Chest Medicine

“GINA no longer recommends treating adults/adolescents with asthma with short-acting bronchodilators alone. Instead, they should receive symptom-driven (in mild asthma) or a daily corticosteroid-containing inhaler, to reduce risk of severe exacerbations.”

Randomized Trial: CPAP May Ease Symptoms of Depression in Patients with Sleep Apnea

2 Jul, 2019 | 02:09h | UTC

Effects of continuous positive airway pressure on depression and anxiety symptoms in patients with obstructive sleep apnoea: results from the sleep apnoea cardiovascular Endpoint randomised trial and meta-analysis – EClinicalMedicine (free)

Commentaries: Mood After CPAP: Fewer Patients With Depression, but not Fewer With Anxiety – EClinicalMedicine (free) AND CPAP provides relief from depression – Flinders University (free)

Primary Care Implications of the BTS Guidelines for Bronchiectasis in Adults

2 Jul, 2019 | 01:00h | UTC

Primary care implications of the British Thoracic Society Guidelines for bronchiectasis in adults 2019 – npj Primary Care Respiratory Medicine (free)

Original Guideline: British Thoracic Society Guideline for bronchiectasis in adults – Thorax (free)

Study: Discriminative Accuracy of FEV1:FVC Thresholds for COPD-Related Hospitalization and Mortality

26 Jun, 2019 | 02:24h | UTC

Discriminative Accuracy of FEV₁:FVC Thresholds for COPD-Related Hospitalization and Mortality – JAMA (free for a limited period)

Editorial: Accuracy of Airflow Obstruction Thresholds for Predicting COPD-Related Hospitalization and Mortality: Can Simple Diagnostic Thresholds Be Used for a Complex Disease? (free)

Commentary: Study funded by NIH supports optimal threshold for diagnosing COPD – NIH News Releases (free)

“These results support the use of FEV₁:FVC less than 0.70 to identify individuals at risk of clinically significant COPD.”

Review: Expiratory Muscle Dysfunction in Critically Ill Patients

25 Jun, 2019 | 06:03h | UTC

Expiratory muscle dysfunction in critically ill patients: towards improved understanding – Intensive Care Medicine (free)

Perspective: “Miracle Medical Machine ECMO Makes Heroic Rescues, but Leaves Patients in Limbo”

18 Jun, 2019 | 06:58h | UTC

Miracle medical machine ECMO makes heroic rescues, but leaves patients in limbo – Kaiser Health News / USA Today (free)

“ECMO is not designed to be a destination, but a bridge to somewhere – recovery, transplantation or an implanted heart device. But when patients are too sick to reach those goals, ECMO can become a “bridge to nowhere,” leaving the patient in limbo…”

Guideline: Management of Acute Respiratory Distress Syndrome

14 Jun, 2019 | 06:57h | UTC

Formal guidelines: management of acute respiratory distress syndrome – Annals of Intensive Care (free)

Related: Guidelines on the Management of Acute Respiratory Distress Syndrome (free guidelines and reviews on the subject)

Consensus: Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism

14 Jun, 2019 | 07:03h | UTC

Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium – Clinical and Applied Thrombosis/Hemostasis (free)

Influenza Virus-related Critical Illness: Prevention, Diagnosis, Treatment

14 Jun, 2019 | 02:30h | UTC

Influenza virus-related critical illness: prevention, diagnosis, treatment – Critical Care (free)

Randomized Trial: Pressure Support vs T-Piece Ventilation Strategies for Successful Extubation

12 Jun, 2019 | 08:23h | UTC

Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Revisiting, Reframing, and Casting a New Light on Liberation From Mechanical Ventilation (free for a limited period)

Randomized Trial: Self-management Support Intervention Improve Outcomes in Older Adults with Asthma

11 Jun, 2019 | 02:43h | UTC

Effect of a Self-management Support Intervention on Asthma Outcomes in Older Adults: The SAMBA Study Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Commentary: Study reports asthma control in older patients and shows lower ED visits – The Mount Sinai Hospital (free)

Meta-Analysis: High-flow Nasal Cannula Oxygen Therapy vs. Conventional Oxygen Therapy in Patients After Planned Extubation

9 Jun, 2019 | 13:04h | UTC

High-flow nasal cannula oxygen therapy versus conventional oxygen therapy in patients after planned extubation: a systematic review and meta-analysis – Critical Care (free)

Randomized Trial: Intraoperative High PEEP vs. Low PEEP on Postoperative Pulmonary Complications in Obese Patients

4 Jun, 2019 | 06:26h | UTC

Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Setting Positive End-Expiratory Pressure in Mechanically Ventilated Patients Undergoing Surgery (free)

Related Commentary on Twitter

An intraoperative mechanical ventilation strategy with a higher level of PEEP and alveolar recruitment maneuvers did not reduce postoperative pulmonary complications in #obese patients https://t.co/ONd7Mo0S2F #EA19

— JAMA (@JAMA_current) June 3, 2019

[Abstract Only] Prevalence of Obstructive Sleep Apnea in Patients with Major Depressive Disorder

Study: Incidence of type II diabetes in COPD

Deep Learning to Assess Long-term Mortality from Chest Radiographs

Systematic Review: Incentives for Smoking Cessation

Cohort Study: Association Between Electronic Cigarette Use and Smoking Reduction

Review: Diagnostic Evaluation of Bronchiectasis

Review: Diaphragmatic Dysfunction

[Abstract Only] Randomized Trial: C-Reactive Protein Can Guide Antibiotics for COPD Exacerbations

ERS Statement on Chest Imaging in Acute Respiratory Failure

GINA 2019: A Fundamental Change in Asthma Management