ORCHID Annual Report 2023 - Flipbook - Page 32
Waite G, Chugh D, Harniess P, Wray J, Oulton K, Cawker S. (2024)
Translating research findings into co-designed, multimedia information for
families considering selective dorsal rhizotomy: A service improvement project
Developmental
Medicine
&
Child
Neurology
6
(S2):
88.
https://doi.org/10.1111/dmcn.15934
Conference presentations:
Harniess P. Pressures in Early Intervention. European Pediatric Physiotherapy
Conference, Zurich, October 2024.
Harniess P. Negotiating engagement at a time of uncertainty. 7th International
Family Integrated Care Conference, Glasgow, October 2024.
Harniess P. How can we ensure equitable access and engagement for parent
carers in health and wellbeing support programmes? Orchid Symposium on
Health inequality and inequities in child health research. London, 2024.
Harniess P.Healthy parent carers: How do parents understand their health and
well-being in relation to established health and well-being outcomes? European
Academy of Childhood Disability, Bruges, May 2024
Poster presentations:
Harniess P. How can we ensure equitable access and engagement for parent
carers in health and wellbeing support programmes? European Academy of
Childhood Disability, Bruges, May 2024
Harniess P. Which health and wellbeing outcomes are most important to
parent carers?, European Academy of Childhood Disability Bruges, May 2024
Emma Shkurka, PhD, MCSP
Intermediate Fellowship for Wider Health Care Professionals - NIHR
Great Ormond Street Hospital BRC
Current Study: Mucoactive agents in paediatric intensive care (MAP Study)
Paediatric intensive care units (PICUs) support the complex medical needs of
children with life threatening conditions. There are 20000 admissions to
PICUs each year in the United Kingdom (UK) and 65% require life support
using a breathing machine. These children may have lung disease, and are at
a higher risk of lung damage, lung collapse and retained lung secretions.
Airway clearance involving physiotherapy and mucoactive medications are
treatment options, aiming to re-expand the lungs and clear secretions, which
prevent complications and help children breathe on their own. Mucoactive
medications are used frequently however there is poor evidence to support
how well they work and their safety. This study aims to collect observational
data, across multiple UK PICUs over four, four-day periods, regarding all
mucoactive medications given to children. Data collected will include details
about the types of medications used, the amount, and how they are given.
Basic information about the patients will also be collected. Data will be
analysed to gain an understanding of how mucoactive medications are
currently used in PICU and inform future research to address uncertainty and
knowledge gaps about effectiveness and safety.
Peer reviewed publications:
Cucchi M, Mariani S, Kawczynski MJ, Shkurka E, Ius F, Comentale G,
Hoskote A & Lorusso R. (2024) Individual patient data meta-analysis on
awake pediatric extracorporeal life support: Feasibility and safety of
analgesia, sedation and respiratory support weaning, and physiotherapy.
Perfusion. https://doi.org/10.1177/02676591241240377
Conference presentations:
Donovan C, Shkurka E. The use of nebulised and instilled N-Acetylcysteine
in mechanically ventilated children: A single centre experience, Paediatric
Critical Care Society Conference, Liverpool, Oct 2024
Shkurka E, Booth J, Peters M, Ray S. Comparing hourly SpO2 values with
hourly median distribution SpO2 values in invasively ventilated children,
European Society of Neonatal and Paediatric Intensive Care Conference,
Rome, June 2024
Shkurka E, Wray J, Shannon H. Exploring and understanding variation in
physiotherapy practice in paediatric intensive care, World Federation of
Pediatric Intensive and Critical Care Societies Congress, Cancun, June 2024
