CHEST Board Review: SEEK Sessions (4 New Videos! October 2025)-SEEK Board Review Session 2025: Dr. Jack Buckley Part 1

SEEK Board Review Session 2025: Dr. Jack Buckley Part 1

Video Transcription

Video Summary

The discussion addressed management of a dry, persistent cough in a 65-year-old IPF patient and lung volume reduction treatments in a 62-year-old COPD patient. Gabapentin was recommended for IPF-related cough, supported by clinical trials showing it reduces cough frequency and improves quality of life, especially alongside speech therapy. Proton pump inhibitors, opioids, and thalidomide were not favored due to limited efficacy or side effects. For severe COPD with upper lobe emphysema and hyperinflation, bronchoscopic lung volume reduction (BLVR) improves FEV1 and symptoms. Lung volume reduction surgery benefits only a small high-risk subgroup, and post-BLVR pneumothorax incidence is 25-30%.

Keywords

Idiopathic Pulmonary Fibrosis

Persistent Cough Management

Gabapentin Therapy

Chronic Obstructive Pulmonary Disease

Bronchoscopic Lung Volume Reduction