Chest Medicine
USPSTF recommends against screening for COPD in asymptomatic adults.
11 May, 2022 | 11:26h | UTCEditorial: Screening for Chronic Obstructive Pulmonary Disease: Challenges and Opportunities – JAMA
Evidence Report: Screening for Chronic Obstructive Pulmonary Disease: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA
Patient Page: Screening for Chronic Obstructive Pulmonary Disease – JAMA
Author Interview: USPSTF Recommendation: Screening for Chronic Obstructive Pulmonary Disease – JAMA
Commentary: USPSTF Continues to Recommend Against COPD Screening in Asymptomatic Adults – AJMC
Commentary on Twitter
The 🇺🇸 USPSTF, again, recommends against screening for #COPD jn asymptomatic adults: ‘using a reaffirmation process, the USPSTF concludes with moderate certainty that screening for COPD in asymptomatic adults has no net benefit’. https://t.co/msBtDBKngx
— John Hurst (@ProfHurst) May 10, 2022
International consensus recommendations for anesthetic and intensive care management of lung transplantation.
11 May, 2022 | 11:09h | UTC
Systematic Review: Doppler trans‐thoracic echocardiography for detection of pulmonary hypertension in adults.
11 May, 2022 | 11:06h | UTCCommentary: Doppler trans-thoracic echocardiography for detection of pulmonary hypertension in adults – Cochrane Library
Systematic Review: The impact of long-acting muscarinic antagonists on mucus hypersecretion and cough in chronic obstructive pulmonary disease.
11 May, 2022 | 11:02h | UTC
Metabolic Alkalosis Pathogenesis, Diagnosis, and Treatment: Core Curriculum 2022.
10 May, 2022 | 11:31h | UTC
Commentary on Twitter
Metabolic Alkalosis Pathogenesis, Diagnosis, and Treatment: Core Curriculum 2022https://t.co/5ujfpBDwBz (FREE) pic.twitter.com/e1RvYVAzC8
— AJKD (@AJKDonline) May 8, 2022
Review: First-generation oral antivirals against SARS-CoV-2.
10 May, 2022 | 11:08h | UTCFirst-generation Oral Antivirals Against SARS-CoV-2 – Clinical Microbiology and Infection
Podcast: Inpatient Covid Management.
10 May, 2022 | 11:03h | UTC#332 Inpatient Covid Management with Dr. Nathan Erdmann. – The Curbsiders
Brief Review | In search of the Holy Grail: identifying the best PEEP in ventilated patients.
9 May, 2022 | 01:50h | UTC
Commentary on Twitter
Best PEEP on MV?? Individual-specific providing oxygenation (SpO2 >90%/no excessive FiO2 + acceptable PaCO2 (<50/55 mmHg) & minimal need for fluids/cardioactives. Start at 10-12 but stay alert to hemodynamic impact & as set, serially asses need/adequacy.
🖇https://t.co/wdK92bs8B9 pic.twitter.com/NlTzoxfwa5— Intensive Care Medicine (@yourICM) May 5, 2022
Brief Review | Oxygen targets.
9 May, 2022 | 01:48h | UTCOxygen targets – Intensive Care Medicine (if the link is paywalled, try this one)
Related:
Commentary on Twitter
Oxygen targets in #ICU?? Supplemental O2 often required in critically ill, but balancing opposing risks hypo/hyperxaemia required to choose right amount to give. Hyperoxaemia associated with negative cellular/physiological effects: O2 can harm!#FOAMcc
🫧 https://t.co/F4r3Qg7hXg pic.twitter.com/EizwMNjjnc— Intensive Care Medicine (@yourICM) May 7, 2022
Systematic Review: Outpatient versus inpatient treatment for acute pulmonary embolism.
9 May, 2022 | 01:47h | UTCOutpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library
Commentary: Is home or hospital treatment better for people with blood clots in the lungs? – Cochrane Library
Commentary on Twitter
#CochraneEvidence updated – Is home or hospital treatment better for people with blood clots in the lungs? #VTE #PE #CLOT https://t.co/6tubeADzUY @CochraneLibrary @CochraneUK @NIHRresearch @VSGBI @PERTConsortium @isth @APPTGThrombosis @accpchest @EuropeanTHA @ThrombosisCan pic.twitter.com/JDTio2KC1N
— Vascular Evidence (@Vasc_Evidence) May 6, 2022
RCT: Effect of early vs. standard approach to tracheostomy on functional outcome at 6 months among patients with severe stroke receiving mechanical ventilation.
6 May, 2022 | 11:13h | UTCEffect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
In this study, among patients with severe stroke receiving mechanical ventilation, a strategy of early tracheostomy, compared with a standard approach to tracheostomy, did not significantly improve functional outcome at 6 months. https://t.co/bLZ4b6hBxr
— JAMA (@JAMA_current) May 4, 2022
Long COVID: aiming for a consensus.
6 May, 2022 | 11:03h | UTCLong COVID: aiming for a consensus – The Lancet Respiratory Medicine
Commentary on Twitter
There is an urgent need for unification of terminology for the sequelae of #SARSCoV2 infection to ensure that research is directed towards and translated into interventional trials to improve outcomes
NEW Comment—#LongCOVID: aiming for a consensushttps://t.co/dZO4rBVCSY pic.twitter.com/H5ezqL0RLb
— The Lancet Respiratory Medicine (@LancetRespirMed) May 5, 2022
Position statement on acute oxygen use in adults: ‘swimming between the flags’.
6 May, 2022 | 10:56h | UTCRelated:
M-A: Body position for preventing ventilator-associated pneumonia for critically ill patients.
6 May, 2022 | 10:23h | UTC
Venovenous extracorporeal membrane oxygenation in patients with acute covid-19 associated respiratory failure: comparative effectiveness study.
5 May, 2022 | 11:02h | UTC
Commentary on Twitter
In this international, registry based cohort study of patients with covid-19 associated acute respiratory failure, extracorporeal membrane oxygenation was associated with a reduction in mortality by 7.1% compared with conventional mechanical ventilation https://t.co/VkNFeRDQ3j
— The BMJ (@bmj_latest) May 4, 2022
An expert panel Delphi consensus statement on the use of palliative care in the management of patients with pulmonary arterial hypertension.
5 May, 2022 | 10:17h | UTC
WHO calls for shorter drug course for resistant TB.
4 May, 2022 | 11:08h | UTCWHO calls for shorter drug course for resistant TB – CIDRAP
Rapid communication: Key changes to the treatment of drug-resistant tuberculosis – World Health Organization
Paxlovid’s failure as a preventative measure raises questions, but doctors still back it as a therapeutic.
4 May, 2022 | 10:57h | UTC
Review: Diagnostic management of pregnant women with suspected pulmonary embolism.
4 May, 2022 | 10:28h | UTC
Update on image-guided thermal lung ablation: Society guidelines, therapeutic alternatives, and postablation imaging findings.
4 May, 2022 | 08:14h | UTC
Remdesivir and three other drugs for hospitalized patients with COVID-19: final results of the WHO Solidarity randomized trial and updated meta-analyses.
3 May, 2022 | 11:18h | UTCInvited Commentary: When and which patients should receive remdesivir? – The Lancet
RCT: Effects of an online breathing and wellbeing program for people with persistent symptoms following COVID-19.
3 May, 2022 | 11:16h | UTCInvited Commentary: Treating COVID-19-related breathlessness with novel interventions – The Lancet Respiratory Medicine
News Release: Singing techniques can improve quality of life and breathlessness after COVID-19 – Imperial College London
Commentary on Twitter
https://twitter.com/LancetRespirMed/status/1519572126772064256
Systematic Review: Telerehabilitation improves physical function and reduces dyspnea in people with COVID-19 and post-COVID-19 conditions.
3 May, 2022 | 11:05h | UTC
Point/Counterpoint: Should therapeutic heparin be administered to acutely ill hospitalized patients with COVID-19?
3 May, 2022 | 11:04h | UTCCOUNTERPOINT: Should Therapeutic Heparin Be Administered to Acutely Ill Hospitalized Patients With COVID-19? No – CHEST
See also: Rebuttal From Dr Tritschler et al – CHEST
Related:
Anticoagulants for people hospitalised with COVID‐19 – Cochrane Library
Brief Review: Lung recruitment.
3 May, 2022 | 10:49h | UTCLung recruitment – Intensive Care Medicine
Commentary on Twitter
Lung recruitment
💨 what's it?
💨 how to explain variability in recruitability among pts?
💨 how can recruitment be measured? Directly &/or indirectly?
Knowing potential recruitability crucial to optimize MV: lot of questions, answers #FOAMcc on @yourICM
📎https://t.co/y3LizTsWWZ pic.twitter.com/9CNS382O9H— Intensive Care Medicine (@yourICM) May 2, 2022