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CHEST Guidelines
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Pdf Summary
The latest issue of the CHEST journal highlights several significant advancements and topics across respiratory, critical care, and sleep medicine. Key editorial notes include the journal's rising impact factor, partnership with Elsevier, and content innovations. Feature topics include Asthma-COPD overlap and the proposal for randomized trials of β-blockade use in sepsis-related atrial fibrillation. <br /><br />Several research articles delve into Chronic Obstructive Pulmonary Disease (COPD), including defining the Asthma-COPD Overlap Syndrome and understanding various aging process pathways affected by COPD. Another study investigates oxidative stress in COPD exacerbations. Notably, critical care insights feature a study on atrial fibrillation management during sepsis, while sleep disorder research assesses postoperative complications in undiagnosed obesity hypoventilation syndrome.<br /><br />In the point-counterpoint section, the utility of the Apnea-Hypopnea Index in quantifying sleep-disordered breathing severity is debated. Other original research includes heritability studies of Obstructive Sleep Apnea in rural populations, and ethnic response variation to an asthma treatment.<br /><br />Key reviews and reports cover chronic cough management, the implications of e-cigarette use on cough reflex sensitivity, and ultrasound guidance for radial artery catheterization. The issue also reviews pulmonary vascular disease and lung cancer management, with studies on CT scanning of ground-glass opacity nodules in lung cancer, and risk stratification in pulmonary embolism.<br /><br />Contributions to translational research discuss molecular endotyping in pulmonary fibrosis, while practical management topics examine the underutilization of patient portals to improve patient engagement. The issue concludes with correspondences including nighttime ICU staffing impacts and contemporary reviews on lactic acidosis in sepsis and sleep bruxism. Various online-exclusive articles offer further deep dives into specialized cases and clinical studies.
Keywords
respiratory medicine
critical care
sleep medicine
Asthma-COPD overlap
atrial fibrillation
COPD exacerbations
Obstructive Sleep Apnea
chronic cough management
pulmonary vascular disease
lung cancer management
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