG, voice, and breathing multiplies the scientific and didactic value of the LEMG-recordings. The advantages and disadvantages of the different teaching-modalities will be presented and discussed during this contribution. Conclusion: Successful learning LEMG benefits from multi-sensory teaching concept. Literature: [1] Volk GF, et al., Laryngeal electromyography: a proposal for guidelines of the European Laryngological Society. Eur Arch Otorhinolaryngol 2012 Oct;269(10):2227-45. [2] www.lemg.org P442 The value of SSR recordings in the assessment of autonomic nervous dysfunction in patients with sacral-pudendal impairment G. de Scisciolo, R. Caramelli, F. Del Corso, V. Schiavone, M.E. Bastianelli, C. Martinelli, E. Provvedi, A. Cassardo AOU Careggi, Spinal Unit, Florence, Italy Question: Neural control of pelvic structures reveals a complex interaction between central and peripheral nervous pathways and a coordination of somatic and autonomic systems. While it is well know the usefulness of neurophysiological tests to investigate somatic nervous system of pelvic floor (needle electromyography, nerve conduction studies, evoked potentials, sacral reflexes), it is not yet recognized the real efficacy of sympathetic skin response (SSR) in patients with sacral-pudendal dysfunction. Methods: In the last six years we examined 1745 patients with different pelvic disorders (urinary, anorectal and sexual pathologies), age range 7-85 years. The SSR was recorded from the skin of the sacral area (dorsum of the penis or mons pubis, perineal area, perianal area, in function of clinic), applying random single square pulses at the wrist or supraorbital region. Also SSR and EMG -ENG of legs were performed in all patients. Latency and amplitude (peak to peak) of SSR were measured and the results were compared by mean age with those of control group. Results: We observed alterations in latency and amplitude in various diseases: spinal cord injury, sacral plexus pathology, sexual dysfunctions, etc. In some cases SSR changes were the only present abnormality (frequently in case of sexual dysfunction and syringomyelia). We have also observed it is important to differentiate anterior from posterior perineal area in SSR recording, mostly in pelvic disorders (traumatic or not). Conclusion: SSR test may be an useful tool to investigate autonomic sacral involvement, because until now it the only test to explore autonomic system, even if it explore only sympathetic system. In our experience SSR is always present, in absence of pathology, so it could become a standard investigation for clinical routine of patients with sacral disorders. P443 Swallowing difficulty in oculopharyngodistal myopathy: electrophysiological evaluation M. Gokyigt (Celik)1, C. Ertekin2, I. Ercan3, N. Kuloglu Pazarci1, S. Seker3, H. Durmus4, P. Oflazer4 1Sisli Etfal Education and Research Hospital, Neurology, Istanbul, Turkey; 2Ege University Medical Faculty, Neurology, Izmir, Turkey; 3Sisli Etfal Education and Research Hospital, ENT, Istanbul, Turkey; 4Medical Faculty of Istanbul, Neurology, Istanbul, Turkey Introduction: Patients with oculopharyngodistal myopathy (OPDM) present with progressive ocular, pharyngeal, and distal limb muscle involvement. Respiratory and swallowing difficulties occur at or soon after presentation. The aim of this study was to assess swallowing difficulty in patients with oculopharyngodistal myopathy via electrophysiological measurements to detect the primary site causing swallowing and/or respiratory difficulty, namely pharyngeal or laryngeal involvements. Methods: Patients diagnosed as having oculopharyngodistal myopathy in the department of neurology of Istanbul Faculty of Medicine underwent electrophysiological examination. For the clinical evaluation of swallowing, a previously described grading system is used. Electrophysiological measurements consisted piecemeal deglutition and dysphagia limit using 3, 5, 10, 15, and 20 ml bouts of water and sequential water swallowing of 100-ml water in 15 patients, swallowing assessment via needle electrodes placed on thyroarytenoid and cricopharyngeal sphincter muscles in 10 patients, percutaneous needle EMG evaluation on thyroarytenoid (TA) and cricopharyngeal (CP) sphincter muscles in 6 patients. Otolaryngologic examination evaluating the alignment and function of vocal cords, voice, articulation, and swallowing excluded non-neurologic swallowing and respiratory difficulties. Results: Dysphagia limit was abnormal in 12 patients with grade 2-3 dysphagia but normal in 3 patients with grade 1 dysphagia. Also sequential water swallowing was normal in 7 patients including all patients with grade 1 dysphagia and abnormal in 8. The recording of swallowing on cricopharyngeal sphincter and thyroarytenoid muscles muscles revealed normal swallowing patterns in all patients. Needle EMG of TA and CP sphincter muscles revealed myopathic pattern in thyroarytenoid muscles in 4 of them. Conclusion: Swallowing difficulty develop in a purely myopathic patern involving first laryngeal muscles in patients with oculopharyngodistal myopathy. Poster session 26. Epilepsy 2 P444 Anatomofunctional mapping of the opercular cortex by intra-cerebral electrical stimulations in epileptic patients explored by means of stereoelectroencephalography (SEEG) D.M. Maliia1, A. Barborica2,3, C. Donos2, J. Ciurea4, B. Balanescu2,5, A. Rasina4, I. Mindruta6,1 1University Emergency Hospital, Neurology-Sleep and Epilepsy Laboratory, Bucharest, Romania; 2University of Bucharest, Physics, Bucharest, Romania; 3FHC Inc, Bowdoin ME, Romania; 4Bagdasar Arseni Hospital, Neurosurgery, Bucharest, Romania; 5Fundeni Clinical Hospital, Cardiovascular surgery, Bucharest, Romania; 6Carol Davila University of Medicine and Pharmacy, Neurology, Bucharest, Romania Background: Operculum is the part of cerebral cortex that covers the insula (Mazzola et al 2012). Although the literature addresses its functions in numerous studies, the vast majority of them consist of inferences made on activation patterns revealed by functional imaging. Few studies have been published using a direct electrical stimulation paradigm, and the ones that have done so, studied subjects with a pathological process involving this area. Objectives: Our aim is to perform a systematic mapping of this highly relevant cortical structure with different stimulation protocols. Methods: We elicited clinical responses at various stimulation parameters (mainly 1 Hz for 40 s, 50 Hz for 5s) in a lot comprised of 11 consecutive patients explored for drug resistant focal epilepsy during presurgical work up. Using the SEEG method, a number of depth electrodes ranging from 7-17 were implanted,to map the seizure onset zones (SOZ), propagation pathways and functional cortex that should be avoided during surgery. All the patients had SOZ located outside the opercular cortex and this areas had no particular pathology. Effects obtained on contacts touching the insular cortex, laying in the pericortical white matter, or producing any afterdischarges were discarded (Afif Afif & al 2010). The others were projected on a Maximum Intensity Projection (MIP) map with their relative position derived from the 3 D axial coordinates generated by the neuronavigation software. Results: We have applied about 350 stimulation trains, on 90 bipolar contact pairs situated on 30 different electrodes implanted orthogonally in the frontal, rolandic, parietal and temporal operculum. 18% of the 1 Hz and 50% of the 50 Hz stimulations produced a discernable clinical effect classified
Published: 2014
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36. [Malignant tumors of the gastrointestinal autonomic nervous system (GAN tumors or plexosarcomas). Report of a case]

Author: P, Costigliola, E, Carannante, T, Prisco, V, Schiavone, E, Iannelli, and O, Iannelli
Subjects: Adult, Male, Nervous System Neoplasms, Humans, Autonomic Nervous System, Gastrointestinal Neoplasms
Abstract: The plexosarcomas or gastrointestinal autonomic nerve tumors (GAN tumors) are very rare neoplasms originating from the gastrointestinal autonomic nervous system. They have been differentiated from the other gastrointestinal stromal tumors due to ultrastructural features showed by electronic microscopy. Their mesenteric localization rare than the gastric and intestinal localization, and it gives a very poor and specific clinical symptomatology. It's very difficult to make a correct diagnosis. The most important prognostic factors influencing the survival seem to be the tumor size and the mitotic activity. The authors describe a case of multiple Plexosarcomas occurred in a young patient one year after a surgical intervention for ileal resection to remove a benign schwannoma. This patient wasn't a carrier of multiple Neurofibromatosis. The diagnostic difficulties before surgical operation are stressed and the importance of surgery as the only diagnostic and therapeutic choice is underlined, even if local recurrences occurred in more than 50% of the treated cases.
Published: 2000

37. P157 Critical illness polyneuromyopathy in patients with spinal cord injury

Author: Francesco Pinto, A. Cassardo, Giuseppe de Scisciolo, R. Caramelli, V. Schiavone, Francesca Del Corso, and Sergio Aito
Subjects: Neurology, business.industry, Physiology (medical), Anesthesia, Critical illness, Medicine, In patient, Neurology (clinical), business, medicine.disease, Spinal cord injury, Sensory Systems
Published: 2008
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38. THO07 ASIA and neurophysiological assessment of SCI patients for predicting motor outcome

Author: Giuseppe de Scisciolo, R. Caramelli, Francesco Pinto, V. Schiavone, A. Cassardo, Antonello Grippo, Francesca Del Corso, and Sergio Aito
Subjects: medicine.medical_specialty, Physical medicine and rehabilitation, Neurology, Physiology (medical), medicine, Neurology (clinical), Neurophysiology, Psychology, Outcome (game theory), Sensory Systems
Published: 2008
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39. 115. The role of neurophysiological technician in pelvic floor practice

Author: R. Caramelli, A. Cassardo, C. Ciulla, M. Bastianelli, E. Cera, M. Donati, V. Schiavone, F. Del Corso, G. de Scisciolo, and E. Provvedi
Subjects: medicine.medical_specialty, Pelvic floor, medicine.diagnostic_test, business.industry, Pelvic pain, Technician, Electromyography, Neurophysiology, Sensory Systems, body regions, medicine.anatomical_structure, Neurology, Somatosensory evoked potential, Physiology (medical), medicine, Physical therapy, Neurology (clinical), medicine.symptom, Evoked potential, business, Neuroanatomy
Abstract: Based on our current understanding of the neuroanatomy and neurophysiology of the pelvic floor, we can choose which neurophysiological tests could be record, in order to perform an accurate instrumental examination of central and peripheral nervous system. That’s useful for a correct diagnosis and therapy for each specific clinical picture (neurogenic bladder, incontinence, constipation, urinary retention, male impotence, pelvic pain…). A skillful neurophysiological technician should have confidence with rationale, clinical utility, strengths and potential pitfalls for each of the commonly used neurophysiological tests of the pelvic floor: pudendal somatosensory evoked potential (SEPs), sympathetic skin response (SSR), sacral reflex (SR), perineal muscles electromyography (EMG), motor evoked potential (MEP). Moreover a good technician must have an adequate competence and experience in recording these specific exams in that contest; his role include also instrument’s sterilization and care, collection of case history, test’s explanation, guide of patients in positioning, tasks and movements, keep them calm and relaxed to get collaboration and allow examination’s good recording.
Published: 2013
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40. Un cas inhabituel de polypose gastro-intestinale

Author: R. Pecoraro, M. Carpinella, A. Di Simone, and V. Schiavone
Subjects: Gynecology, medicine.medical_specialty, business.industry, Medicine, Radiology, Nuclear Medicine and imaging, Digestive tract, business, Barium meal
Abstract: Les auteurs decrivent un cas inhabituel de polypose gastro-intestinale caracterise par un pleiomorphisme des aspects endoscopiques et histologiques: polypes œsophagiens avec acanthose et leucoplasie; hamartomes gastriques; adenomes intestinaux de type tabulaire et villeux, certains avec envahissement carcinomateux, et presence d’une enteropathie exsudative. Ce cas, dont la presentation clinique est inhabituelle, n’a pas jusqu’a present son homologue dans la litterature.
Published: 1984
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41. Effect of a Single Dose of Radiation on Proportion of Hypoxic Cells in a C3H Mouse Mammary Carcinoma

Author: Herman D. Suit and John V. Schiavone
Subjects: Pathology, medicine.medical_specialty, Radiobiology, business.industry, Oxygenation, Radiation, medicine.disease, Oxygen tension, Mammary carcinoma, medicine, Neoplasm, Distribution (pharmacology), Radiology, Nuclear Medicine and imaging, business, Fractionated radiation
Abstract: A current interest in radiobiology is the investigation of shifts in the distribution of oxygen tension in solid tumors during the course of fractionated radiation therapy. If upward shifts in oxygen tension occur, the radiobiological significance of a small focus of hypoxic cells in the untreated tumor could be drastically reduced. Examinations for such shifts in pO2 distributions within tumor tissue in man have been based on the polarographic technic with use of very small electrodes, i.e., ≈50–100 µ in diameter. Results have been reported from three laboratories, however, and they have not been consistent (1–3). In contrast to these equivocal results from Polarographic studies at the clinical level, experimental data from three laboratories strongly indicate that during fractionated irradiation there is an improved oxygenation of tumor tissue (4–8). First, studies of a mouse mammary carcinoma showed that an appreciably larger fraction of cells responded as though they were aerobic when radiation was ad...
Published: 1968
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42. Nonclassical spatial properties of light propagation in dissipative nonlinear waveguides

Author: J. Perina, V. Schiavone, Mario Bertolotti, Concita Sibilia, and R. Horak
Subjects: Physics, Quantum noise, Macroscopic quantum phenomena, Statistical and Nonlinear Physics, Atomic and Molecular Physics, and Optics, Nonlinear system, symbols.namesake, Classical mechanics, Quantum mechanics, Dissipative system, symbols, Nonclassical light, Quantum, Nonlinear Schrödinger equation, Quantum fluctuation
Abstract: A quantum description of the spatial behavior of a field that satisfies a spatial nonlinear Schrodinger equation (e.g., a single-mode field in a nonlinear planar waveguide) is studied with the assumption that quantum effects are small. An analytical expression for dissipation in systems governed by the spatial nonlinear Schrodinger equation is presented. Dissipation is found to have detrimental effects on the behavior of quantum phenomena such as quantum noise, squeezing, and bunching. A detecting scheme for the spatial frequency components of the nonclassical properties is also given.

43. Spontaneous Breathing in Early Acute Respiratory Distress Syndrome

Author: van Haren F., Pham T., Brochard L., Bellani G., Laffey J., Dres M., Fan E., Goligher E. C., Heunks L., Lynch J., Wrigge H., McAuley D, Pesenti A, Laffey JG, Brochard L, Esteban A, Gattinoni L, van Haren F, Larsson A, McAuley DF, Ranieri M, Rubenfeld G, Thompson BT, Wrigge H, Slutsky AS, Rios F, Sottiaux T, Depuyd P, Lora FS, Azevedo LC, Fan E, Bugedo G, Qiu H, Gonzalez M, Silesky J, Cerny V, Nielsen J, Jibaja M, Pham T, Matamis D, Ranero JL, Amin P, Hashemian SM, Clarkson K, Bellani G, Kurahashi K, Villagomez A, Zeggwagh AA, Heunks LM, Laake JH, Palo JE, Fernandes ADV, Sandesc D, Arabi Y, Bumbasierevic V, Nin N, Lorente JA, Piquilloud L, Abroug F, McNamee L, Hurtado J, Bajwa E, Démpaire G, Sula H, Nunci L, Cani A, Zazu A, Dellera C, Insaurralde CS, Alejandro RV, Daldin J, Vinzio M, Fernandez RO, Cardonnet LP, Bettini LR, Bisso MC, Osman EM, Setten MG, Lovazzano P, Alvarez J, Villar V, Pozo NC, Grubissich N, Plotnikow GA, Vasquez DN, Ilutovich S, Tiribelli N, Chena A, Pellegrini CA, Saenz MG, Estenssoro E, Brizuela M, Gianinetto H, Gomez PE, Cerrato VI, Bezzi MG, Borello SA, Loiacono FA, Fernandez AM, Knowles S, Reynolds C, Inskip DM, Miller JJ, Kong J, Whitehead C, Bihari S, Seven A, Krstevski A, Rodgers HJ, Millar RT, Mckenna TE, Bailey IM, Hanlon GC, Aneman A, Lynch JM, Azad R, Neal J, Woods PW, Roberts BL, Kol MR, Wong HS, Riss KC, Staudinger T, Wittebole X, Berghe C, Bulpa PA, Dive AM, Verstraete R, Lebbinck H, Depuydt P, Vermassen J, Meersseman P, Ceunen H, Rosa JI, Beraldo DO, Piras C, Rampinelli AM, Nassar AP Jr, Mataloun S, Moock M, Thompson MM, Gonçalves CH, Antônio ACP, Ascoli A, Biondi RS, Fontenele DC, Nobrega D, Sales VM, Shindhe S, Pg Hj Ismail DMAB, Laffey J, Beloncle F, Davies KG, Cirone R, Manoharan V, Ismail M, Goligher EC, Jassal M, Nishikawa E, Javeed A, Curley G, Rittayamai N, Parotto M, Ferguson ND, Mehta S, Knoll J, Pronovost A, Canestrini S, Bruhn AR, Garcia PH, Aliaga FA, Farías PA, Yumha JS, Ortiz CA, Salas JE, Saez AA, Vega LD, Labarca EF, Martinez FT, Carreño NG, Lora P, Liu L, Tang R, Luo X, An Y, Zhao H, Gao Y, Zhai Z, Ye ZL, Wang W, Li W, Li Q, Zheng R, Yu W, Shen J, Li X, Yu T, Lu W, Wu YQ, Huang XB, He Z, Lu Y, Han H, Zhang F, Sun R, Wang HX, Qin SH, Zhu BH, Zhao J, Liu J, Li B, Liu JL, Zhou FC, Li QJ, Zhang XY, Li-Xin Z, Xin-Hua Q, Jiang L, Gao YN, Zhao XY, Li YY, Li XL, Wang C, Yao Q, Yu R, Chen K, Shao H, Qin B, Huang QQ, Zhu WH, Hang AY, Hua MX, Li Y, Xu Y, Di YD, Ling LL, Qin TH, Wang SH, Qin J, Han Y, Zhou S, Vargas MP, Silesky Jimenez JI, González Rojas MA, Solis-Quesada JE, Ramirez-Alfaro CM, Máca J, Sklienka P, Gjedsted J, Christiansen A, Villamagua BG, Llano M, Burtin P, Buzancais G, Beuret P, Pelletier N, Mortaza S, Mercat A, Chelly J, Jochmans S, Terzi N, Daubin C, Carteaux G, de Prost N, Chiche JD, Daviaud F, Fartoukh M, Barberet G, Biehler J, Dellamonica J, Doyen D, Arnal JM, Briquet A, Hraiech S, Papazian L, Follin A, Roux D, Messika J, Kalaitzis E, Dangers L, Combes A, Au SM, Béduneau G, Carpentier D, Zogheib EH, Dupont H, Ricome S, Santoli FL, Besset SL, Michel P, Gelée B, Danin PE, Goubaux B, Crova PJ, Phan NT, Berkelmans F, Badie JC, Tapponnier R, Gally J, Khebbeb S, Herbrecht JE, Schneider F, Declercq PM, Rigaud JP, Duranteau J, Harrois A, Chabanne R, Marin J, Bigot C, Thibault S, Ghazi M, Boukhazna M, Zein SO, Richecoeur JR, Combaux DM, Grelon F, Le Moal C, Sauvadet EP, Robine A, Lemiale V, Reuter D, Dres M, Demoule A, Goldgran-Toledano D, Baboi L, Guérin C, Lohner R, Kraßler J, Schäfer S, Zacharowsk KD, Meybohm P, Reske AW, Simon P, Hopf HF, Schuetz M, Baltus T, Papanikolaou MN, Papavasilopoulou TG, Zacharas GA, Ourailogloy V, Mouloudi EK, Massa EV, Nagy EO, Stamou EE, Kiourtzieva EV, Oikonomou MA, Avila LE, Cortez CA, Citalán JE, Jog SA, Sable SD, Shah B, Gurjar M, Baronia AK, Memon M, Muthuchellappan R, Ramesh VJ, Shenoy A, Unnikrishnan R, Dixit SB, Rhayakar RV, Ramakrishnan N, Bhardwaj VK, Mahto HL, Sagar SV, Palaniswamy V, Ganesan D, Mohammadreza Hashemian S, Jamaati H, Heidari F, Meaney EA, Nichol A, Knapman KM, O'Croinin D, Dunne ES, Breen DM, Clarkson KP, Jaafar RF, Dwyer R, Amir F, Ajetunmobi OO, O'Muircheartaigh AC, Black CS, Treanor N, Collins DV, Altaf W, Zani G, Fusari M, Spadaro S, Volta CA, Graziani R, Brunettini B, Palmese S, Formenti P, Umbrello M, Lombardo A, Pecci E, Botteri M, Savioli M, Protti A, Mattei A, Schiavoni L, Tinnirello A, Todeschini M, Giarratano A, Cortegiani A, Sher S, Rossi A, Antonelli MM, Montini LM, Casalena P, Scafetti S, Panarello G, Occhipinti G, Patroniti N, Pozzi M, Biscione RR, Poli MM, Raimondi F, Albiero D, Crapelli G, Beck E, Pota V, Schiavone V, Molin A, Tarantino F, Monti G, Frati E, Mirabella L, Cinnella G, Fossali T, Colombo R, Ilaria Pattarino PT, Mojoli F, Braschi A, Borotto EE, Cracchiolo AN, Palma DM, Raponi F, Foti G, Vascotto ER, Coppadoro A, Brazzi L, Floris L, Iotti GA, Venti A, Yamaguchi O, Takagi S, Maeyama HN, Watanabe E, Yamaji Y, Shimizu K, Shiozaki K, Futami S, Ryosuke S, Saito K, Kameyama Y, Ueno K, Izawa M, Okuda N, Suzuki H, Harasawa T, Nasu M, Takada T, Ito F, Nunomiya S, Koyama K, Abe T, Andoh K, Kusumoto K, Hirata A, Takaba A, Kimura H, Matsumoto S, Higashijima U, Honda H, Aoki N, Imai H, Ogino Y, Mizuguchi I, Ichikado K, Nitta K, Mochizuki K, Hashida T, Tanaka H, Nakamura T, Niimi D, Ueda T, Kashiwa Y, Uchiyama A, Sabelnikovs O, Oss P, Haddad Y, Liew KY, Ñamendys-Silva SA, Jarquin-Badiola YD, Sanchez-Hurtado LA, Gomez-Flores SS, Marin MC, Villagomez AJ, Lemus JS, Fierro JM, Ramirez Cervantes M, Mejia FJF, Dector D, Dector DM, Gonzalez DR, Estrella CR, Sanchez-Medina JR, Ramirez-Gutierrez A, George FG, Aguirre JS, Buensuseso JA, Poblano M, Dendane T, Balkhi H, Elkhayari M, Samkaoui N, Ezzouine H, Benslama A, Amor M, Maazouzi W, Cimic N, Beck O, Bruns MM, Schouten JA, Rinia M, Raaijmakers M, Van Wezel HM, Heines SJ, Strauch U, Buise MP, Simonis FD, Schultz MJ, Goodson JC, Browne TS, Navarra L, Hunt A, Hutchison RA, Bailey MB, Newby L, Mcarthur C, Kalkoff M, Mcleod A, Casement J, Hacking DJ, Andersen FH, Dolva MS, Barratt-Due A, Noremark KAL, Søreide E, Sjøbø BÅ, Guttormsen AB, Leon Yoshido HH, Aguilar RZ, Montes Oscanoa FA, Alisasis AU, Robles JB, Pasanting-Lim RAB, Tan BC, Andruszkiewicz P, Jakubowska K, Coxo CM, Alvarez AM, Oliveira BS, Montanha GM, Barros NC, Pereira CS, Messias AM, Monteiro JM, Araujo AM, Catorze NT, Marum SM, Bouw MJ, Gomes RM, Brito VA, Castro S, Estilita JM, Barros FM, Serra IM, Martinho AM, Tomescu DR, Marcu A, Bedreag OH, Papurica M, Corneci DE, Negoita SI, Grigoriev E, Gritsan AI, Gazenkampf AA, Almekhlaf G, Albarrak MM, Mustafa GM, Maghrabi KA, Salahuddin N, Aisa TM, Al Jabbary AS, Tabhan E, Arabi YM, Trinidad OA, Al Dorzi HM, Tabhan EE, Bolon S, Smith O, Mancebo J, Aguirre-Bermeo H, Lopez-Delgado JC, Esteve F, Rialp G, Forteza C, De Haro C, Artigas A, Albaiceta GM, De Cima-Iglesias S, Seoane-Quiroga L, Ceniceros-Barros A, Ruiz-Aguilar AL, Claraco-Vega LM, Soler JA, Lorente MDC, Hermosa C, Gordo F, Prieto-González M, Perez MP, Perez CP, Allue RM, Roche-Campo F, Ibañez-Santacruz M, Temprano S, Pintado MC, De Pablo R, Gómez PRA, Ruiz SR, Iglesias Moles S, Jurado MT, Arizmendi A, Piacentini EA, Franco N, Honrubia T, Cheng MP, Losada EP, Blanco J, Yuste LJ, Carbayo-Gorriz C, Cazorla-Barranquero FG, Alonso JG, Alda RS, Algaba Á, Navarro G, Cereijo E, Diaz-Rodriguez E, Marcos DP, Montero LA, Para LH, Sanchez RJ, Navalpotro MAB, Abad RD, González RM, Toribio DP, Castro AG, Artiga MJD, Penuelas O, Roser TP, Olga MF, Curto EG, Sánchez RM, Imma VP, Elisabet GM, Claverias L, Magret M, Pellicer AM, Rodriguez LL, Sánchez-Ballesteros J, González-Salamanca Á, Jimenez AG, Huerta FP, Sotillo Diaz JCJ, Lopez EB, Llinares Moya DD, Tallet Alfonso AA, Eugenio Luis PS, Cesar PS, Rafael SI, Virgilio CG, Recio NN, Adamsson RO, Rylander CC, Holzgraefe B, Broman LM, Wessbergh J, Persson L, Schiöler F, Kedelv H, Tibblin AO, Appelberg H, Hedlund L, Helleberg J, Eriksson KE, Glietsch R, Larsson N, Nygren I, Nunes SL, Morin AK, Kander T, Adolfsson A, Zender HO, Leemann-Refondini C, Elatrous S, Bouchoucha S, Chouchene I, Ouanes I, Ben Souissi A, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee R, Raj AS, Fawkes DA, Watt P, Twohey L, Jha RR, Thomas M, Morton A, Kadaba V, Smith MJ, Hormis AP, Kannan SG, Namih M, Reschreiter H, Camsooksai J, Kumar A, Rugonfalvi S, Nutt C, O'Neill O, Seasman C, Dempsey G, Scott CJ, Ellis HE, Mckechnie S, Hutton PJ, Di Tomasso NN, Vitale MN, Griffin RO, Dean MN, Cranshaw JH, Willett EL, Ioannou N, Gillis S, Csabi P, Macfadyen R, Dawson H, Preez PD, Williams AJ, Boyd O, De Gordoa LO, Bramall J, Chau SK, Wenham T, Szakmany T, Toth-Tarsoly P, McCalman KH, Alexander P, Stephenson L, Collyer T, Chapman R, Cooper R, Allan RM, Sim M, Wrathall DW, Irvine DA, Zantua KS, Adams JC, Burtenshaw AJ, Sellors GP, Welters ID, Williams KE, Hessell RJ, Oldroyd MG, Battle CE, Pillai S, Kajtor I, Sivashanmugavel M, O'Kane SC, Donnelly A, Frigyik AD, Careless JP, May MM, Stewart R, Trinder TJ, Hagan SJ, Wise MP, Cole JM, MacFie CC, Dowling AT, Nuñez E, Pittini G, Rodriguez R, Imperio MC, Santos C, Deicas A, Serra C, Uppalapati A, Kamel G, Banner-Goodspeed VM, Beitler JR, Mukkera SR, Kulkarni S, Lee J, Mesar T, Shinn JO 3rd, Gomaa D, Tainter C, Yeatts DJ, Warren J, Lanspa MJ, Miller RR, Grissom CK, Brown SM, Bauer PR, Gosselin RJ, Kitch BT, Cohen JE, Beegle SH, Gueret RM, Tulaimat A, Choudry S, Stigler W, Batra H, Huff NG, Lamb KD, Oetting TW, Mohr NM, Judy C, Saito S, Kheir FM, Kheir F, Schlichting AB, Delsing A, Crouch DR, Elmasri M, Ismail D, Dreyer KR, Blakeman TC, Baron RM, Grijalba CQ, Hou PC, Seethala R, Aisiku I, Henderson G, Frendl G, Hou SK, Owens RL, Schomer A, Bumbasirevic V, Jovanovic B, Surbatovic M, Veljovic M., Intensive Care Medicine, ACS - Diabetes & metabolism, ACS - Pulmonary hypertension & thrombosis, ACS - Microcirculation, van Haren F., Pham T., Brochard L., Bellani G., Laffey J., Dres M., Fan E., Goligher E.C., Heunks L., Lynch J., Wrigge H., McAuley D, Pesenti A, Laffey JG, Brochard L, Esteban A, Gattinoni L, van Haren F, Larsson A, McAuley DF, Ranieri M, Rubenfeld G, Thompson BT, Wrigge H, Slutsky AS, Rios F, Sottiaux T, Depuyd P, Lora FS, Azevedo LC, Fan E, Bugedo G, Qiu H, Gonzalez M, Silesky J, Cerny V, Nielsen J, Jibaja M, Pham T, Wrigge H, Matamis D, Ranero JL, Amin P, Hashemian SM, Clarkson K, Bellani G, Kurahashi K, Villagomez A, Zeggwagh AA, Heunks LM, Laake JH, Palo JE, Fernandes ADV, Sandesc D, Arabi Y, Bumbasierevic V, Nin N, Lorente JA, Larsson A, Piquilloud L, Abroug F, McAuley DF, McNamee L, Hurtado J, Bajwa E, Démpaire G, Sula H, Nunci L, Cani A, Zazu A, Dellera C, Insaurralde CS, Alejandro RV, Daldin J, Vinzio M, Fernandez RO, Cardonnet LP, Bettini LR, Bisso MC, Osman EM, Setten MG, Lovazzano P, Alvarez J, Villar V, Pozo NC, Grubissich N, Plotnikow GA, Vasquez DN, Ilutovich S, Tiribelli N, Chena A, Pellegrini CA, Saenz MG, Estenssoro E, Brizuela M, Gianinetto H, Gomez PE, Cerrato VI, Bezzi MG, Borello SA, Loiacono FA, Fernandez AM, Knowles S, Reynolds C, Inskip DM, Miller JJ, Kong J, Whitehead C, Bihari S, Seven A, Krstevski A, Rodgers HJ, Millar RT, Mckenna TE, Bailey IM, Hanlon GC, Aneman A, Lynch JM, Azad R, Neal J, Woods PW, Roberts BL, Kol MR, Wong HS, Riss KC, Staudinger T, Wittebole X, Berghe C, Bulpa PA, Dive AM, Verstraete R, Lebbinck H, Depuydt P, Vermassen J, Meersseman P, Ceunen H, Rosa JI, Beraldo DO, Piras C, Rampinelli AM, Nassar AP Jr, Mataloun S, Moock M, Thompson MM, Gonçalves CH, Antônio ACP, Ascoli A, Biondi RS, Fontenele DC, Nobrega D, Sales VM, Shindhe S, Pg Hj Ismail DMAB, Laffey J, Beloncle F, Davies KG, Cirone R, Manoharan V, Ismail M, Goligher EC, Jassal M, Nishikawa E, Javeed A, Curley G, Rittayamai N, Parotto M, Ferguson ND, Mehta S, Knoll J, Pronovost A, Canestrini S, Bruhn AR, Garcia PH, Aliaga FA, Farías PA, Yumha JS, Ortiz CA, Salas JE, Saez AA, Vega LD, Labarca EF, Martinez FT, Carreño NG, Lora P, Qiu H, Liu L, Tang R, Luo X, An Y, Zhao H, Gao Y, Zhai Z, Ye ZL, Wang W, Li W, Li Q, Zheng R, Yu W, Shen J, Li X, Yu T, Lu W, Wu YQ, Huang XB, He Z, Lu Y, Han H, Zhang F, Sun R, Wang HX, Qin SH, Zhu BH, Zhao J, Liu J, Li B, Liu JL, Zhou FC, Li QJ, Zhang XY, Li-Xin Z, Xin-Hua Q, Jiang L, Gao YN, Zhao XY, Li YY, Li XL, Wang C, Yao Q, Yu R, Chen K, Shao H, Qin B, Huang QQ, Zhu WH, Hang AY, Hua MX, Li Y, Xu Y, Di YD, Ling LL, Qin TH, Wang SH, Qin J, Han Y, Zhou S, Vargas MP, Silesky Jimenez JI, González Rojas MA, Solis-Quesada JE, Ramirez-Alfaro CM, Máca J, Sklienka P, Gjedsted J, Christiansen A, Nielsen J, Villamagua BG, Llano M, Burtin P, Buzancais G, Beuret P, Pelletier N, Mortaza S, Mercat A, Chelly J, Jochmans S, Terzi N, Daubin C, Carteaux G, de Prost N, Chiche JD, Daviaud F, Pham T, Fartoukh M, Barberet G, Biehler J, Dellamonica J, Doyen D, Arnal JM, Briquet A, Hraiech S, Papazian L, Follin A, Roux D, Messika J, Kalaitzis E, Dangers L, Combes A, Au SM, Béduneau G, Carpentier D, Zogheib EH, Dupont H, Ricome S, Santoli FL, Besset SL, Michel P, Gelée B, Danin PE, Goubaux B, Crova PJ, Phan NT, Berkelmans F, Badie JC, Tapponnier R, Gally J, Khebbeb S, Herbrecht JE, Schneider F, Declercq PM, Rigaud JP, Duranteau J, Harrois A, Chabanne R, Marin J, Bigot C, Thibault S, Ghazi M, Boukhazna M, Zein SO, Richecoeur JR, Combaux DM, Grelon F, Le Moal C, Sauvadet EP, Robine A, Lemiale V, Reuter D, Dres M, Demoule A, Goldgran-Toledano D, Baboi L, Guérin C, Lohner R, Kraßler J, Schäfer S, Zacharowsk KD, Meybohm P, Reske AW, Simon P, Hopf HF, Schuetz M, Baltus T, Papanikolaou MN, Papavasilopoulou TG, Zacharas GA, Ourailogloy V, Mouloudi EK, Massa EV, Nagy EO, Stamou EE, Kiourtzieva EV, Oikonomou MA, Avila LE, Cortez CA, Citalán JE, Jog SA, Sable SD, Shah B, Gurjar M, Baronia AK, Memon M, Muthuchellappan R, Ramesh VJ, Shenoy A, Unnikrishnan R, Dixit SB, Rhayakar RV, Ramakrishnan N, Bhardwaj VK, Mahto HL, Sagar SV, Palaniswamy V, Ganesan D, Mohammadreza Hashemian S, Jamaati H, Heidari F, Meaney EA, Nichol A, Knapman KM, O'Croinin D, Dunne ES, Breen DM, Clarkson KP, Jaafar RF, Dwyer R, Amir F, Ajetunmobi OO, O'Muircheartaigh AC, Black CS, Treanor N, Collins DV, Altaf W, Zani G, Fusari M, Spadaro S, Volta CA, Graziani R, Brunettini B, Palmese S, Formenti P, Umbrello M, Lombardo A, Pecci E, Botteri M, Savioli M, Protti A, Mattei A, Schiavoni L, Tinnirello A, Todeschini M, Giarratano A, Cortegiani A, Sher S, Rossi A, Antonelli MM, Montini LM, Casalena P, Scafetti S, Panarello G, Occhipinti G, Patroniti N, Pozzi M, Biscione RR, Poli MM, Raimondi F, Albiero D, Crapelli G, Beck E, Pota V, Schiavone V, Molin A, Tarantino F, Monti G, Frati E, Mirabella L, Cinnella G, Fossali T, Colombo R, Ilaria Pattarino PT, Mojoli F, Braschi A, Borotto EE, Cracchiolo AN, Palma DM, Raponi F, Foti G, Vascotto ER, Coppadoro A, Brazzi L, Floris L, Iotti GA, Venti A, Yamaguchi O, Takagi S, Maeyama HN, Watanabe E, Yamaji Y, Shimizu K, Shiozaki K, Futami S, Ryosuke S, Saito K, Kameyama Y, Ueno K, Izawa M, Okuda N, Suzuki H, Harasawa T, Nasu M, Takada T, Ito F, Nunomiya S, Koyama K, Abe T, Andoh K, Kusumoto K, Hirata A, Takaba A, Kimura H, Matsumoto S, Higashijima U, Honda H, Aoki N, Imai H, Ogino Y, Mizuguchi I, Ichikado K, Nitta K, Mochizuki K, Hashida T, Tanaka H, Nakamura T, Niimi D, Ueda T, Kashiwa Y, Uchiyama A, Sabelnikovs O, Oss P, Haddad Y, Liew KY, Ñamendys-Silva SA, Jarquin-Badiola YD, Sanchez-Hurtado LA, Gomez-Flores SS, Marin MC, Villagomez AJ, Lemus JS, Fierro JM, Ramirez Cervantes M, Mejia FJF, Dector D, Dector DM, Gonzalez DR, Estrella CR, Sanchez-Medina JR, Ramirez-Gutierrez A, George FG, Aguirre JS, Buensuseso JA, Poblano M, Dendane T, Zeggwagh AA, Balkhi H, Elkhayari M, Samkaoui N, Ezzouine H, Benslama A, Amor M, Maazouzi W, Cimic N, Beck O, Bruns MM, Schouten JA, Rinia M, Raaijmakers M, Heunks LM, Van Wezel HM, Heines SJ, Strauch U, Buise MP, Simonis FD, Schultz MJ, Goodson JC, Browne TS, Navarra L, Hunt A, Hutchison RA, Bailey MB, Newby L, Mcarthur C, Kalkoff M, Mcleod A, Casement J, Hacking DJ, Andersen FH, Dolva MS, Laake JH, Barratt-Due A, Noremark KAL, Søreide E, Sjøbø BÅ, Guttormsen AB, Leon Yoshido HH, Aguilar RZ, Montes Oscanoa FA, Alisasis AU, Robles JB, Pasanting-Lim RAB, Tan BC, Andruszkiewicz P, Jakubowska K, Coxo CM, Alvarez AM, Oliveira BS, Montanha GM, Barros NC, Pereira CS, Messias AM, Monteiro JM, Araujo AM, Catorze NT, Marum SM, Bouw MJ, Gomes RM, Brito VA, Castro S, Estilita JM, Barros FM, Serra IM, Martinho AM, Tomescu DR, Marcu A, Bedreag OH, Papurica M, Corneci DE, Negoita SI, Grigoriev E, Gritsan AI, Gazenkampf AA, Almekhlaf G, Albarrak MM, Mustafa GM, Maghrabi KA, Salahuddin N, Aisa TM, Al Jabbary AS, Tabhan E, Arabi YM, Trinidad OA, Al Dorzi HM, Tabhan EE, Bolon S, Smith O, Mancebo J, Aguirre-Bermeo H, Lopez-Delgado JC, Esteve F, Rialp G, Forteza C, De Haro C, Artigas A, Albaiceta GM, De Cima-Iglesias S, Seoane-Quiroga L, Ceniceros-Barros A, Ruiz-Aguilar AL, Claraco-Vega LM, Soler JA, Lorente MDC, Hermosa C, Gordo F, Prieto-González M, Perez MP, Perez CP, Allue RM, Roche-Campo F, Ibañez-Santacruz M, Temprano S, Pintado MC, De Pablo R, Gómez PRA, Ruiz SR, Iglesias Moles S, Jurado MT, Arizmendi A, Piacentini EA, Franco N, Honrubia T, Cheng MP, Losada EP, Blanco J, Yuste LJ, Carbayo-Gorriz C, Cazorla-Barranquero FG, Alonso JG, Alda RS, Algaba Á, Navarro G, Cereijo E, Diaz-Rodriguez E, Marcos DP, Montero LA, Para LH, Sanchez RJ, Navalpotro MAB, Abad RD, González RM, Toribio DP, Castro AG, Artiga MJD, Penuelas O, Roser TP, Olga MF, Curto EG, Sánchez RM, Imma VP, Elisabet GM, Claverias L, Magret M, Pellicer AM, Rodriguez LL, Sánchez-Ballesteros J, González-Salamanca Á, Jimenez AG, Huerta FP, Sotillo Diaz JCJ, Lopez EB, Llinares Moya DD, Tallet Alfonso AA, Eugenio Luis PS, Cesar PS, Rafael SI, Virgilio CG, Recio NN, Adamsson RO, Rylander CC, Holzgraefe B, Broman LM, Wessbergh J, Persson L, Schiöler F, Kedelv H, Tibblin AO, Appelberg H, Hedlund L, Helleberg J, Eriksson KE, Glietsch R, Larsson N, Nygren I, Nunes SL, Morin AK, Kander T, Adolfsson A, Piquilloud L, Zender HO, Leemann-Refondini C, Elatrous S, Bouchoucha S, Chouchene I, Ouanes I, Ben Souissi A, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, McNamee L, McAuley D, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee R, Raj AS, Fawkes DA, Watt P, Twohey L, Jha RR, Thomas M, Morton A, Kadaba V, Smith MJ, Hormis AP, Kannan SG, Namih M, Reschreiter H, Camsooksai J, Kumar A, Rugonfalvi S, Nutt C, O'Neill O, Seasman C, Dempsey G, Scott CJ, Ellis HE, Mckechnie S, Hutton PJ, Di Tomasso NN, Vitale MN, Griffin RO, Dean MN, Cranshaw JH, Willett EL, Ioannou N, Gillis S, Csabi P, Macfadyen R, Dawson H, Preez PD, Williams AJ, Boyd O, De Gordoa LO, Bramall J, Chau SK, Wenham T, Szakmany T, Toth-Tarsoly P, McCalman KH, Alexander P, Stephenson L, Collyer T, Chapman R, Cooper R, Allan RM, Sim M, Wrathall DW, Irvine DA, Zantua KS, Adams JC, Burtenshaw AJ, Sellors GP, Welters ID, Williams KE, Hessell RJ, Oldroyd MG, Battle CE, Pillai S, Kajtor I, Sivashanmugavel M, O'Kane SC, Donnelly A, Frigyik AD, Careless JP, May MM, Stewart R, Trinder TJ, Hagan SJ, Wise MP, Cole JM, MacFie CC, Dowling AT, Hurtado J, Nin N, Hurtado J, Nuñez E, Pittini G, Rodriguez R, Imperio MC, Santos C, Deicas A, Serra C, Uppalapati A, Kamel G, Banner-Goodspeed VM, Beitler JR, Mukkera SR, Kulkarni S, Lee J, Mesar T, Shinn JO 3rd, Gomaa D, Tainter C, Mesar T, Yeatts DJ, Warren J, Lanspa MJ, Miller RR, Grissom CK, Brown SM, Bauer PR, Gosselin RJ, Kitch BT, Cohen JE, Beegle SH, Gueret RM, Tulaimat A, Choudry S, Stigler W, Batra H, Huff NG, Lamb KD, Oetting TW, Mohr NM, Judy C, Saito S, Kheir FM, Kheir F, Schlichting AB, Delsing A, Crouch DR, Elmasri M, Ismail D, Dreyer KR, Blakeman TC, Gomaa D, Baron RM, Grijalba CQ, Hou PC, Seethala R, Aisiku I, Henderson G, Frendl G, Hou SK, Owens RL, Schomer A, Bumbasirevic V, Jovanovic B, Surbatovic M, Veljovic M., Van Haren, F, Pham, T, Brochard, L, Bellani, G, Laffey, J, Dres, M, Fan, E, Goligher, E, Heunks, L, Lynch, J, Wrigge, H, Mcauley, D, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (MGD) Services des soins intensifs, and Intensive care medicine
Subjects: Male, Respiratory rate, medicine.medical_treatment, lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4], Clinical Investigations, Respiration, Artificial/methods, mechanical ventilation, Critical Care and Intensive Care Medicine, NO, Positive-Pressure Respiration, 03 medical and health sciences, 0302 clinical medicine, acute respiratory distress syndrome, controlled mechanical ventilation, spontaneous breathing, supported ventilation, Respiratory Rate, medicine, Humans, Prospective Studies, Prospective cohort study, Artificial/methods, Mechanical ventilation, Respiratory Distress Syndrome, business.industry, Respiration, Confounding, 030208 emergency & critical care medicine, Odds ratio, Tidal Waves, acute respiratory distress syndrome, Middle Aged, Respiration, Artificial, 3. Good health, controlled mechanical ventilation, Treatment Outcome, 030228 respiratory system, Anesthesia, supported ventilation, Breathing, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, spontaneous breathing, Respiratory Distress Syndrome, Adult/physiopathology, Observational study, ARDS, Female, Adult/physiopathology, business, Respiratory Insufficiency, Cohort study
Abstract: Supplemental Digital Content is available in the text., Objectives: To describe the characteristics and outcomes of patients with acute respiratory distress syndrome with or without spontaneous breathing and to investigate whether the effects of spontaneous breathing on outcome depend on acute respiratory distress syndrome severity. Design: Planned secondary analysis of a prospective, observational, multicentre cohort study. Setting: International sample of 459 ICUs from 50 countries. Patients: Patients with acute respiratory distress syndrome and at least 2 days of invasive mechanical ventilation and available data for the mode of mechanical ventilation and respiratory rate for the 2 first days. Interventions: Analysis of patients with and without spontaneous breathing, defined by the mode of mechanical ventilation and by actual respiratory rate compared with set respiratory rate during the first 48 hours of mechanical ventilation. Measurements and Main Results: Spontaneous breathing was present in 67% of patients with mild acute respiratory distress syndrome, 58% of patients with moderate acute respiratory distress syndrome, and 46% of patients with severe acute respiratory distress syndrome. Patients with spontaneous breathing were older and had lower acute respiratory distress syndrome severity, Sequential Organ Failure Assessment scores, ICU and hospital mortality, and were less likely to be diagnosed with acute respiratory distress syndrome by clinicians. In adjusted analysis, spontaneous breathing during the first 2 days was not associated with an effect on ICU or hospital mortality (33% vs 37%; odds ratio, 1.18 [0.92–1.51]; p = 0.19 and 37% vs 41%; odds ratio, 1.18 [0.93–1.50]; p = 0.196, respectively ). Spontaneous breathing was associated with increased ventilator-free days (13 [0–22] vs 8 [0–20]; p = 0.014) and shorter duration of ICU stay (11 [6–20] vs 12 [7–22]; p = 0.04). Conclusions: Spontaneous breathing is common in patients with acute respiratory distress syndrome during the first 48 hours of mechanical ventilation. Spontaneous breathing is not associated with worse outcomes and may hasten liberation from the ventilator and from ICU. Although these results support the use of spontaneous breathing in patients with acute respiratory distress syndrome independent of acute respiratory distress syndrome severity, the use of controlled ventilation indicates a bias toward use in patients with higher disease severity. In addition, because the lack of reliable data on inspiratory effort in our study, prospective studies incorporating the magnitude of inspiratory effort and adjusting for all potential severity confounders are required.
Published: 2019
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44. Identifying associations between diabetes and acute respiratory distress syndrome in patients with acute hypoxemic respiratory failure: an analysis of the LUNG SAFE database

Author: Boyle A. J., Madotto F., Laffey J. G., Bellani G., Pham T., Pesenti A., Thompson B. T., O'Kane C. M., Deane A. M., McAuley D. 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M, Barberet G, Biehler J, Dellamonica J, Doyen D, Arnal JM, Briquet A, Klasen F, Papazian L, Follin A, Roux D, Messika J, Kalaitzis E, Dangers L, Combes A, Au SM, Béduneau G, Carpentier D, Zogheib EH, Dupont H, Ricome S, Santoli FL, Besset SL, Michel P, Gelée B, Danin PE, Goubaux B, Crova PJ, Phan NT, Berkelmans F, Badie JC, Tapponnier R, Gally J, Khebbeb S, Herbrecht JE, Schneider F, Declercq PM, Rigaud JP, Duranteau J, Harrois A, Chabanne R, Marin J, Constantin JM, Thibault S, Ghazi M, Boukhazna M, Zein SO, Richecoeur JR, Combaux DM, Grelon F, Le Moal C, Sauvadet EP, Robine A, Lemiale V, Reuter D, Dres M, Demoule A, Goldgran-Toledano D, Baboi L, Guérin C, Lohner R, Kraßler J, Schäfer S, Zacharowski KD, Meybohm P, Reske AW, Simon P, Hopf HF, Schuetz M, Baltus T, Papanikolaou MN, Papavasilopoulou TG, Zacharas GA, Ourailogloy V, Mouloudi EK, Massa EV, Nagy EO, Stamou EE, Kiourtzieva EV, Oikonomou MA, Avila LE, Cortez CA, Citalán JE, Jog SA, Sable SD, Shah B, Gurjar M, Baronia AK, Memon M, Muthuchellappan R, Ramesh VJ, Shenoy A, Unnikrishnan R, Dixit SB, Rhayakar RV, Ramakrishnan N, Bhardwaj VK, Mahto HL, Sagar SV, Palaniswamy V, Ganesan D, Hashemian SM, Jamaati H, Heidari F, Meaney EA, Nichol A, Knapman KM, O'Croinin D, Dunne ES, Breen DM, Clarkson KP, Jaafar RF, Dwyer R, Amir F, Ajetunmobi OO, O'Muircheartaigh AC, Black CS, Treanor N, Collins DV, Altaf W, Zani G, Fusari M, Spadaro S, Volta CA, Graziani R, Brunettini B, Palmese S, Formenti P, Umbrello M, Lombardo A, Pecci E, Botteri M, Savioli M, Protti A, Mattei A, Schiavoni L, Tinnirello A, Todeschini M, Giarratano A, Cortegiani A, Sher S, Rossi A, Antonelli MM, Montini LM, Casalena P, Scafetti S, Panarello G, Occhipinti G, Patroniti N, Pozzi M, Biscione RR, Poli MM, Raimondi F, Albiero D, Crapelli G, Beck E, Pota V, Schiavone V, Molin A, Tarantino F, Monti G, Frati E, Mirabella L, Cinnella G, Fossali T, Colombo R, Pattarino PTI, Mojoli F, Braschi A, Borotto EE, Cracchiolo AN, Palma DM, Raponi F, Foti G, Vascotto ER, Coppadoro A, Brazzi L, Floris L, Iotti GA, Venti A, Yamaguchi O, Takagi S, Maeyama HN, Watanabe E, Yamaji Y, Shimizu K, Shiozaki K, Futami S, Ryosuke S, Saito K, Kameyama Y, Ueno K, Izawa M, Okuda N, Suzuki H, Harasawa T, Nasu M, Takada T, Ito F, Nunomiya S, Koyama K, Abe T, Andoh K, Kusumoto K, Hirata A, Takaba A, Kimura H, Matsumoto S, Higashijima U, Honda H, Aoki N, Imai H, Ogino Y, Mizuguchi I, Ichikado K, Nitta K, Mochizuki K, Hashida T, Tanaka H, Nakamura T, Niimi D, Ueda T, Kashiwa Y, Uchiyama A, Sabelnikovs O, Oss P, Haddad Y, Liew KY, Ñamendys-Silva SA, Jarquin-Badiola YD, Sanchez-Hurtado LA, Gomez-Flores SS, Marin MC, Villagomez AJ, Lemus JS, Fierro JM, Cervantes MR, Mejia FJF, Dector D, Dector DM, Gonzalez DR, Estrella CR, Sanchez-Medina JR, Ramirez-Gutierrez A, George FG, Aguirre JS, Buensuseso JA, Poblano M, Dendane T, Zeggwagh AA, Balkhi H, Elkhayari M, Samkaoui N, Ezzouine H, Benslama A, Amor M, Maazouzi W, Cimic N, Beck O, Bruns MM, Schouten JA, Rinia M, Raaijmakers M, Heunks LM, Van Wezel HM, Heines SJ, Strauch U, Buise MP, Simonis FD, Schultz MJ, Goodson JC, Browne TS, Navarra L, Hunt A, Hutchison RA, Bailey MB, Newby L, Mcarthur C, Kalkoff M, Mcleod A, Casement J, Hacking DJ, Andersen FH, Dolva MS, Laake JH, Barratt-Due A, Noremark KAL, Søreide E, Sjøbø BÅ, Guttormsen AB, Leon Yoshido HH, Aguilar RZ, Montes Oscanoa FA, Alisasis AU, Robles JB, Pasanting-Lim RAB, Tan BC, Andruszkiewicz P, Jakubowska K, Coxo CM, Alvarez AM, Oliveira BS, Montanha GM, Barros NC, Pereira CS, Messias AM, Monteiro JM, Araujo AM, Catorze NT, Marum SM, Bouw MJ, Gomes RM, Brito VA, Castro S, Estilita JM, Barros FM, Serra IM, Martinho AM, Tomescu DR, Marcu A, Bedreag OH, Papurica M, Corneci DE, Negoita SI, Grigoriev E, Gritsan AI, Gazenkampf AA, Almekhlafi G, Albarrak MM, Mustafa GM, Maghrabi KA, Salahuddin N, Aisa TM, Al Jabbary AS, Tabhan E, Arabi YM, Arabi YM, Trinidad OA, Al Dorzi HM, Tabhan EE, Bolon S, Smith O, Mancebo J, Aguirre-Bermeo H, Lopez-Delgado JC, Esteve F, Rialp G, Forteza C, De Haro C, Artigas A, Albaiceta GM, De Cima-Iglesias S, Seoane-Quiroga L, Ceniceros-Barros A, Ruiz-Aguilar AL, Claraco-Vega LM, Soler JA, Del Carmen Lorente M, Hermosa C, Gordo F, Prieto-González M, López-Messa JB, Perez MP, Perez CP, Allue RM, Roche-Campo F, Ibañez-Santacruz M, Temprano S, Pintado MC, De Pablo R, Gómez PRA, Ruiz SR, Moles SI, Jurado MT, Arizmendi A, Piacentini EA, Franco N, Honrubia T, Cheng MP, Losada EP, Blanco J, Yuste LJ, Carbayo-Gorriz C, Cazorla-Barranquero FG, Alonso JG, Alda RS, Algaba Á, Navarro G, Cereijo E, Diaz-Rodriguez E, Marcos DP, Montero LA, Para LH, Sanchez RJ, Navalpotro MAB, Abad RD, González RM, Toribio DP, Castro AG, Artiga MJD, Penuelas O, Roser TP, Olga MF, Curto EG, Sánchez RM, Imma VP, Elisabet GM, Claverias L, Magret M, Pellicer AM, Rodriguez LL, Sánchez-Ballesteros J, González-Salamanca Á, Jimenez AG, Huerta FP, Llinares Moya DD, Tallet Alfonso AA, Luis PSE, Cesar PS, Rafael SI, Virgilio CG, Recio NN, Adamsson RO, Rylander CC, Holzgraefe B, Broman LM, Wessbergh J, Persson L, Schiöler F, Kedelv H, Tibblin AO, Appelberg H, Hedlund L, Helleberg J, Eriksson KE, Glietsch R, Larsson N, Nygren I, Nunes SL, Morin AK, Kander T, Adolfsson A, Piquilloud L, Zender HO, Leemann-Refondini C, Elatrous S, Bouchoucha S, Chouchene I, Ouanes I, Souissi AB, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, McNamee L, McAuley D, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee R, Raj AS, Fawkes DA, Watt P, Twohey L, JhaMatthew Thomas RR, Morton A, Kadaba V, Smith MJ, Hormis AP, Kannan SG, Namih M, Reschreiter H, Camsooksai J, Kumar A, Rugonfalvi S, Nutt C, Oneill O, Seasman C, Dempsey G, Scott CJ, Ellis HE, Mckechnie S, Hutton PJ, Di Tomasso NN, Vitale MN, Griffin RO, Dean MN, Cranshaw JH, Willett EL, Ioannou N, Gillis S, Csabi P, Macfadyen R, Dawson H, Preez PD, Williams AJ, Boyd O, De Gordoa LO, Bramall J, Symmonds S, Chau SK, Wenham T, Szakmany T, Toth-Tarsoly P, Mccalman KH, Alexander P, Stephenson L, Collyer T, Chapman R, Cooper R, Allan RM, Sim M, Wrathall DW, Irvine DA, Zantua KS, Adams JC, Burtenshaw AJ, Sellors GP, Welters ID, Williams KE, Hessell RJ, Oldroyd MG, Battle CE, Pillai S, Kajtor I, Sivashanmugavel M, Okane SC, Donnelly A, Frigyik AD, Careless JP, May MM, Stewart R, John Trinder T, Hagan SJ, Wise MP, Cole JM, MacFie CC, Dowling AT, Hurtado J, Nin N, Hurtado J, Nuñez E, Pittini G, Rodriguez R, Imperio MC, Santos C, França AG, Ebeid A, Deicas A, Serra C, Uppalapati A, Kamel G, Banner-Goodspeed VM, Beitler JR, Mukkera SR, Kulkarni S, Lee J, Mesar T, Shinn Iii JO, Gomaa D, Tainter C, Lee J, Mesar T, Lee J, Yeatts DJ, Warren J, Lanspa MJ, Miller RR, Grissom CK, Brown SM, Bauer PR, Gosselin RJ, Kitch BT, Cohen JE, Beegle SH, Gueret RM, Tulaimat A, Choudry S, Stigler W, Batra H, Huff NG, Lamb KD, Oetting TW, Mohr NM, Judy C, Saito S, Kheir FM, Kheir F, Schlichting AB, Delsing A, Crouch DR, Elmasri M, Crouch DR, Ismail D, Dreyer KR, Blakeman TC, Dreyer KR, Gomaa D, Baron RM, Grijalba CQ, Hou PC, Seethala R, Aisiku I, Henderson G, Frendl G, Hou SK, Owens RL, Schomer A, Bumbasirevic V, Jovanovic B, Surbatovic M, Veljovic M., UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - SSS/IREC/MONT - Pôle Mont Godinne, UCL - (SLuc) Service de soins intensifs, and UCL - (MGD) Services des soins intensifs
Subjects: Adult, Male, Diabetes mellitu, LUNG SAFE, Organ Dysfunction Scores, humanos, lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4], Socio-culturale, Organ Dysfunction Score, Diabetes Complications, Diabetes mellitus, puntuaciones de disfunción orgánica, Risk Factors, Diabetes Complication, estudios prospectivos, Humans, factores de riesgo, Prospective Studies, Hospital Mortality, Hypoxia, mediana edad, Acute hypoxemic respiratory failure, Aged, Respiratory Distress Syndrome, anciano, Acute respiratory distress syndrome, Research, Respiration, respiración, Respiratory Distress Syndrome, Adult, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9, Middle Aged, Respiration, Artificial, insuficiencia respiratoria, Prospective Studie, Artificial, Diabetes Mellitus, Female, Respiratory Insufficiency, mortalidad hospitalaria, complicaciones de la diabetes, Human
Abstract: Background: Diabetes mellitus is a common co-existing disease in the critically ill. Diabetes mellitus may reduce the risk of acute respiratory distress syndrome (ARDS), but data from previous studies are conflicting. The objective of this study was to evaluate associations between pre-existing diabetes mellitus and ARDS in critically ill patients with acute hypoxemic respiratory failure (AHRF). Methods: An ancillary analysis of a global, multi-centre prospective observational study (LUNG SAFE) was undertaken. LUNG SAFE evaluated all patients admitted to an intensive care unit (ICU) over a 4-week period, that required mechanical ventilation and met AHRF criteria. Patients who had their AHRF fully explained by cardiac failure were excluded. Important clinical characteristics were included in a stepwise selection approach (forward and backward selection combined with a significance level of 0.05) to identify a set of independent variables associated with having ARDS at any time, developing ARDS (defined as ARDS occurring after day 2 from meeting AHRF criteria) and with hospital mortality. Furthermore, propensity score analysis was undertaken to account for the differences in baseline characteristics between patients with and without diabetes mellitus, and the association between diabetes mellitus and outcomes of interest was assessed on matched samples. Results: Of the 4107 patients with AHRF included in this study, 3022 (73.6%) patients fulfilled ARDS criteria at admission or developed ARDS during their ICU stay. Diabetes mellitus was a pre-existing co-morbidity in 913 patients (22.2% of patients with AHRF). In multivariable analysis, there was no association between diabetes mellitus and having ARDS (OR 0.93 (0.78-1.11); p = 0.39), developing ARDS late (OR 0.79 (0.54-1.15); p = 0.22), or hospital mortality in patients with ARDS (1.15 (0.93-1.42); p = 0.19). In a matched sample of patients, there was no association between diabetes mellitus and outcomes of interest. Conclusions: In a large, global observational study of patients with AHRF, no association was found between diabetes mellitus and having ARDS, developing ARDS, or outcomes from ARDS., This work was supported by the European Society of Intensive Care Medicine (ESICM), Brussels, Belgium who funded the original LUNG SAFE study.
Published: 2018
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45. Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries

Author: Abe T., Madotto F., Pham T., Nagata I., Uchida M., Tamiya N., Kurahashi K., Bellani G., Laffey J. G, Francois GM, Rabboni F, Madotto F, Conti S, Laffey JG, Bellani G, Pham T, Fan E, Pesenti A, Brochard L, Esteban A, Gattinoni L, van Haren F, Larsson A, McAuley DF, Ranieri M, Rubenfeld G, Thompson BT, Wrigge H, Slutsky AS, Rios F, Sottiaux T, Depuydt P, Lora FS, Azevedo LC, Bugedo G, Qiu H, Gonzalez M, Silesky J, Cerny V, Nielsen J, Jibaja M, Matamis D, Ranero JL, Amin P, Hashemian SM, Clarkson K, Kurahashi K, Villagomez A, Zeggwagh AA, Heunks LM, Laake JH, Palo JE, do Vale Fernandes A, Sandesc D, Arabi Y, Bumbasierevic V, Nin N, Lorente JA, Piquilloud L, Abroug F, McNamee L, Hurtado J, Bajwa E, Démpair G, Sula H, Nunci L, Cani A, Zazu A, Dellera C, Insaurralde CS, Alejandro RV, Daldin J, Vinzio M, Fernandez RO, Cardonnet LP, Bettini LR, Bisso MC, Osman EM, Setten MG, Lovazzano P, Alvarez J, Villar V, Milstein C, Pozo NC, Grubissich N, Plotnikow GA, Vasquez DN, Ilutovich S, Tiribelli N, Chena A, Pellegrini CA, Saenz MG, Estenssoro E, Brizuela M, Gianinetto H, Gomez PE, Cerrato VI, 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Ouanes I, Souissi AB, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, McAuley D, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee R, Raj AS, Fawkes DA, Watt P, Twohey L, JhaMatthew Thomas RR, Morton A, Kadaba V, Smith MJ, Hormis AP, Kannan SG, Namih M, Reschreiter H, Camsooksai J, Kumar A, Rugonfalvi S, Nutt C, Oneill O, Seasman C, Dempsey G, Scott CJ, Ellis HE, Mckechnie S, Hutton PJ, Di Tomasso NN, Vitale MN, Griffin R, Dean MN, Cranshaw JH, Willett EL, Ioannou N, Gillis S, Csabi P, Macfadyen R, Dawson H, Preez PD, Williams AJ, Boyd O, de Gordoa LO, Bramall J, Symmonds S, Chau SK, Wenham T, Szakmany T, Toth-Tarsoly P, Mccalman KH, Alexander P, Stephenson L, Collyer T, Chapman R, Cooper R, Allan RM, Sim M, Wrathall DW, Irvine DA, Zantua KS, Adams JC, Burtenshaw AJ, Sellors GP, Welters ID, Williams KE, Hessell RJ, Oldroyd MG, Battle CE, Pillai S, Okane SC, Donnelly A, Frigyik AD, Careless JP, May MM, Stewart R, John Trinder T, Hagan SJ, Wise MP, Cole JM, MacFie CC, Dowling AT, Nuñez E, Pittini G, Rodriguez R, Imperio MC, Santos C, França AG, Ebeid A, Deicas A, Uppalapati A, Kamel G, Banner-Goodspeed VM, Beitler JR, Mukkera SR, Kulkarni S, Lee J, Mesar T, Shinn Iii JO, Gomaa D, Tainter C, Yeatts DJ, Warren J, Lanspa MJ, Miller RR, Grissom CK, Brown SM, Bauer PR, Gosselin RJ, Kitch BT, Cohen JE, Beegle SH, Gueret RM, Tulaimat A, Choudry S, Stigler W, Batra H, Huff NG, Lamb KD, Oetting TW, Mohr NM, Judy C, Saito S, Kheir FM, Kheir F, Schlichting AB, Delsing A, Crouch DR, Elmasri M, Ismail D, Dreyer KR, Blakeman TC, Baron RM, Grijalba CQ, Hou PC, Seethala R, Aisiku I, Henderson G, Frendl G, Hou SK, Owens RL, Schomer A, Bumbasirevic V, Jovanovic B, Surbatovic M, Veljovic M., UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service de soins intensifs, UCL - (MGD) Services des soins intensifs, Department of Medicine and Surgery [Monza, Italy] (Research Center on Public Health), Università degli Studi di Milano-Bicocca [Milano] (UNIMIB), Sorbonne Université (SU), Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), ACS - Heart failure & arrhythmias, AII - Inflammatory diseases, Graduate School, Intensive Care Medicine, ACS - Diabetes & metabolism, ACS - Pulmonary hypertension & thrombosis, ACS - Microcirculation, Abe, T, Madotto, F, Pham, T, Nagata, I, Uchida, M, Tamiya, N, Kurahashi, K, Bellani, G, Laffey, J, Abe, T., Madotto, F., Pham, T., Nagata, I., Uchida, M., Tamiya, N., Kurahashi, K., Bellani, G., Laffey, J. G., Francois, G. M., Rabboni, F., Conti, S., Fan, E., Pesenti, A., Brochard, L., Esteban, A., Gattinoni, L., van Haren, F., Larsson, A., Mcauley, D. F., Ranieri, M., Rubenfeld, G., Thompson, B. T., Wrigge, H., Slutsky, A. S., Rios, F., Sottiaux, T., Depuydt, P., Lora, F. S., Azevedo, L. C., Bugedo, G., Qiu, H., Gonzalez, M., Silesky, J., Cerny, V., Nielsen, J., Jibaja, M., Matamis, D., Ranero, J. L., Amin, P., Hashemian, S. M., Clarkson, K., Villagomez, A., Zeggwagh, A. A., Heunks, L. M., Laake, J. H., Palo, J. E., do Vale Fernandes, A., Sandesc, D., Arabi, Y., Bumbasierevic, V., Nin, N., Lorente, J. A., Piquilloud, L., Abroug, F., Mcnamee, L., Hurtado, J., Bajwa, E., Dempair, G., Sula, H., Nunci, L., Cani, A., Zazu, A., Dellera, C., Insaurralde, C. S., Alejandro, R. V., Daldin, J., Vinzio, M., Fernandez, R. O., Cardonnet, L. P., Bettini, L. R., Bisso, M. C., Osman, E. M., Setten, M. G., Lovazzano, P., Alvarez, J., Villar, V., Milstein, C., Pozo, N. C., Grubissich, N., Plotnikow, G. A., Vasquez, D. N., Ilutovich, S., Tiribelli, N., Chena, A., Pellegrini, C. A., Saenz, M. G., Estenssoro, E., Brizuela, M., Gianinetto, H., Gomez, P. E., Cerrato, V. I., Bezzi, M. G., Borello, S. A., Loiacono, F. A., Fernandez, A. M., Knowles, S., Reynolds, C., Inskip, D. M., Miller, J. J., Kong, J., Whitehead, C., Bihari, S., Seven, A., Krstevski, A., Rodgers, H. J., Millar, R. T., Mckenna, T. E., Bailey, I. M., Hanlon, G. C., Aneman, A., Lynch, J. M., Azad, R., Neal, J., Woods, P. W., Roberts, B. L., Kol, M. R., Wong, H. S., Riss, K. C., Wittebole, X., Berghe, C., Bulpa, P. A., Dive, A. M., Verstraete, R., Lebbinck, H., Vermassen, J., Meersseman, P., Ceunen, H., Rosa, J. I., Beraldo, D. O., Piras, C., Rampinelli, A. M., Nassar, A. P., Mataloun, S., Moock, M., Thompson, M. M., Goncalves, C. H., Antonio, Acp., Ascoli, A., Biondi, R. S., Fontenele, D. C., Nobrega, D., Sales, V. M., Shindhe, S., Ismail, Dhmabph., Beloncle, F., Davies, K. 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P., Duranteau, J., Harrois, A., Chabanne, R., Marin, J., Bigot, C., Thibault, S., Ghazi, M., Boukhazna, M., Zein, S. O., Richecoeur, J. R., Combaux, D. M., Grelon, F., Le Moal, C., Sauvadet, E. P., Robine, A., Lemiale, V., Reuter, D., Dres, M., Demoule, A., Goldgran-Toledano, D., Baboi, L., Guerin, C., Lohner, R., Krassler, J., Schafer, S., Zacharowski, K. D., Meybohm, P., Reske, A. W., Simon, P., Hopf, H. F., Schuetz, M., Baltus, T., Papanikolaou, M. N., Papavasilopoulou, T. G., Zacharas, G. A., Ourailogloy, V., Mouloudi, E. K., Massa, E. V., Nagy, E. O., Stamou, E. E., Kiourtzieva, E. V., Oikonomou, M. A., Avila, L. E., Cortez, C. A., Citalan, J. E., Jog, S. A., Sable, S. D., Shah, B., Gurjar, M., Baronia, A. K., Memon, M., Muthuchellappan, R., Ramesh, V. J., Shenoy, A., Unnikrishnan, R., Dixit, S. B., Rhayakar, R. V., Ramakrishnan, N., Bhardwaj, V. K., Mahto, H. L., Sagar, S. V., Palaniswamy, V., Ganesan, D., Jamaati, H., Heidari, F., Meaney, E. A., Nichol, A., Knapman, K. 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K., Kander, T., Adolfsson, A., Zender, H. O., Leemann-Refondini, C., Elatrous, S., Bouchoucha, S., Chouchene, I., Ouanes, I., Souissi, A. B., Kamoun, S., Demirkiran, O., Aker, M., Erbabacan, E., Ceylan, I., Girgin, N. K., Ozcelik, M., Unal, N., Meco, B. C., Akyol, O. O., Derman, S. S., Kennedy, B., Parhar, K., Srinivasa, L., Mcauley, D., Hopkins, P., Mellis, C., Kakar, V., Hadfield, D., Vercueil, A., Bhowmick, K., Humphreys, S. K., Ferguson, A., Mckee, R., Raj, A. S., Fawkes, D. A., Watt, P., Twohey, L., JhaMatthew Thomas, R. R., Morton, A., Kadaba, V., Smith, M. J., Hormis, A. P., Kannan, S. G., Namih, M., Reschreiter, H., Camsooksai, J., Kumar, A., Rugonfalvi, S., Nutt, C., Oneill, O., Seasman, C., Dempsey, G., Scott, C. J., Ellis, H. E., Mckechnie, S., Hutton, P. J., Di Tomasso, N. N., Vitale, M. N., Griffin, R., Dean, M. N., Cranshaw, J. H., Willett, E. L., Ioannou, N., Gillis, S., Csabi, P., Macfadyen, R., Dawson, H., Preez, P. D., Williams, A. J., Boyd, O., de Gordoa, L. 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M., Tulaimat, A., Choudry, S., Stigler, W., Batra, H., Huff, N. G., Lamb, K. D., Oetting, T. W., Mohr, N. M., Judy, C., Saito, S., Kheir, F. M., Kheir, F., Schlichting, A. B., Delsing, A., Crouch, D. R., Elmasri, M., Ismail, D., Dreyer, K. R., Blakeman, T. C., Baron, R. M., Grijalba, C. Q., Hou, P. C., Seethala, R., Aisiku, I., Henderson, G., Frendl, G., Hou, S. K., Owens, R. L., Schomer, A., Bumbasirevic, V., Jovanovic, B., Surbatovic, M., Veljovic, M., Abe T., Madotto F., Pham T., Nagata I., Uchida M., Tamiya N., Kurahashi K., Bellani G., Laffey J.G, and Francois GM, Rabboni F, Madotto F, Conti S, Laffey JG, Bellani G, Pham T, Fan E, Pesenti A, Brochard L, Esteban A, Gattinoni L, van Haren F, Larsson A, McAuley DF, Ranieri M, Rubenfeld G, Thompson BT, Wrigge H, Slutsky AS, Rios F, Sottiaux T, Depuydt P, Lora FS, Azevedo LC, Bugedo G, Qiu H, Gonzalez M, Silesky J, Cerny V, Nielsen J, Jibaja M, Pham T, Matamis D, Ranero JL, Amin P, Hashemian SM, Clarkson K, Kurahashi K, Villagomez A, Zeggwagh AA, Heunks LM, Laake JH, Palo JE, do Vale Fernandes A, Sandesc D, Arabi Y, Bumbasierevic V, Nin N, Lorente JA, Piquilloud L, Abroug F, McNamee L, Hurtado J, Bajwa E, Démpair G, Sula H, Nunci L, Cani A, Zazu A, Dellera C, Insaurralde CS, Alejandro RV, Daldin J, Vinzio M, Fernandez RO, Cardonnet LP, Bettini LR, Bisso MC, Osman EM, Setten MG, Lovazzano P, Alvarez J, Villar V, Milstein C, Pozo NC, Grubissich N, Plotnikow GA, Vasquez DN, Ilutovich S, Tiribelli N, Chena A, Pellegrini CA, Saenz MG, Estenssoro E, Brizuela M, Gianinetto H, Gomez PE, Cerrato VI, Bezzi MG, Borello SA, Loiacono FA, Fernandez AM, Knowles S, Reynolds C, Inskip DM, Miller JJ, Kong J, Whitehead C, Bihari S, Seven A, Krstevski A, Rodgers HJ, Millar RT, Mckenna TE, Bailey IM, Hanlon GC, Aneman A, Lynch JM, Azad R, Neal J, Woods PW, Roberts BL, Kol MR, Wong HS, Riss KC, Wittebole X, Berghe C, Bulpa PA, Dive AM, Verstraete R, Lebbinck H, Depuydt P, Vermassen J, Meersseman P, Ceunen H, Rosa JI, Beraldo DO, Piras C, Rampinelli AM, Nassar AP Jr, Mataloun S, Moock M, Thompson MM, Gonçalves CH, Antônio ACP, Ascoli A, Biondi RS, Fontenele DC, Nobrega D, Sales VM, Shindhe S, Ismail DHMABPH, Laffey J, Beloncle F, Davies KG, Cirone R, Manoharan V, Ismail M, Goligher EC, Jassal M, Nishikawa E, Javeed A, Curley G, Rittayamai N, Parotto M, Ferguson ND, Mehta S, Knoll J, Pronovost A, Chile SC, Bruhn AR, Garcia PH, Aliaga FA, Farías PA, Yumha JS, Ortiz CA, Salas JE, Saez AA, Vega LD, Labarca EF, Martinez FT, Carreño NG, Lora P, Liu H, Liu L, Tang R, Luo X, An Y, Zhao H, Gao Y, Zhai Z, Ye ZL, Wang W, Li W, Li Q, Zheng R, Yu W, Shen J, Li X, Yu T, Lu W, Wu YQ, Huang XB, He Z, Lu Y, Han H, Zhang F, Sun R, Wang HX, Qin SH, Zhu BH, Zhao J, Liu J, Li B, Liu JL, Zhou FC, Li QJ, Zhang XY, Li-Xin Z, Xin-Hua Q, Jiang L, Gao YN, Zhao XY, Li YY, Li XL, Wang C, Yao Q, Yu R, Chen K, Shao H, Qin B, Huang QQ, Zhu WH, Hang AY, Hua MX, Li Y, Xu Y, Di YD, Ling LL, Qin TH, Wang SH, Qin J, Han Y, Vargas MP, Silesky Jimenez JI, González Rojas MA, Solis-Quesada JE, Ramirez-Alfaro CM, Máca J, Sklienka P, Gjedsted J, Villamagua BG, Llano M, Burtin P, Buzancais G, Beuret P, Pelletier N, Mortaza S, Mercat A, Chelly J, Jochmans S, Terzi N, Daubin C, Carteaux G, de Prost N, Chiche JD, Daviaud F, Fartoukh M, Barberet G, Biehler J, Dellamonica J, Doyen D, Arnal JM, Briquet A, Hraiech S, Papazian L, Roux D, Messika J, Kalaitzis E, Médicale R, Dangers L, Combes A, Au SM, Béduneau G, Carpentier D, Zogheib EH, Dupont H, Ricome S, Santoli FL, Besset SL, Michel P, Gelée B, Danin PE, Goubaux B, Crova PJ, Phan NT, Berkelmans F, Badie JC, Tapponnier R, Gally J, Khebbeb S, Herbrecht JE, Schneider F, Declercq PM, Rigaud JP, Duranteau J, Harrois A, Chabanne R, Marin J, Bigot C, Thibault S, Ghazi M, Boukhazna M, Zein SO, Richecoeur JR, Combaux DM, Grelon F, Le Moal C, Sauvadet EP, Robine A, Lemiale V, Reuter D, Dres M, Demoule A, Goldgran-Toledano D, Baboi L, Guérin C, Lohner R, Kraßler J, Schäfer S, Zacharowski KD, Meybohm P, Reske AW, Simon P, Hopf HF, Schuetz M, Baltus T, Papanikolaou MN, Papavasilopoulou TG, Zacharas GA, Ourailogloy V, Mouloudi EK, Massa EV, Nagy EO, Stamou EE, Kiourtzieva EV, Oikonomou MA, Avila LE, Cortez CA, Citalán JE, Jog SA, Sable SD, Shah B, Gurjar M, Baronia AK, Memon M, Muthuchellappan R, Ramesh VJ, Shenoy A, Unnikrishnan R, Dixit SB, Rhayakar RV, Ramakrishnan N, Bhardwaj VK, Mahto HL, Sagar SV, Palaniswamy V, Ganesan D, Hashemian SM, Jamaati H, Heidari F, Meaney EA, Nichol A, Knapman KM, O'Croinin D, Dunne ES, Breen DM, Clarkson KP, Jaafar RF, Dwyer R, Amir F, Ajetunmobi OO, O'Muircheartaigh AC, Black CS, Treanor N, Collins DV, Altaf W, Zani G, Fusari M, Spadaro S, Volta CA, Graziani R, Brunettini B, Palmese S, Formenti P, Umbrello M, Lombardo A, Pecci E, Botteri M, Savioli M, Protti A, Mattei A, Schiavoni L, Tinnirello A, Todeschini M, Giarratano A, Cortegiani A, Sher S, Rossi A, Antonelli MM, Montini LM, Casalena P, Scafetti S, Panarello G, Occhipinti G, Patroniti N, Pozzi M, Biscione RR, Poli MM, Raimondi F, Albiero D, Crapelli G, Beck E, Pota V, Schiavone V, Molin A, Tarantino F, Monti G, Frati E, Mirabella L, Cinnella G, Fossali T, Colombo R, Pattarino PTI, Mojoli F, Braschi A, Borotto EE, Cracchiolo AN, Palma DM, Raponi F, Foti G, Vascotto ER, Coppadoro A, Brazzi L, Floris L, Iotti GA, Venti A, Yamaguchi O, Takagi S, Maeyama HN, Watanabe E, Yamaji Y, Shimizu K, Shiozaki K, Futami S, Ryosuke S, Saito K, Kameyama Y, Ueno K, Izawa M, Okuda N, Suzuki H, Harasawa T, Nasu M, Takada T, Ito F, Nunomiya S, Koyama K, Abe T, Andoh K, Kusumoto K, Hirata A, Takaba A, Kimura H, Matsumoto S, Higashijima U, Honda H, Aoki N, Imai H, Ogino Y, Mizuguchi I, Ichikado K, Nitta K, Mochizuki K, Hashida T, Tanaka H, Nakamura T, Niimi D, Ueda T, Kashiwa Y, Uchiyama A, Sabelnikovs O, Lebanon PO, Haddad Y, Liew KY, Ñamendys-Silva SA, Jarquin-Badiola YD, Sanchez-Hurtado LA, Gomez-Flores SS, Marin MC, Villagomez AJ, General H, Lemus JS, Fierro JM, Cervantes MR, Mejia FJF, Dector D, Dector DM, Gonzalez DR, Estrella CR, Sanchez-Medina JR, Ramirez-Gutierrez A, George FG, Aguirre JS, Buensuseso JA, Poblano M, Dendane T, Balkhi H, Elkhayari M, Samkaoui N, Ezzouine H, Benslama A, Amor M, Maazouzi W, Cimic N, Beck O, Bruns MM, Schouten JA, Rinia M, Raaijmakers M, Van Wezel HM, Heines SJ, Strauch U, Buise MP, Simonis FD, Schultz MJ, Goodson JC, Browne TS, 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Mccalman KH, Alexander P, Stephenson L, Collyer T, Chapman R, Cooper R, Allan RM, Sim M, Wrathall DW, Irvine DA, Zantua KS, Adams JC, Burtenshaw AJ, Sellors GP, Welters ID, Williams KE, Hessell RJ, Oldroyd MG, Battle CE, Pillai S, Okane SC, Donnelly A, Frigyik AD, Careless JP, May MM, Stewart R, John Trinder T, Hagan SJ, Wise MP, Cole JM, MacFie CC, Dowling AT, Nin N, Nuñez E, Pittini G, Rodriguez R, Imperio MC, Santos C, França AG, Ebeid A, Deicas A, Uppalapati A, Kamel G, Banner-Goodspeed VM, Beitler JR, Mukkera SR, Kulkarni S, Lee J, Mesar T, Shinn Iii JO, Gomaa D, Tainter C, Yeatts DJ, Warren J, Lanspa MJ, Miller RR, Grissom CK, Brown SM, Bauer PR, Gosselin RJ, Kitch BT, Cohen JE, Beegle SH, Gueret RM, Tulaimat A, Choudry S, Stigler W, Batra H, Huff NG, Lamb KD, Oetting TW, Mohr NM, Judy C, Saito S, Kheir FM, Kheir F, Schlichting AB, Delsing A, Crouch DR, Elmasri M, Ismail D, Dreyer KR, Blakeman TC, Gomaa D, Baron RM, Grijalba CQ, Hou PC, Seethala R, Aisiku I, Henderson G, Frendl G, Hou SK, Owens RL, Schomer A, Bumbasirevic V, Jovanovic B, Surbatovic M, Veljovic M.
Subjects: Male, ARDS, Internationality, [SDV]Life Sciences [q-bio], humanos, lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4], traqueostomía, Critical Care and Intensive Care Medicine, Severity of Illness Index, Cohort Studies, Propensity-matched analysi, 0302 clinical medicine, Tracheostomy, estudios prospectivos, Epidemiology, Acute respiratory distress syndrome (ARDS), 030212 general & internal medicine, Prospective Studies, puntuación de propensión, 10. No inequality, Prospective cohort study, estudios de cohortes, mediana edad, anciano, Respiratory Distress Syndrome, respiración, Respiration, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Middle Aged, 3. Good health, Intensive Care Units, Cohort, Artificial, Critical Illne, Female, ICU, Propensity-matched analysis, Ventilation, Aged, Critical Illness, Humans, Propensity Score, Respiration, Artificial, Respiratory Distress Syndrome, Adult, Cohort study, Human, Adult, medicine.medical_specialty, Intensive Care Unit, Socio-culturale, unidades de cuidados intensivos, enfermedad crítica, 03 medical and health sciences, Severity of illness, Settore MED/41 - ANESTESIOLOGIA, medicine, índice de gravedad de la enfermedad, business.industry, Research, internacionalidad, lcsh:RC86-88.9, medicine.disease, R1, Prospective Studie, 030228 respiratory system, Propensity score matching, Emergency medicine, Observational study, Cohort Studie, business
Abstract: Background: To better understand the epidemiology and patterns of tracheostomy practice for patients with acute respiratory distress syndrome (ARDS), we investigated the current usage of tracheostomy in patients with ARDS recruited into the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG-SAFE) study. Methods: This is a secondary analysis of LUNG-SAFE, an international, multicenter, prospective cohort study of patients receiving invasive or noninvasive ventilation in 50 countries spanning 5 continents. The study was carried out over 4 weeks consecutively in the winter of 2014, and 459 ICUs participated. We evaluated the clinical characteristics, management and outcomes of patients that received tracheostomy, in the cohort of patients that developed ARDS on day 1-2 of acute hypoxemic respiratory failure, and in a subsequent propensity-matched cohort. Results: Of the 2377 patients with ARDS that fulfilled the inclusion criteria, 309 (13.0%) underwent tracheostomy during their ICU stay. Patients from high-income European countries (n = 198/1263) more frequently underwent tracheostomy compared to patients from non-European high-income countries (n = 63/649) or patients from middle-income countries (n = 48/465). Only 86/309 (27.8%) underwent tracheostomy on or before day 7, while the median timing of tracheostomy was 14 (Q1-Q3, 7-21) days after onset of ARDS. In the subsample matched by propensity score, ICU and hospital stay were longer in patients with tracheostomy. While patients with tracheostomy had the highest survival probability, there was no difference in 60-day or 90-day mortality in either the patient subgroup that survived for at least 5 days in ICU, or in the propensity-matched subsample. Conclusions: Most patients that receive tracheostomy do so after the first week of critical illness. Tracheostomy may prolong patient survival but does not reduce 60-day or 90-day mortality., This work was funded and supported by the European Society of Intensive Care Medicine (ESICM), Brussels, Belgium, by St Michael's Hospital, Toronto, Canada, and by the University of Milan-Bicocca, Monza, Italy. This work was supported by JSPS KAKENHI JP 16 K15388, Japan.
Published: 2018
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46. Noninvasive Ventilation of Patients with Acute Respiratory Distress Syndrome: Insights from the LUNG SAFE Study

Author: Bellani, Giacomo, Laffey, John G., Pham, Tai, Madotto, Fabiana, Fan, Eddy, Brochard, Laurent, Esteban, Andres, Gattinoni, Luciano, Bumbasirevic, Vesna, Piquilloud, Lise, Van Haren, Frank, Larsson, Anders, McAuley, Daniel F., Bauer, Philippe R., Arabi, Yaseen M., Ranieri, Marco, Antonelli, Massimo, Rubenfeld, Gordon D., Taylor Thompson, B., Wrigge, Hermann, Slutsky, Arthur S., Pesenti, Antonio, Rios F, Van Haren F, Sottiaux T, Depuydt P, Lora FS, Azevedo LC, Fan E, Bugedo G, Qiu H, Gonzalez M, Silesky J, Cerny V, Nielsen J, Jibaja M, Pham T, Wrigge H, Matamis D, Ranero JL, Amin P, Hashemian SM, Clarkson K, Bellani G, Kurahashi K, Villagomez A, Zeggwagh AA, Heunks LM, Laake JH, Palo JE, do Vale Fernandes A, Sandesc D, Arabi Y, Bumbasierevic V, Nin N, Lorente JA, Larsson A, Piquilloud L, Abroug F, McAuley DF, McNamee L, Hurtado J, Bajwa E, Démpaire G, Francois GM, Sula H, Nunci L, Cani A, Zazu A, Dellera C, Insaurralde CS, Alejandro RV, Daldin J, Vinzio M, Fernandez RO, Cardonnet LP, Bettini LR, Bisso MC, Osman EM, Setten MG, Lovazzano P, Alvarez J, Villar V, Pozo NC, Grubissich N, Plotnikow GA, Vasquez DN, Ilutovich S, Tiribelli N, Chena A, Pellegrini CA, Saenz MG, Estenssoro E, Brizuela M, Gianinetto H, Gomez PE, Cerrato VI, Bezzi MG, Borello SA, Loiacono FA, Fernandez AM, Knowles S, Reynolds C, Inskip DM, Miller JJ, Kong J, Whitehead C, Bihari S, Seven A, Krstevski A, Rodgers HJ, Millar RT, Mckenna TE, Bailey IM, Hanlon GC, Aneman A, Lynch JM, Azad R, Neal J, Woods PW, Roberts BL, Kol MR, Wong HS, Riss KC, Staudinger T, Wittebole X, Berghe C, Bulpa PA, Dive AM, Verstraete R, Lebbinck H, Vermassen J, Meersseman P, Ceunen H, Rosa JI, Beraldo DO, Piras C, Rampinelli AM, Nassar Jr AP, Mataloun S, Moock M, Thompson MM, Gonçalves CH, Antônio AP, Ascoli A, Biondi RS, Fontenele DC, Nobrega D, Sales VM, Shindhe S, Aiman M, Laffey J, Beloncle F, Davies KG, Cirone R, Manoharan V, Ismail M, Goligher EC, Jassal M, Nishikawa E, Javeed A, Curley G, Rittayamai N, Parotto M, 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Virgilio CG, Recio NN, Adamsson RO, Rylander CC, Holzgraefe B, Broman LM, Wessbergh J, Persson L, Schiöler F, Kedelv H, Oscarsson Tibblin A, Appelberg H, Hedlund L, Helleberg J, Eriksson KE, Glietsch R, Larsson N, Nygren I, Nunes SL, Morin AK, Kander T, Adolfsson A, Zender HO, Leemann-Refondini C, Elatrous S, Bouchoucha S, Chouchene I, Ouanes I, Souissi AB, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, McAuley D, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee R, Raj AS, Fawkes DA, Watt P, Twohey L, Jha RR, Thomas M, Morton A, Kadaba V, Smith MJ, Hormis AP, Kannan SG, Namih M, Reschreiter H, Camsooksai J, Kumar A, Rugonfalvi S, Nutt C, Oneill O, Seasman C, Dempsey G, Scott CJ, Ellis HE, Mckechnie S, Hutton PJ, Di Tomasso NN, Vitale MN, Griffin RO, Dean MN, Cranshaw JH, Willett EL, Ioannou N, Gillis S, Csabi P, Macfadyen R, Dawson H, 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Thompson MM, Gonçalves CH, Antônio AP, Ascoli A, Biondi RS, Fontenele DC, Nobrega D, Sales VM, Shindhe S, Aiman M, Laffey J, Beloncle F, Davies KG, Cirone R, Manoharan V, Ismail M, Goligher EC, Jassal M, Nishikawa E, Javeed A, Curley G, Rittayamai N, Parotto M, Ferguson ND, Mehta S, Knoll J, Pronovost A, Canestrini S, Bruhn AR, Garcia PH, Aliaga FA, Farías PA, Yumha JS, Ortiz CA, Salas JE, Saez AA, Vega LD, Labarca EF, Martinez FT, Carreño NG, Lora P, Liu H, Qiu H, Liu L, Tang R, Luo X, An Y, Zhao H, Gao Y, Zhai Z, Ye ZL, Wang W, Li W, Li Q, Zheng R, Yu W, Shen J, Li X, Yu T, Wu YQ, Huang XB, He Z, Lu Y, Han H, Zhang F, Sun R, Wang HX, Qin SH, Zhu BH, Zhao J, Liu J, Li B, Liu JL, Zhou FC, Li QJ, Zhang XY, Li-Xin Z, Xin-Hua Q, Jiang L, Gao YN, Zhao XY, Li YY, Li XL, Wang C, Yao Q, Yu R, Chen K, Shao H, Qin B, Huang QQ, Zhu WH, Hang AY, Hua MX, Li Y, Xu Y, Di YD, Ling LL, Qin TH, Wang SH, Qin J, Han Y, Zhou S, Vargas MP, Silesky Jimenez JI, González Rojas MA, Solis-Quesada JE, 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González R, Parrilla Toribio D, Penuelas O, Roser TP, Olga MF, Gallego Curto E, Manzano Sánchez R, Imma VP, Elisabet GM, Claverias L, Magret M, Pellicer AM, Rodriguez LL, Sánchez-Ballesteros JS, González-Salamanca A, Jimenez AG, Huerta FP, Sotillo Diaz JJ, Bermejo Lopez E, Llinares Moya DD, Tallet Alfonso AA, Eugenio Luis PS, Sanchez Cesar P, Rafael SI, Virgilio CG, Recio NN, Adamsson RO, Rylander CC, Holzgraefe B, Broman LM, Wessbergh J, Persson L, Schiöler F, Kedelv H, Oscarsson Tibblin A, Appelberg H, Hedlund L, Helleberg J, Eriksson KE, Glietsch R, Larsson N, Nygren I, Nunes SL, Morin AK, Kander T, Adolfsson A, Piquilloud L, Zender HO, Leemann-Refondini C, Elatrous S, Bouchoucha S, Chouchene I, Ouanes I, Souissi AB, Kamoun S, Demirkiran O, Aker M, Erbabacan E, Ceylan I, Girgin NK, Ozcelik M, Ünal N, Meco BC, Akyol OO, Derman SS, Kennedy B, Parhar K, Srinivasa L, McNamee L, McAuley D, Hopkins P, Mellis C, Kakar V, Hadfield D, Vercueil A, Bhowmick K, Humphreys SK, Ferguson A, Mckee 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D., Mehta, S., Knoll, J., Pronovost, A., Canestrini, S., Bruhn, A. R., Garcia, P. H., Aliaga, F. A., Farias, P. A., Yumha, J. S., Ortiz, C. A., Salas, J. E., Saez, A. A., Vega, L. D., Labarca, E. F., Martinez, F. T., Carreno, N. G., Lora, P., Liu, H., Liu, L., Tang, R., Luo, X., An, Y., Zhao, H., Gao, Y., Zhai, Z., Ye, Z. L., Wang, W., Li, W., Li, Q., Zheng, R., Yu, W., Shen, J., Li, X., Yu, T., Wu, Y. Q., Huang, X. B., He, Z., Lu, Y., Han, H., Zhang, F., Sun, R., Wang, H. X., Qin, S. H., Zhu, B. H., Zhao, J., Liu, J., Li, B., Liu, J. L., Zhou, F. C., Li, Q. J., Zhang, X. Y., Li-Xin, Z., Xin-Hua, Q., Jiang, L., Gao, Y. N., Zhao, X. Y., Li, Y. Y., Li, X. L., Wang, C., Yao, Q., Yu, R., Chen, K., Shao, H., Qin, B., Huang, Q. Q., Zhu, W. H., Hang, A. Y., Hua, M. X., Li, Y., Xu, Y., Di, Y. D., Ling, L. L., Qin, T. H., Wang, S. H., Qin, J., Han, Y., Zhou, S., Vargas, M. P., Silesky Jimenez, J. I., Gonzalez Rojas, M. A., Solis-Quesada, J. E., Ramirez-Alfaro, C. M., Maca, J., Sklienka, P., Gjedsted, J., Christiansen, A., Villamagua, B. G., Llano, M., Burtin, P., Buzancais, G., Beuret, P., Pelletier, N., Mortaza, S., Mercat, A., Chelly, J., Jochmans, S., Terzi, N., Daubin, C., Carteaux, G., de Prost, N., Chiche, J. D., Daviaud, F., Fartoukh, M., Barberet, G., Biehler, J., Dellamonica, J., Doyen, D., Arnal, J. M., Briquet, A., Hraiech, S., Papazian, L., Follin, A., Roux, D., Messika, J., Kalaitzis, E., Dangers, L., Combes, A., Au, S. M., Beduneau, G., Carpentier, D., Zogheib, E. H., Dupont, H., Ricome, S., Santoli, F. L., Besset, S. L., Michel, P., Gelee, B., Danin, P. E., Goubaux, B., Crova, P. J., Phan, N. T., Berkelmans, F., Badie, J. C., Tapponnier, R., Gally, J., Khebbeb, S., Herbrecht, J. E., Schneider, F., Declercq, P. M., Rigaud, J. P., Duranteau, J., Harrois, A., Chabanne, R., Marin, J., Bigot, C., Thibault, S., Ghazi, M., Boukhazna, M., Zein, S. O., Richecoeur, J. R., Combaux, D. M., Grelon, F., Le Moal, C., Sauvadet, E. P., Robine, A., Lemiale, V., Reuter, D., Dres, M., Demoule, A., Goldgran-Toledano, D., Baboi, L., Guerin, C., Lohner, R., Krassler, J., Schafer, S., Zacharowski, K. D., Meybohm, P., Reske, A. W., Simon, P., Hopf, H. F., Schuetz, M., Baltus, T., Papanikolaou, M. N., Papavasilopoulou, T. G., Zacharas, G. A., Ourailogloy, V., Mouloudi, E. K., Massa, E. V., Nagy, E. O., Stamou, E. E., Kiourtzieva, E. V., Oikonomou, M. A., Avila, L. E., Cortez, C. A., Citalan, J. E., Jog, S. A., Sable, S. D., Shah, B., Gurjar, M., Baronia, A. K., Memon, M., Muthuchellappan, R., Ramesh, V. J., Shenoy, A., Unnikrishnan, R., Dixit, S. B., Rhayakar, R. V., Ramakrishnan, N., Bhardwaj, V. K., Mahto, H. L., Sagar, S. V., Palaniswamy, V., Ganesan, D., Jamaati, H., Heidari, F., Meaney, E. A., Nichol, A., Knapman, K. M., O'Croinin, D., Dunne, E. S., Breen, D. M., Clarkson, K. P., Jaafar, R. F., Dwyer, R., Amir, F., Ajetunmobi, O. O., O'Muircheartaigh, A. C., Black, C. S., Treanor, N., Collins, D. V., Altaf, W., Zani, G., Fusari, M., Spadaro, S., Volta, C. A., Graziani, R., Brunettini, B., Palmese, S., Formenti, P., Umbrello, M., Lombardo, A., Pecci, E., Botteri, M., Savioli, M., Protti, A., Mattei, A., Schiavoni, L., Tinnirello, A., Todeschini, M., Giarratano, A., Cortegiani, A., Sher, S., Rossi, A., Montini, L. M., Casalena, P., Scafetti, S., Panarello, G., Occhipinti, G., Patroniti, N., Pozzi, M., Biscione, R. R., Poli, M. M., Raimondi, F., Albiero, D., Crapelli, G., Beck, E., Pota, V., Schiavone, V., Molin, A., Tarantino, F., Monti, G., Frati, E., Mirabella, L., Cinnella, G., Fossali, T., Colombo, R., Terragni, P., Pattarino, I., Mojoli, F., Braschi, A., Borotto, E. E., Cracchiolo, A. N., Palma, D. M., Raponi, F., Foti, G., Vascotto, E. R., Coppadoro, A., Brazzi, L., Floris, L., Iotti, G. A., Venti, A., Yamaguchi, O., Takagi, S., Maeyama, H. N., Watanabe, E., Yamaji, Y., Shimizu, K., Shiozaki, K., Futami, S., Ryosuke, S., Saito, K., Kameyama, Y., Ueno, K., Izawa, M., Okuda, N., Suzuki, H., Harasawa, T., Nasu, M., Takada, T., Ito, F., Nunomiya, S., Koyama, K., Abe, T., Andoh, K., Kusumoto, K., Hirata, A., Takaba, A., Kimura, H., Matsumoto, S., Higashijima, U., Honda, H., Aoki, N., Imai, H., Ogino, Y., Mizuguchi, I., Ichikado, K., Nitta, K., Mochizuki, K., Hashida, T., Tanaka, H., Nakamura, T., Niimi, D., Ueda, T., Kashiwa, Y., Uchiyama, A., Sabelnikovs, O., Oss, P., Haddad, Y., Liew, K. Y., Namendys-Silva, S. A., Jarquin-Badiola, Y. D., Sanchez-Hurtado, L. A., Gomez-Flores, S. S., Marin, M. C., Villagomez, A. J., Lemus, J. S., Fierro, J. M., Cervantes, M. R., Flores Mejia, F. J., Dector, D., Dector, D. M., Gonzalez, D. R., Estrella, C. R., Sanchez-Medina, J. R., Ramirez-Gutierrez, A., George, F. G., Aguirre, J. S., Buensuseso, J. A., Poblano, M., Dendane, T., Balkhi, H., Elkhayari, M., Samkaoui, N., Ezzouine, H., Benslama, A., Amor, M., Maazouzi, W., Cimic, N., Beck, O., Bruns, M. M., Schouten, J. A., Rinia, M., Raaijmakers, M., Van Wezel, H. M., Heines, S. J., Strauch, U., Buise, M. P., Simonis, F. D., Schultz, M. J., Goodson, J. C., Browne, T. S., Navarra, L., Hunt, A., Hutchison, R. A., Bailey, M. B., Newby, L., Mcarthur, C., Kalkoff, M., Mcleod, A., Casement, J., Hacking, D. J., Andersen, F. H., Dolva, M. S., Barratt-Due, A., Noremark, K. L., Soreide, E., Sjobo, B. A., Guttormsen, A. B., Yoshido, H. L., Aguilar, R. Z., Oscanoa, F. M., Alisasis, A. U., Robles, J. B., Pasanting-Lim, R. B., Tan, B. C., Andruszkiewicz, P., Jakubowska, K., Coxo, C. M., Alvarez, A. M., Oliveira, B. S., Montanha, G. M., Barros, N. C., Pereira, C. S., Messias, A. M., Monteiro, J. M., Araujo, A. M., Catorze, N. T., Marum, S. M., Bouw, M. J., Gomes, R. M., Brito, V. A., Castro, S., Estilita, J. M., Barros, F. M., Serra, I. M., Martinho, A. M., Tomescu, D. R., Marcu, A., Bedreag, O. H., Papurica, M., Corneci, D. E., Negoita, S. I., Grigoriev, E., Gritsan, A. I., Gazenkampf, A. A., Almekhlafi, G., Albarrak, M. M., Mustafa, G. M., Maghrabi, K. A., Salahuddin, N., Aisa, T. M., Al Jabbary, A. S., Tabhan, E., Trinidad, O. A., Al Dorzi, H. M., Tabhan, E. E., Bolon, S., Smith, O., Mancebo, J., Lopez-Delgado, J. C., Esteve, F., Rialp, G., Forteza, C., De Haro, C., Artigas, A., Albaiceta, G. M., De Cima-Iglesias, S., Seoane-Quiroga, L., Ruiz-Aguilar, A. L., Claraco-Vega, L. M., Soler, J. A., Lorente, M. C., Hermosa, C., Gordo, F., Prieto-Gonzalez, M., Lopez-Messa, J. B., Perez, M. P., Perez, C. P., Allue, R. M., Roche-Campo, F., Ibanez-Santacruz, M., Temprano, S., Pintado, M. C., De Pablo, R., Gomez, P. A., Rodriguez Ruiz, S., Iglesias Moles, S., Jurado, M. T., Arizmendi, A., Piacentini, E. A., Franco, N., Honrubia, T., Perez Cheng, M., Perez Losada, E., Blanco, J., Yuste, L. J., Carbayo-Gorriz, C., Cazorla-Barranquero, F. G., Alonso, J. G., Alda, R. S., Algaba, A., Navarro, G., Cereijo, E., Diaz-Rodriguez, E., Pastor Marcos, D., Alvarez Montero, L., Herrera Para, L., Jimenez Sanchez, R., Blasco Navalpotro, M. A., Diaz Abad, R., Castro, A. G., Jose D Artiga, M., Ceniceros-Barros, A., Montiel Gonzalez, R., Parrilla Toribio, D., Penuelas, O., Roser, T. P., Olga, M. F., Gallego Curto, E., Manzano Sanchez, R., Imma, V. P., Elisabet, G. M., Claverias, L., Magret, M., Pellicer, A. M., Rodriguez, L. L., Sanchez-Ballesteros, J. S., Gonzalez-Salamanca, A., Jimenez, A. G., Huerta, F. P., Sotillo Diaz, J. J., Bermejo Lopez, E., Llinares Moya, D. D., Tallet Alfonso, A. A., Eugenio Luis, P. S., Sanchez Cesar, P., Rafael, S. I., Virgilio, C. G., Recio, N. N., Adamsson, R. O., Rylander, C. C., Holzgraefe, B., Broman, L. M., Wessbergh, J., Persson, L., Schioler, F., Kedelv, H., Oscarsson Tibblin, A., Appelberg, H., Hedlund, L., Helleberg, J., Eriksson, K. E., Glietsch, R., Larsson, N., Nygren, I., Nunes, S. L., Morin, A. K., Kander, T., Adolfsson, A., Zender, H. O., Leemann-Refondini, C., Elatrous, S., Bouchoucha, S., Chouchene, I., Ouanes, I., Souissi, A. B., Kamoun, S., Demirkiran, O., Aker, M., Erbabacan, E., Ceylan, I., Girgin, N. K., Ozcelik, M., Unal, N., Meco, B. C., Akyol, O. O., Derman, S. S., Kennedy, B., Parhar, K., Srinivasa, L., Hopkins, P., Mellis, C., Kakar, V., Hadfield, D., Vercueil, A., Bhowmick, K., Humphreys, S. K., Ferguson, A., Mckee, R., Raj, A. S., Fawkes, D. A., Watt, P., Twohey, L., Jha, R. R., Thomas, M., Morton, A., Kadaba, V., Smith, M. J., Hormis, A. P., Kannan, S. G., Namih, M., Reschreiter, H., Camsooksai, J., Kumar, A., Rugonfalvi, S., Nutt, C., Oneill, O., Seasman, C., Dempsey, G., Scott, C. J., Ellis, H. E., Mckechnie, S., Hutton, P. J., Di Tomasso, N. N., Vitale, M. N., Griffin, R. O., Dean, M. N., Cranshaw, J. H., Willett, E. L., Ioannou, N., Gillis, S., Csabi, P., Macfadyen, R., Dawson, H., Preez, P. D., Williams, A. J., Boyd, O., Ortiz-Ruiz De Gordoa, L., Bramall, J., Symmonds, S., Chau, S. K., Wenham, T., Szakmany, T., Toth-Tarsoly, P., Mccalman, K. H., Alexander, P., Stephenson, L., Collyer, T., Chapman, R., Cooper, R., Allan, R. M., Sim, M., Wrathall, D. W., Irvine, D. A., Zantua, K. S., Adams, J. C., Burtenshaw, A. J., Sellors, G. P., Welters, I. D., Williams, K. E., Hessell, R. J., Oldroyd, M. G., Battle, C. E., Pillai, S., Kajtor, I., Sivashanmugavel, M., Okane, S. C., Donnelly, A., Frigyik, A. D., Careless, J. P., May, M. M., Stewart, R., Trinder, T. J., Hagan, S. J., Wise, M. P., Cole, J. M., Macfie, C. C., Dowling, A. T., Nunez, E., Pittini, G., Rodriguez, R., Imperio, M. C., Santos, C., Franca, A. G., Ebeid, A., Deicas, A., Serra, C., Uppalapati, A., Kamel, G., Banner-Goodspeed, V. M., Beitler, J. R., Reddy Mukkera, S., Kulkarni, S., Lee, J., Mesar, T., Shinn Iii, J. O., Gomaa, D., Tainter, C., Yeatts, D. J., Warren, J., Lanspa, M. J., Miller, R. R., Grissom, C. K., Brown, S. M., Gosselin, R. J., Kitch, B. T., Cohen, J. E., Beegle, S. H., Gueret, R. M., Tulaimat, A., Choudry, S., Stigler, W., Batra, H., Huff, N. G., Lamb, K. D., Oetting, T. W., Mohr, N. M., Judy, C., Saito, S., Kheir, F. M., Kheir, F., Schlichting, A. B., Delsing, A., Crouch, D. R., Elmasri, M., Ismail, D., Dreyer, K. R., Blakeman, T. C., Baron, R. M., Quintana Grijalba, C., Hou, P. C., Seethala, R., Aisiku, I., Henderson, G., Frendl, G., Hou, S. K., Owens, R. L., Schomer, A., Jovanovic, B., Surbatovic, M., and Veljovic, M.
Subjects: Male, ARDS, procedure, blood oxygen tension, Critical Care and Intensive Care Medicine, Severity of Illness Index, law.invention, 0302 clinical medicine, law, Hospital Mortality, Respiratory Distress Syndrome, Acute respiratory distress syndrome, adult respiratory distress syndrome, Middle Aged, Intensive care unit, Intensive Care Units, medicine.anatomical_structure, Treatment Outcome, priority journal, positive end expiratory pressure, Noninvasive ventilation, disease severity, Female, treatment outcome, Aged, prospective study, Human, Adult, Pulmonary and Respiratory Medicine, medicine.medical_specialty, cohort analysi, Intensive Care Unit, disease classification, Acute respiratory distress, Article, NO, 03 medical and health sciences, acute respiratory distress syndrome, noninvasive ventilation, length of stay, Severity of illness, Settore MED/41 - ANESTESIOLOGIA, medicine, Sequential Organ Failure Assessment Score, Humans, In patient, Aged, Respiratory Distress Syndrome, Adult, Noninvasive Ventilation, Intensive care medicine, outcome assessment, Lung, business.industry, 030208 emergency & critical care medicine, medicine.disease, major clinical study, mortality, respiratory tract diseases, breathing rate, multicenter study, 030228 respiratory system, incidence, Observational study, observational study, business
Abstract: Rationale: Noninvasive ventilation (NIV) is increasingly used in patients with acute respiratory distress syndrome (ARDS). The evidence supporting NIV use in patients with ARDS remains relatively sparse.Objectives: To determine whether, during NIV, the categorization of ARDS severity based on the PaO2/FiO2 Berlin criteria is useful.Methods: The LUNG SAFE (Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure) study described the management of patients with ARDS. This substudy examines the current practice of NIV use in ARDS, the utility of the PaO2/FiO2 ratio in classifying patients receiving NIV, and the impact of NIV on outcome.Measurements and Main Results: Of 2,813 patients with ARDS, 436 (15.5%) were managed with NIV on Days 1 and 2 following fulfillment of diagnostic criteria. Classification of ARDS severity based on PaO2/FiO2 ratio was associated with an increase in intensity of ventilatory support, NIV failure, and intensive care unit (ICU) mortality. NIV failure occurred in 22.2% of mild, 42.3% of moderate, and 47.1% of patients with severe ARDS. Hospital mortality in patients with NIV success and failure was 16.1% and 45.4%, respectively. NIV use was independently associated with increased ICU (hazard ratio, 1.446 [95% confidence interval, 1.159–1.805]), but not hospital, mortality. In a propensity matched analysis, ICU mortality was higher in NIV than invasively ventilated patients with a PaO2/FiO2 lower than 150 mm Hg.Conclusions: NIV was used in 15% of patients with ARDS, irrespective of severity category. NIV seems to be associated with higher ICU mortality in patients with a PaO2/FiO2 lower than 150 mm Hg.
Published: 2017
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47. Tailored lateral internal sphincterotomy (T-LIS) for chronic anal fissure by LigaSure Small Jaws©: a comparison with other non-conservative treatments for anal fissures.

Author: Gentile M, Schiavone V, Franzese A, Di Lascio S, and Velotti N
Subjects: Humans, Chronic Disease, Female, Male, Adult, Lateral Internal Sphincterotomy methods, Treatment Outcome, Middle Aged, Anal Canal surgery, Electrosurgery methods, Electrosurgery instrumentation, Conservative Treatment methods, Fissure in Ano surgery
Abstract: An anal fissure is a small tear in the thin tissue (mucosa) that lines the anus. Anal fissures typically cause pain and bleeding with bowel movements. The cause is not fully understood, but low intake of dietary fiber may be a risk factor. Chronic anal fissure was defined as a split or ulceration in the posterior or anterior anoderm for at least 6 weeks: have distinct anatomic features such as muscle fibers visible in the wound. Anal fissures can be attributed to constipation or repeated straining: a hard fecal bolus cut the mucosa of anal canal that is relatively thigh at sphincter level management and optimal treatment of the disease is controversial. Many studies recommend conservative and medical treatment modalities as the initial treatment options since they are non-invasive and do not have risks such as anal sphincter injury. Lateral internal sphincterotomy (LIS) is considered the gold standard for treatment of chronic anal fissure. Nonetheless, anal incontinence is one of the worrisome complications of LIS. Fissurectomy is another option among those techniques which address the issues with LIS. LigaSure© (Valleylab) is a bipolar electrosurgical device designed to deliver high current and very low voltage to tissue. It monitors tissue impedance between the jaws of the instrument and continuously adjusts the delivery of energy. The use of LigaSure Small Jaw was never reported for anal fissures in literature. We have applied the use of this device to a group of patients complaining for chronic anal fissure in order to verify if there is any advantage to perform it compared to traditional technique (blade, scissors, electrocautery)., (© 2024. The Author(s).)
Published: 2024
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48. Quadruple Assessment of Colorectal Anastomosis after Laparoscopic Rectal Resection: A Retrospective Analysis of a Propensity-Matched Cohort.

Author: Carannante F, Piozzi GN, Miacci V, Bianco G, Melone G, Schiavone V, Costa G, Caricato M, Khan JS, and Capolupo GT
Abstract: Background: Anastomotic leakage (AL) is one of the most feared complications in colorectal surgery, with an incidence of 12-39% and associated risk of mortality of 2-24%. The causes of AL and the ways to prevent it are currently under investigation. This study aims to verify if a quadruple assessment of colorectal anastomosis could reduce AL incidence. Methods: A retrospective analysis of prospectively collected data on rectal cancer surgery performed from January 2015 to December 2017 and from January 2021 to December 2023 at a tertiary referral cancer centre was performed. Demographics, clinicopathological features, short-term outcomes, recurrences, and survival were investigated. Results: A total of 293 patients were enrolled. AL incidence was lower in the quadruple assessment group than in the control group, reaching a statistically significant result (7.7% vs. 16%; p = 0.001). This result was also confirmed after a propensity score match analysis (PSM), in which the AL rate was lower in the quadruple assessment group (5.4% vs. 12.3%; p = 0.01). Conclusions: This study shows how the systematic implementation of a quadruple assessment when performing a colorectal anastomosis could increase awareness on anastomotic success and reduce the incidence of AL.
Published: 2024
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49. Implementation of updated enhanced recovery after bariatric surgery guidelines: adapted protocol in a single tertiary center.

Author: Abu-Abeid A, Vitiello A, Berardi G, Dayan D, Velotti N, Schiavone V, Franzese A, and Musella M
Subjects: Humans, Female, Male, Adult, Tertiary Care Centers, Practice Guidelines as Topic, Patient Readmission statistics & numerical data, Postoperative Complications prevention & control, Middle Aged, Clinical Protocols, Bariatric Surgery methods, Bariatric Surgery adverse effects, Enhanced Recovery After Surgery, Length of Stay
Abstract: The aim of this study is to evaluate the effects of an adapted protocol of enhanced recovery after bariatric surgery (ERABS) on outcomes. This is a single-center observational study comparing patients managed according to adapted ERABS protocol (March-May 2022) with a control group of old method (January 2021-February 2022). Totally, 253 bariatric patients were included in the study (n = 68) and control (n = 185) groups. Patients were mostly females (57.3% vs 70.2%; p = 0.053), of mean age 38.8 years and body mass index 41 ± 6.53 vs. 44.60 ± 7.37 kg/m 2 (p = 0.007) in study and control groups, respectively. The majority (90.5%) underwent primary bariatric surgery. Adapted ERABS protocol compliance was 98.5%. The study group had shorter hospital stay (mean 2.86 ± 0.51 vs. 4.03 ± 0.28 days; p < 0.001), similar rates of total (3% vs. 2.7%, p = 0.92) and major complications (1.5% vs. 0, p = 0.10). Readmission rates were similar (1.5% vs 1.6%, p = 0.92). Applied only in the study group, early ambulation (p < 0.001), opioid restriction, and preventing postoperative nausea and vomiting (PONV), resulted in satisfactory scores (mean total visual analogue score 1.93 ± 0.80, morphine milligram equivalent 34.0 ± 14.5, and mean total PONV grade 0.17 ± 0.36). In conclusion, implementing adapted ERABS guidelines improved patients' postoperative care, raising awareness to pain management. Length of stay was shortened without safety compromise. Efforts to abandon old-school routines seem worthwhile, even if ERABS is partially implemented., (© 2024. Italian Society of Surgery (SIC).)
Published: 2024
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50. One-Anastomosis Gastric Bypass (OABG) vs. Single Anastomosis Duodeno-Ileal Bypass (SADI) as revisional procedure following Sleeve Gastrectomy: results of a multicenter study.

Author: Gallucci P, Marincola G, Pennestrì F, Procopio PF, Prioli F, Salvi G, Ciccoritti L, Greco F, Velotti N, Schiavone V, Franzese A, Mansi F, Uccelli M, Cesana G, Musella M, Olmi S, and Raffaelli M
Subjects: Humans, Reoperation adverse effects, Gastrectomy adverse effects, Duodenum surgery, Retrospective Studies, Gastric Bypass adverse effects, Gastric Bypass methods, Obesity, Morbid surgery
Abstract: Purpose: Sleeve Gastrectomy (SG) is the most performed bariatric surgery, but a considerable number of patients may require revisional procedures for suboptimal clinical response/recurrence of weight (SCR/RoW). Conversion options include One-Anastomosis Gastric Bypass (OAGB) and Single Anastomosis Duodeno-Ileal Bypass (SADI). The study aims to compare SADI vs. OAGB as revisional procedures in terms of early and mid-term complications, operative time, postoperative hospital stay and clinical outcomes., Methods: All patients who underwent OAGB or SADI as revisional procedures following SG for SCR/RoW at three high-volume bariatric centers between January 2014 and April 2021 were included. Propensity score matching (PSM) analysis was performed. Demographic, operative, and postoperative outcomes of the two groups were compared., Results: One hundred and sixty-eight patients were identified. After PSM, the two groups included 42 OAGB and 42 SADI patients. Early (≤ 30 days) postoperative complications rate did not differ significantly between OAGB and SADI groups (3 bleedings vs. 0, p = 0.241). Mid-term (within 2 years) complications rate was significantly higher in the OAGB group (21.4% vs. 2.4%, p = 0.007), mainly anastomotic complications and reflux disease (12% of OAGBs). Seven OAGB patients required conversion to another procedure (Roux-en-Y Gastric Bypass-RYGB) vs. none among the SADI patients (p = 0.006)., Conclusions: SADI and OAGB are both effective as revisional procedures for SCR/RoW after SG. OAGB is associated with a significantly higher rate of mid-term complications and a not negligible rate of conversion (RYGB). Larger studies are necessary to draw definitive conclusions., (© 2024. The Author(s).)
Published: 2024
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