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CHEST Guidelines
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Pdf Summary
The March 2025 issue of CHEST (Volume 167, Issue 3) covers a wide range of topics in pulmonology and critical care. The editorials discuss perioperative hemodynamic optimization in cardiac surgery, personalized medicine in oxygen therapy, and the reintroduction of advanced practice respiratory therapists. They also examine obstructive lung disease in osteogenesis imperfecta as a model for interstitial lung disease, COPD, and asthma, the efficacy of phosphodiesterase inhibitor therapy in pulmonary hypertension-associated COPD, and cognitive performance enhancement using wakefulness promoters.<br /><br />A notable Point and Counterpoint debate centers on the appropriateness of watchful waiting as a treatment for obstructive sleep apnea (OSA) in children, accompanied by expert rebuttals. Original research articles investigate various topics including the effectiveness of guideline-recommended clinical activities for children with asthma, genetically distinct strains of Mycobacterium Avium Complex, parasitic infections in the ICU, exertional breathlessness in COPD, single-inhaler therapies, and pulmonary artery catheter use in cardiac surgery.<br /><br />In the critical care section, a study examines oxygenation targets in COVID-19 ICU patients. Reviews address interstitial lung abnormalities, sarcoidosis treatment, and the use of nintedanib. Educational features cover a program for advanced practice respiratory therapists and ethics in end-of-life care in the ICU.<br /><br />Pulmonary vascular research looks at transthoracic contrast echocardiography after embolization and pediatric pulmonary embolism response teams. In sleep research, a study evaluates solriamfetol's impact on cognitive function in OSA patients.<br /><br />Thoracic oncology discusses patient-reported outcomes during lung cancer screening. Special features highlight technological innovation in clinical trials, while online reports and correspondences explore topics like acute mercury inhalation toxicity, gas accumulation in the atrium, postexertional malaise in long COVID, and socioeconomic factors in COPD management. This issue also includes guidelines on endobronchial ultrasound procedures and educational resources for continuing medical education (CME).
Keywords
pulmonology
critical care
oxygen therapy
obstructive sleep apnea
COPD
COVID-19
nintedanib
lung cancer screening
endobronchial ultrasound
continuing medical education
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