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CHEST Guidelines
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Pdf Summary
The November 2021 edition of the CHEST journal, Volume 160, Issue 5, covers a wide array of topics related to pulmonary and critical care medicine. The editorials spotlight key research areas, such as the significance of early intervention in household air pollution, personalized corticosteroid dosing in COPD exacerbations, and the importance of standardizing venovenous extracorporeal membrane oxygenation protocols.<br /><br />Several original research articles delve into various respiratory conditions. Notable studies include the examination of mucociliary clearance in asthma, the impact of elastase activity from Pseudomonas aeruginosa on ICU mortality, and the effects of prenatal and postnatal air pollution exposure on pneumonia risk. Research on COPD highlights personalized systemic corticosteroid therapy for acute exacerbations, while in the realm of critical care, studies explore multimorbidity outcomes post-critical care discharge and the role of tidal volume in weaning off VV-ECMO.<br /><br />The issue also features studies on diffuse lung diseases, including antifibrotic therapy in idiopathic pulmonary fibrosis, along with other respiratory disorders like swimming-induced pulmonary edema and thromboembolic pulmonary hypertension registry results. Exploring pulmonary vascular conditions, articles present risk scores for bleeding prediction in embolisms and the challenges of interhospital transfers.<br /><br />In thoracic oncology, research examines outcomes of thoracentesis in patients with coagulopathy, cryobiopsy diagnostics, and the impacts of delayed lung cancer treatments on survival. Educational sections address topics like bronchoscopy teaching without a gold standard and noninvasive ventilation access.<br /><br />The journal includes humanities-focused pieces reflecting on rare pulmonary diseases and healthcare resilience during crises. Online exclusives provide focused reports on specific conditions, alongside engaging commentaries and guidelines. The upcoming section hints at future discussions on a wide range of pulmonary topics. Each segment aims to advance clinical practice, research comprehension, and policy application in the pulmonary field.
Keywords
pulmonary medicine
critical care
air pollution
COPD exacerbations
extracorporeal membrane oxygenation
mucociliary clearance
asthma
prenatal air pollution
idiopathic pulmonary fibrosis
thoracic oncology
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