A #Journal_CHESTPulm research letter hypothesized that endothelial function would be impaired in individuals with COPD and comorbid insomnia and sleep apnea compared with COPD with comorbid OSA, insomnia, or neither.
Read more: hubs.la/Q04xbQx30#MedEd#JournalCHEST#COPD
What are the clinical and microbiological outcomes of omadacycline-based therapy in patients with pulmonary Mycobacterium abscessus complex infections, including those with macrolide-resistant isolates?
Read more in #Journal_CHESTPulm: hubs.la/Q04xbMDM0#MedEd#JournalCHEST
An Adult Patient With Incidentally Detected Bilateral Ground-Glass Opacities
What's the diagnosis? Read the full CHEST Pearl in the September issue of the journal CHEST®: hubs.la/Q04xHxqh0#MedEd#JournalCHEST
A 50-Year-Old Woman With Cough and Cystic Lesions Accompanied by Diffuse Interstitial Abnormalities
What's the diagnosis? Read the full CHEST Pearl in the September issue of the journal CHEST®: hubs.la/Q04xHwB90#MedEd#JournalCHEST#LungDisease
What is the diagnostic yield and two-year diagnostic accuracy of digital tomosynthesis-assisted electromagnetic navigation bronchoscopy in a typical pulmonary practice?
Read more in the September issue of #Journal_CHESTPulm: hubs.la/Q04xf1430#MedEd#JournalCHEST
Relationship Between Right Ventricular Function and Chronotropic Incompetence in Pulmonary Arterial Hypertension Associated With Connective Tissue Disease
Read more: hubs.la/Q04xdV2G0#MedEd#JournalCHEST#Journal_CHESTPulm
A CHEST research letter conducted a retrospective study including incident patients with pulmonary arterial hypertension who started on a combination of macitentan and riociguat in 12 Italian pulmonary hypertension centers.
Read more: hubs.la/Q04xHrcz0#MedEd#JournalCHEST
Successful Lung Transplant in a Patient With Newly Diagnosed HIV and Pneumocystis jirovecii Pneumonia
Read the full Novel Report in the September issue to learn more: hubs.la/Q04xHshC0#MedEd#JournalCHEST#Pneumonia
🤷♀️ Does echo help guide resuscitation in sepsis? 🦠
Hasegawa et al report their systematic review and meta analysis, just out in #journal_CHESTCritCare:
chestcc.org/article/S2949-78…
…for something we do so often, is the data there? 📊
😵💫 Is it possible that the pulse ox story is more complicated?
…yep!
Douin & colleagues 👀 at concordance of 2 simultaneous SpO2s from different sites 👋 by different manufacturers:
chestcc.org/article/S2949-78…
FRESH OFF THE PRESSES from our lab
(🔗rubin-lab.mgh.harvard.edu/)
How does anticipated regret influence ECMO candidacy decision-making?
With a team including economists, we apply Regret Theory to analyze this question and demonstrate its role in ECMO candidacy.
Clinicians prefer clear-cut cases, but even then, and certainly in more gray-zone cases, fear of regret emerges:
1⃣ Regret of omission: Even if we know ECMO won't help, we will feel terrible for not trying.
2⃣ Regret of commission: Even if there's a chance ECMO will help, it's very small and we will almost certainly regret having tried when this inevitably becomes a bridge to nowhere.
Many questions follow:
Is regret-dominated decision-making ever appropriate? Should it be corrected for? Does it exist across critical care or medicine more broadly?
This is only the beginning
journal.chestnet.org/article…
Thank you to Boston College Economics (@bc_econ) and @accpchest@journal_CHEST@MGBResearchNews@HMSbioethics@MGHHeartHealth@MGHHeartHealth@PCCSM_BIDMC@MGH_PCCM@HarvardPulm
From @journal_CHEST 🫁
A single moderate exacerbation in patients with #COPD was associated with increased risk for future severe exacerbations and all-cause mortality, supporting the use of updated GOLD 2026 criteria. #PulmTwitterpulmonologyadvisor.com/news/…
Does the use of midodrine improve mean arterial pressure and allow for simultaneous uptitration of pulmonary arterial hypertension therapy while hospitalized?
Read the original research in the September issue of #Journal_CHESTPulm: hubs.la/Q04xdYpz0#MedEd#JournalCHEST
How have changes in relative value units of specific services and the conversion factor affected inflation-adjusted Medicare reimbursement change from 2003 to 2024 for pulmonology and critical care?
Read the article: hubs.la/Q04xbYWd0#MedEd#JournalCHEST#Journal_CHESTPulm
A CHEST Special Feature reviews current evidence on the prevalence, prognostic value, and clinical implications of smoking-related findings in lung cancer screening.
Read more in the journal CHEST®: hubs.la/Q04xHqtq0#MedEd#JournalCHEST#LungCancerScreening