Passive Tracer Visualization to Simulate Aerodynamic Virus Transport in Noninvasive Respiratory Support Methods
Conclusions: During NHFT and CPAP/BiPAP with vented masks, extensive jets with relatively high jet velocities were observed, indicating increased droplet spread and an increased risk of droplet-driven virus transmission. For the Venturi masks, a nonrebreathing mask, and a nebulizer, estimated jet velocities are comparable to unassisted breathing. Aerosols are transported unboundedly in all these unfiltered therapies. The adequate use of protective measures is of vital importance when using noninvasive unfiltered therapies in infectious respiratory diseases.Respiration (Source: Respiration)
Source: Respiration - September 15, 2021 Category: Respiratory Medicine Source Type: research
Overuse of Oral Corticosteroids, Underuse of Inhaled Corticosteroids, and Implications for Biologic Therapy in Asthma
Conclusion: High OCS use in Dutch GINA 4 –5 asthma patients was common. However, in 4 out of 5 patients adherence to inhaled corticosteroid therapy and/or inhalation technique was considered suboptimal. Since optimizing inhaler therapy may reduce the need for OCSs, this should be mandatory before prescribing expensive steroid-sparing dru gs.Respiration (Source: Respiration)
Source: Respiration - September 14, 2021 Category: Respiratory Medicine Source Type: research
Review of the Physiology and Anesthetic Considerations for Pleuroscopy/Medical Thoracoscopy
Pleuroscopy or medical thoracoscopy is the second most common utilized procedure after bronchoscopy in the promising field of interventional pulmonology. Its main application is for the diagnosis and management of benign or malignant pleural effusions. Entry into the hemithorax is associated with pain and patient discomfort, whereas concurrently, notable pathophysiologic alterations occur. Therefore, frequently procedural sedation and analgesia is needed, not only to alleviate the patient ’s emotional stress and discomfort by mitigating the anxiety and minimizing the pain but also for yielding better procedural condition...
Source: Respiration - September 9, 2021 Category: Respiratory Medicine Source Type: research
Sans Standardization: Effective Endoscope Reprocessing
Bronchoscopy is a commonly performed procedure within thoracic and critical care medicine. Modern bronchoscopes are technologically advanced tools made of fragile electronic components. Their design is catered to allow maximum maneuverability within the semi-rigid tracheobronchial tree. Effective cleaning and reprocessing of these tools can be a challenge. Although highly functional, the design poses several challenges when it comes to reprocessing. It is a very important step, and lapses in the procedure have been tied to nosocomial infections. The process lacks universal standardization; several organizations have develo...
Source: Respiration - September 6, 2021 Category: Respiratory Medicine Source Type: research
Sight Unseen: Diagnostic Yield and Safety Outcomes of a Novel Multimodality Navigation Bronchoscopy Platform with Real-Time Target Acquisition
Conclusions: The MNB system performed favorably. Platform superiority cannot be established without future prospective and comparative studies.Respiration (Source: Respiration)
Source: Respiration - September 3, 2021 Category: Respiratory Medicine Source Type: research
How Are We Handling the Post-COVID Patients? The Dance of Uncertainties
Respiration (Source: Respiration)
Source: Respiration - September 3, 2021 Category: Respiratory Medicine Source Type: research
Impact of Gender on the Characteristics of Patients with Idiopathic Pulmonary Fibrosis Included in the RaDiCo-ILD Cohort
Conclusions: This analysis of patients with IPF at inclusion in the RaDiCo-ILD cohort provides evidence that comorbid emphysema, lung volume reduction, and honeycombing on HRCT are more common characteristics of males than females.Respiration (Source: Respiration)
Source: Respiration - September 2, 2021 Category: Respiratory Medicine Source Type: research
Congenital Chylothorax of the Newborn: A Systematic Analysis of Published Cases between 1990 and 2018
Conclusion: Respiratory support, pleural drainages, TPN, and MCT diet as octreotide remain to be the cornerstones of CCT management. Pleurodesis with OK-432 done prenatally and povidone-iodine postnatally might be discussed for use in life-threatening CCT.Respiration (Source: Respiration)
Source: Respiration - September 1, 2021 Category: Respiratory Medicine Source Type: research
Bronchoscopic Targeted Lung Denervation in Patients with Severe Asthma: Preliminary Findings
In conclusion, TLD was performed safely in both participants, but more evidence is needed to clarify safety and efficacy of TLD in severe asthma. Therefore, further investigation of the treatment in severe asthma patients would be useful.Respiration (Source: Respiration)
Source: Respiration - September 1, 2021 Category: Respiratory Medicine Source Type: research
Mediastinal Nodular Lymphocyte Predominant Hodgkin Lymphoma Achieved by Endoscopic Transesophageal Cryobiopsy
Guidelines have recommended endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound-guided fine-needle aspiration biopsy as initial sampling approaches of mediastinal lymph nodes for lung cancer staging. However, the small sample volume might restrict the diagnostic utility of needle aspiration in certain mediastinal diseases. We have recently shown that transbronchial mediastinal cryobiopsy, which is capable of providing larger amounts of intact tissue, improves diagnostic yield in rare tumors and benign diseases compared to EBUS-TBNA. Here, we present a case of mediastinal n...
Source: Respiration - September 1, 2021 Category: Respiratory Medicine Source Type: research
Use of Systemic Corticosteroids for Reasons Other than Asthma in Subjects with Asthma
Conclusions: About 40% of systemic corticosteroid use in subjects with asthma was for reasons likely other than asthma. Clinicians should be aware of their asthma patients ’ exposures to systemic corticosteroids for nonasthma reasons, to avoid missing adverse events or underestimating the severity of asthma, and to reduce systemic corticosteroid use.Respiration (Source: Respiration)
Source: Respiration - September 1, 2021 Category: Respiratory Medicine Source Type: research
Diagnostic Confidence and Prognosis in Fibrotic Hypersensitivity Pneumonitis: Classification Is Fundamental
Respiration 2021;100:1 –3 (Source: Respiration)
Source: Respiration - August 31, 2021 Category: Respiratory Medicine Source Type: research
Patient Activation for Self-Management in Patients with Idiopathic Pulmonary Fibrosis or Sarcoidosis
Conclusion: About half of the outpatients with IPF or sarcoidosis have a low degree of activation for self-management, and these patients generally report more dyspnea, anxiety, depression, and a lower health status. Whether patients with a low degree of activation can be successful in self-managing their disease remains to be determined.Respiration (Source: Respiration)
Source: Respiration - August 31, 2021 Category: Respiratory Medicine Source Type: research
Prognostic Significance of Chest Imaging by LUS and CT in COVID-19 Inpatients: The ECOVID Multicenter Study
Conclusion: LUS score is useful to stratify the risk in COVID-19 patients, predicting those that are at high risk of mortality.Respiration (Source: Respiration)
Source: Respiration - August 31, 2021 Category: Respiratory Medicine Source Type: research
Prevalence and Clinical Characteristics of Nontuberculous Mycobacteria in Patients with Bronchiectasis: A Systematic Review and Meta-Analysis
Conclusions: Heterogeneity in prevalence estimates of NTM isolation indicated that both local surveys to inform development of clinical services tailored to patients with bronchiectasis and population-based studies are needed. The clinical features associated with NTM in bronchiectasis and their incremental utility in studying the association is unknown and merits further investigation.Respiration (Source: Respiration)
Source: Respiration - August 31, 2021 Category: Respiratory Medicine Source Type: research
