Chest Medicine
Opinion | Does Paxlovid help people who have been vaccinated against Covid-19? Show us the data!
19 May, 2022 | 11:07h | UTCDoes Paxlovid help people who have been vaccinated against Covid-19? Show us the data! – STAT
Review: Unexplained post-acute infection syndromes.
19 May, 2022 | 10:58h | UTCUnexplained post-acute infection syndromes – Nature Medicine (if the link is paywalled, try this one)
Commentary on Twitter
A @NatureMedicine tour de force review of the unexplained post-acute infectious syndromes, which includes #LongCovid and many others https://t.co/5RnyY9l0eQ
by @jan_choutka @mhornig @VirusesImmunity pic.twitter.com/dhYeZYnM1U— Eric Topol (@EricTopol) May 18, 2022
Management of drug interactions with Nirmatrelvir/Ritonavir (Paxlovid).
18 May, 2022 | 11:03h | UTCCommentary: IDSA offers guidance on managing drug interactions with nirmatrelvir/ritonavir – ACP Internist
Related:
Yes, Relapses After Paxlovid Happen — Now What? – HIV and ID Observations
Covid-19: What is the evidence for the antiviral Paxlovid? – The BMJ
Yes, Relapses After Paxlovid Happen — Now What? – HIV and ID Observations
A living WHO guideline on drugs for covid-19 – The BMJ
Guideline Synopsis: Antithrombotic therapy for venous thromboembolism.
17 May, 2022 | 11:12h | UTCAntithrombotic Therapy for Venous Thromboembolism – JAMA (free for a limited period)
Original Guideline: Antithrombotic Therapy for VTE Disease
Second Update of the CHEST Guideline and Expert Panel Report
Clinical update on COVID-19 for the emergency clinician: Cardiac arrest in the out-of-hospital and in-hospital settings.
17 May, 2022 | 11:05h | UTCRelated:
Cohort Study: Venous or arterial thrombosis and deaths among COVID-19 cases.
17 May, 2022 | 11:02h | UTCInvited Commentary: Risk of arterial and venous thromboses after COVID-19 – The Lancet Infectious Diseases
News Release: COVID-19’s high blood clot risk – University of Oxford
Commentary on Twitter
Clots with Covid: Multi-national report of over 900,000 people indicates propensity of risk for arterial and venous thrombi is in men, with increasing age, and association with fatalities (4-fold in non-hospitalized) https://t.co/muGnDld4Um pic.twitter.com/6bLiHPLInm
— Eric Topol (@EricTopol) May 13, 2022
Under a Creative Commons Attribution (CC BY 4.0) license
RECOVERY Trial: Due to safety concerns, recruitment to higher dose corticosteroids closed for patients with hypoxia on no oxygen or receiving simple oxygen.
17 May, 2022 | 11:04h | UTC
Cohort Study: The risk of death or unplanned readmission after discharge from a COVID-19 hospitalization.
17 May, 2022 | 11:01h | UTCCommentary: Study: Readmission rate for COVID-19 is 11% – CIDRAP
RCT: Electronic cigarettes versus nicotine patches for smoking cessation in pregnancy.
17 May, 2022 | 10:59h | UTCCommentary: E-cigarettes ‘as safe as nicotine patches’ for pregnant smokers trying to quit – The Guardian
Commentary on Twitter (thread – click for more)
New paper in @NatureMedicine.
Results from a @NIHRresearch funded multi-centre UK trial of #ecigarettes for smoking cessation in pregnancy 🤰
Found that ECs for smoking cessation in pregnancy may be more effective than NRT.
Led by colleagues @QMUL 1/8. https://t.co/OUZxfZB4Cc— Linda Bauld (@LindaBauld) May 16, 2022
Cohort Study: Sustainability of a clinical decision support intervention for outpatient care for emergency department patients with acute pulmonary embolism.
17 May, 2022 | 10:44h | UTCRelated: Outpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library
Commentary on Twitter
This multicenter cohort study of ED patients with acute pulmonary embolism found the initial increase in outpatient management from a physician champion-led, EHR-embedded clinical decision support intervention was sustained 4 years later. https://t.co/UPf8pAOTry
— JAMA Network Open (@JAMANetworkOpen) May 16, 2022
M-A: Prevalence and prognostic value of preexisting sarcopenia in patients with mechanical ventilation.
17 May, 2022 | 10:27h | UTC
RCT: Albuterol–budesonide fixed-dose combination rescue inhaler for asthma.
16 May, 2022 | 02:33h | UTCAlbuterol–Budesonide Fixed-Dose Combination Rescue Inhaler for Asthma – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
The risk of severe asthma exacerbation was significantly lower with as-needed use of a fixed-dose combination of 180 μg of albuterol and 160 μg of budesonide than with albuterol alone. #ATS2022 https://t.co/MRGaUaGVwj pic.twitter.com/6BZX9Q6WxX
— NEJM (@NEJM) May 15, 2022
RCT: Effect of awake prone positioning on endotracheal intubation in patients with COVID-19 and acute respiratory failure.
16 May, 2022 | 02:37h | UTCRelated:
RCT: Prone positioning of patients with moderate hypoxia due to COVID-19 – medRxiv
Commentary on Twitter
In this trial, in patients with acute hypoxemic respiratory failure from #COVID19, prone positioning, compared with usual care without prone positioning, did not significantly reduce endotracheal intubation at 30 days. https://t.co/1RyYRtcrYj
— JAMA (@JAMA_current) May 15, 2022
Trial of a preferential Phosphodiesterase 4B Inhibitor for idiopathic pulmonary fibrosis.
16 May, 2022 | 02:32h | UTCTrial of a Preferential Phosphodiesterase 4B Inhibitor for Idiopathic Pulmonary Fibrosis – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
https://twitter.com/NEJM/status/1525878684380430343
RCT: Comparison of 8 versus 15 days of antibiotic therapy for Pseudomonas aeruginosa ventilator-associated pneumonia in adults.
16 May, 2022 | 02:30h | UTCComparison of 8 versus 15 days of antibiotic therapy for Pseudomonas aeruginosa ventilator-associated pneumonia in adults: a randomized, controlled, open-label trial – Intensive Care Medicine (free article here)
Commentary on Twitter
🧫 8 vs 15 days ABT for Pseudomonas aeruginosa VAP in adults, iDIAPASON RCT: no differences in composite or separate outcomes (90-day mortality/VAP recurrence) between short & long duration treatment.
📢 @yourICM ground-breaking release #LIVES40 #FOAMcc
🖇 https://t.co/LfoUWxCkkl pic.twitter.com/XaWkQ5R6wT— Intensive Care Medicine (@yourICM) May 13, 2022
International evidence-based recommendations for point-of-care lung ultrasound.
16 May, 2022 | 02:20h | UTCInternational evidence-based recommendations for point-of-care lung ultrasound – Intensive Care Medicine (if the link is paywalled, try this one)
Molecular diagnostics in severe pneumonia: a new dawn or false promise?
16 May, 2022 | 01:43h | UTCMolecular diagnostics in severe pneumonia: a new dawn or false promise? – Intensive Care Medicine
Commentary on Twitter
Pneumonia? no gold standard diagnosis available, likely resulting in overtreatment. Molecular diagnostics more widely available even if interpretation/use complex, requiring to take into account data/characteristics when making decisions based on these.
📎 https://t.co/mae0vxBfkF pic.twitter.com/bbkxGLEumN— Intensive Care Medicine (@yourICM) May 14, 2022
Review of thoracic imaging manifestations of COVID-19 and other pathologic Coronaviruses.
13 May, 2022 | 11:36h | UTC
New versions of Omicron are masters of immune evasion.
13 May, 2022 | 11:37h | UTCNew versions of Omicron are masters of immune evasion – Science
Commentary on Twitter
"Based on its immunological profile, it [Omicron & its subvariants] should be called SARS-3"https://t.co/zxV3T2SKIB@gretchenvogel @NewsfromScience
w/ @K_G_Andersen @Tuliodna @linfa_wang pic.twitter.com/ToKDqNGH74— Eric Topol (@EricTopol) May 12, 2022
IDSA updates guidelines on the treatment and management of patients with COVID-19.
13 May, 2022 | 11:35h | UTC
Cohort Study: Health outcomes in people 2 years after surviving hospitalization with COVID-19.
13 May, 2022 | 11:32h | UTC
[Preprint] Long Covid: A systematic review and meta-analysis of 120,970 patients.
13 May, 2022 | 11:30h | UTCLong Covid: A Systematic Review and Meta-Analysis of 120,970 Patients – Preprints with The Lancet
Commentary on Twitter
A systematic #LongCovid review of nearly 200 studies and over 120,000 participants, reinforces the high frequency of symptoms > 6 months, not linked to severity of acute illness, and potential for marked disabilityhttps://t.co/9NYQT1P79G pic.twitter.com/WFzBqghbGI
— Eric Topol (@EricTopol) May 6, 2022
Review: Comfort during non-invasive ventilation.
12 May, 2022 | 08:07h | UTCComfort During Non-invasive Ventilation – Frontiers in Medicine
Review: Mucus clearance strategies in mechanically ventilated patients.
12 May, 2022 | 08:06h | UTCMucus Clearance Strategies in Mechanically Ventilated Patients – Frontiers in Physiology
Interstitial lung disease in infancy and early childhood: a clinicopathological primer.
12 May, 2022 | 07:54h | UTC


