Chest Medicine
Randomized Trial: Postextubation High-Flow Nasal Oxygen + Noninvasive Ventilation vs. High-Flow Nasal Oxygen Alone to Prevent Reintubation
3 Oct, 2019 | 08:04h | UTCEffect of Postextubation High-Flow Nasal Oxygen With Noninvasive Ventilation vs High-Flow Nasal Oxygen Alone on Reintubation Among Patients at High Risk of Extubation Failure: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Added Benefit of Noninvasive Ventilation to High-Flow Nasal Oxygen to Prevent Reintubation in Higher-Risk Patients (free for a limited period)
In this RCT involving mechanically ventilated patients at high risk of extubation failure, high-flow nasal oxygen with NIV immediately after extubation decreased risk of reintubation compared with high-flow nasal oxygen alone https://t.co/YJD2yOU5Hw #LIVES2019
— JAMA (@JAMA_current) October 3, 2019
Study: Vaping-Associated Lung Injury Represents a Form of Airway-centered Chemical Pneumonitis
3 Oct, 2019 | 01:15h | UTCPathology of Vaping-Associated Lung Injury – New England Journal of Medicine (free)
Commentaries: Vaping-related lung injuries resemble chemical burns, study finds – STAT (free) AND U.S. doctors rule out pneumonia due to inhaled oil as cause of vaping injuries – Reuters (free) AND Lung Damage From Vaping Resembles Chemical Burns, Report Says – The New York Times (10 articles per month are free)
Related: CDC Report: 76.9% of Patients with Vaping-related Lung Illnesses Used a THC-Containing Product (free) AND Preliminary Report: Pulmonary Illness Related to E-Cigarette Use (free)
Related Commentary on Twitter
New letter describes 17 patients, all of whom vaped, who had lung biopsies after presenting with symptoms and bilateral pulmonary opacities that led to a clinical diagnosis of #vaping-associated lung injury. https://t.co/n5rF2OOOwq
— NEJM (@NEJM) October 2, 2019
ATS/IDSA Guideline: Diagnosis and Treatment of Adults with Community-acquired Pneumonia
2 Oct, 2019 | 02:14h | UTCNews Release: ATS/IDSA publishes clinical guideline on community acquired pneumonia – American Thoracic Society (free)
See also: Executive Summary (free PDF)
Systematic Review: Can People Stop Smoking by Cutting Down the Amount they Smoke First?
2 Oct, 2019 | 01:51h | UTCSmoking reduction interventions for smoking cessation – Cochrane Library (free)
Summary: Can people stop smoking by cutting down the amount they smoke first? – Cochrane Library (free)
Guidelines for Diagnostic Flexible Bronchoscopy in Adults
2 Oct, 2019 | 01:33h | UTCRelated Guidelines: British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE – Thorax (free) AND ERS statement: interventional bronchoscopy in children – European Respiratory Journal (free)
[Abstract Only] Randomized Trial: Triple Therapy Inhaler for Uncontrolled Asthma
2 Oct, 2019 | 01:45h | UTCSingle inhaler extrafine triple therapy in uncontrolled asthma (TRIMARAN and TRIGGER): two double-blind, parallel-group, randomised, controlled phase 3 trials – The Lancet (link to abstract – $ for full-text)
Commentaries: Asthma 3-in-1 Therapy May Improve Lung Function, Study Shows – The New York Times (10 articles per month are free) AND Triple-Therapy Inhaler Tied to Better Lung Function in Asthma – NEJM Journal Watch (free)
Study Review: C-reactive Protein Testing in General Practice Safely Reduces Antibiotic use for COPD Flare-ups
2 Oct, 2019 | 01:43h | UTCOriginal Study: Randomized Trial: C-Reactive Protein Can Guide Antibiotics for COPD Exacerbations (link to abstract and commentaries)
High-altitude Illness: Management Approach
24 Sep, 2019 | 07:43h | UTCHigh-altitude illness: Management approach – Turkish Journal of Emergency Medicine (free)
Related Guideline: Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2014 Update (free)
State of the Art Review: What are the Respiratory Effects of e-Cigarettes?
1 Oct, 2019 | 00:58h | UTCWhat are the respiratory effects of e-cigarettes? – The BMJ (free for a limited period)
Related Commentary on Twitter
What are the respiratory effects of e-cigarettes? This review summarises the rapidly expanding evidence from cell culture, animal, and human studies on the potential pulmonary health effects of e-cigarettes https://t.co/MbEU8wlh6p @sejordt @bmj_company pic.twitter.com/7PKF4dldLM
— The BMJ (@bmj_latest) September 30, 2019
FDA Issues Drug Safety Alert on Severe Lung Inflammation Due to Treatment with CDK4/6 Inhibitors for Breast Cancer
1 Oct, 2019 | 00:36h | UTCCommentary: FDA Issues Drug Safety Communication on Lung Inflammation Due to Treatment With CDK4/6 Inhibitors – The ASCO Post (free)
CDC Report: 76.9% of Patients with Vaping-related Lung Illnesses Used a THC-Containing Product
30 Sep, 2019 | 00:56h | UTCCommentaries: Many patients with vaping-related illnesses used THC, CDC reports – STAT (free) AND THC vape products may be the main culprit in the mysterious lung illness outbreak – Vox (free) AND U.S. CDC recommends against using vapes with marijuana ingredient – Reuters (free)
Related: Preliminary Report: Pulmonary Illness Related to E-Cigarette Use (free resources)
#ESMO19 – [Abstract Only] Randomized Trial: Improved Overall Survival with Combined Immunotherapy for Advanced Non–Small-Cell Lung Cancer
30 Sep, 2019 | 00:35h | UTCNivolumab plus Ipilimumab in Advanced Non–Small-Cell Lung Cancer – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Two immunotherapy drug combination offers chemotherapy-free option for advanced NSCLC – European Society for Medical Oncology (free) AND Nivolumab/Low-dose Ipilimumab: A Potential Chemotherapy-Sparing Option in Advanced NSCLC – Pharmacy Times (free)
#ESMO19 – Just presented at the European Society of Medical Oncology Congress 2019 in Barcelona
Related Commentary on Twitter
Chemo-naïve patients with adv #NSCLC with PD-L1 expression assigned to nivolumab + ipilimumab, nivolumab alone, or chemo. Patients receiving nivolumab + ipilimumab had better clin outcomes. See the CheckMate 227 trial. #ESMO19 https://t.co/jU9S62qZLa
— NEJM (@NEJM) September 28, 2019
Randomized Trial: Protocolized Non-invasive vs. Invasive Weaning from Mechanical Ventilation for Adults in Intensive Care
30 Sep, 2019 | 00:16h | UTCSource: Critical Care Reviews Newsletter
“A protocolized non-invasive weaning strategy did not reduce time to liberation from ventilation. However, patients who underwent non-invasive weaning had fewer days requiring IMV and required fewer antibiotics for respiratory infections.”
Study: BCG Vaccination in Childhood Associated with Reduced Risk of Lung Cancer
27 Sep, 2019 | 08:24h | UTCCommentaries: BCG Vaccination and Cancer Risk: What’s the Link? – MPR (free) AND BCG Vax: A Shot Against Lung Cancer in Native Populations? – MedPage Today (free registration required)
[Abstract Only] Randomized Trial: Step-Up Therapy in Black Children and Adults with Poorly Controlled Asthma
26 Sep, 2019 | 08:33h | UTCStep-Up Therapy in Black Children and Adults with Poorly Controlled Asthma – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Study assesses asthma treatment options in African American children and adults – NIH News Release (free)
Guideline Synopsis: Prevention and Management of Venous Thromboembolism
25 Sep, 2019 | 08:33h | UTCPrevention and Management of Venous Thromboembolism – JAMA (free for a limited period)
Clinical Review Audio: An Update on the Diagnosis and Treatment of Venous Thromboembolic Disease (free)
Original American Society of Hematology 2018 Guidelines: Prophylaxis for hospitalized and nonhospitalized medical patients (free) AND Diagnosis of venous thromboembolism (free) AND Optimal management of anticoagulation therapy (free) AND Treatment of pediatric venous thromboembolism (free) AND Venous thromboembolism in the context of pregnancy (free) AND Heparin-induced thrombocytopenia (free)
ATS Research Statement: Knowledge Gaps and Research Priorities in Immune Checkpoint Inhibitor–related Pneumonitis
19 Sep, 2019 | 07:59h | UTCRelated: Immune Checkpoint Inhibitor Toxicities (guidelines and reviews on the subject)
[Abstract Only] Randomized Trial: Nicotine Patches Used in Combination with E-Cigarettes for Smoking Cessation
23 Sep, 2019 | 00:56h | UTCNicotine patches used in combination with e-cigarettes (with and without nicotine) for smoking cessation: a pragmatic, randomised trial – The Lancet Respiratory Medicine (link to abstract – $ for full-text)
Commentary: Quick Take: Nicotine patches used in combination with e-cigarettes (with and without nicotine) for smoking cessation – 2 Minute Medicine (free)
Related: It’s safest to avoid e-cigarettes altogether – unless vaping is helping you quit smoking – The Conversation (free)
Related Commentary on Twitter
https://twitter.com/HealthEvMatters/status/1172072860598358016
Editorial: How I Wean Patients from Veno-venous Extra-corporeal Membrane Oxygenation
20 Sep, 2019 | 07:43h | UTCHow I wean patients from veno-venous extra-corporeal membrane oxygenation – Critical Care (free) (via Park M, MD)
Novelties in Imaging in Pulmonary Fibrosis and Nodules
8 Nov, 2019 | 06:43h | UTCNovelties in imaging in pulmonary fibrosis and nodules. A narrative review – Pulmonology (free)
India Announces Widespread Ban of E-Cigarettes
19 Sep, 2019 | 07:48h | UTCIndia Announces Widespread Ban Of E-Cigarettes – NPR (free)
See also: India e-cigarettes: Ban announced to prevent youth ‘epidemic’ – BBC (free) AND India bans e-cigarettes as global backlash at vaping gathers pace – Reuters (free)
What’s New in Airway Management of the Critically ill
18 Sep, 2019 | 02:39h | UTCWhat’s new in airway management of the critically ill – Intensive Care Medicine (free)
Review: Improving the Quality of Life of People with Advanced Respiratory Disease and Severe Breathlessness
18 Sep, 2019 | 02:29h | UTCRelated Guideline: Danish respiratory society position paper: palliative care in patients with chronic progressive non-malignant lung diseases – European Clinical Respiratory Journal (free)
New NICE Guidelines: Management of Pneumonia in Adults
17 Sep, 2019 | 08:31h | UTCDiagnosis and Management Pneumonia in Adults – National Institute for Health and Care Excellence (free)
Related NICE Guidelines: Pneumonia (community-acquired): antimicrobial prescribing (free) AND Pneumonia (hospital-acquired): antimicrobial prescribing (free)
See also: NICE Antimicrobial prescribing guidelines (resource covering many common conditions) AND NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)
Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management
17 Sep, 2019 | 00:58h | UTC


