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- 621 - Building a Mobile Lung Cancer Screening CT Unit: A Targeted Approach to Improving Lung Cancer Screening Uptake Through Community Outreach and Partnerships
Resources provided by podcast participants:
National Lung Cancer Round Table-https://nlcrt.org/
Lung Plan- https://nlcrt.org/lungplan-overview/
Standing Facility Lung Program-https://cancer.wvumedicine.org/about-us/programs/lung-cancer-screening-program
Mobile Lung Program- https://cancer.wvumedicine.org/about-us/programs/mobile-cancer-screening-program/lucas
Living Beyond Cancer Podcast Series(Patient, Survivors, and Caregivers)-https://cancer.wvumedicine.org/about-us/podcasts/
Tue, 23 Jul 2024 - 620 - Navigating Smoking Cessation. Strategies, A Blueprint for Impactful Conversations and Lasting Change
Lung cancer care begins with prevention. This podcast aims to provide expert insights and practical advice on quitting smoking. We explore the opt-out approach, an effective strategy for initiating conversations about quitting smoking, and provide a comprehensive overview of pharmacotherapy options available to support the patients through their smoking cessation journey. Tune in as we tackle common questions and concerns faced by patients, offering practical tips and guidance to help you kick the habit for good.
Disclosures: no financial interests in the production of this material
Tue, 16 Jul 2024 - 619 - At The Bedside: Episode 6 - Mechanical Ventilation in ARDS, How to Use Driving PressureTue, 04 Jun 2024
- 618 - Practical PH – When the right heart fails- identification and management of the crashing PH patientTue, 28 May 2024
- 617 - Practical PH – Reproductive Health in Pulmonary Arterial HypertensionTue, 21 May 2024
- 616 - Elevator Pitch: Get to Know the Critical Care Assembly Planning CommitteeTue, 14 May 2024
- 615 - Elevator Pitch: Get to Know the Critical Care Assembly Program CommitteeFri, 10 May 2024
- 614 - A Roadmap to Sleep Programming and Content for ATS 2024Tue, 07 May 2024
- 613 - From the Trenches: Episode 6 – MeiLan Han, MD, MS
Dr. Naftali Kaminski chats with Dr. MeiLan Han as she shares her journey into becoming Chief of Division of Pulmonary Critical Care at University of Michigan, starting off at a Veterinary facility in her first year of medical school and her non-linear career path; shares some advice in staying the course even if it isn’t the traditional route.
Tue, 30 Apr 2024 - 612 - From the Trenches: Episode 5 – Mark Gladwin, MD
Dr. Naftali Kaminski chats with Dr. Mark Gladwin as he discusses his role as the Dean of University of MD, School of Medicine, and Vice President of Medical Affairs, shares his upbringing in a social science home in an ever-changing environment that has led him to become extremely adaptable and discusses his keys to success and advice.
Tue, 23 Apr 2024 - 611 - From the Trenches: Episode 4 - Jose Herazo-Maya, MDTue, 16 Apr 2024
- 610 - Elevator Pitch: Shortening Time-to-Antibiotics in SepsisTue, 09 Apr 2024
- 609 - Practical PH – PC Assembly Preview for ATS 2024
Drs. Khushboo Goel and Kathryn del Valle have a conversation with Drs. Stephen Chan and Andrea Frump, Pulmonary Circulation Assembly Programming Chairs for the ATS 2024, about the sessions and events they are most looking forward to in San Diego…and also how to make the most of #ATS2024 as a trainee or early career attendee!
Tue, 02 Apr 2024 - 608 - Sleep Pioneer - Tom KeensTue, 26 Mar 2024
- 607 - Sleep Pioneer- Mary CarskadonTue, 19 Mar 2024
- 606 - Artificial Intelligence in Sleep Medicine: the Past, the Present, and the Future (Episode 2 of 2)
The AI in Sleep Medicine Podcast series (2 episodes) will help users apply the principles of machine learning to clinical care and conceptualize future applications of AI in pediatric and adult sleep medicine. In episode 2, the guest speakers delve into current use cases, potential opportunities, and possible challenges of AI in sleep medicine.
Tue, 12 Mar 2024 - 605 - Sleep Pioneer- Judith OwensTue, 05 Mar 2024
- 604 - Critical Perspective Podcast: Management Guidelines for ARDS 2024
In this "Breathe Easy Critical Perspective" podcast, Dr. Dominique Pepper interviews Dr. Nida Qadir and Dr. Sareena Sahetya. They discuss their recent Blue journal publication on updated management guidelines for adults with ARDS. Dr. Qadir is an Associate Professor of Medicine and Associate Director of the Medical Intensive Care Unit at Ronald Reagan UCLA Medical Center. D. Sahetya is an Associate Professor of Medicine at Johns Hopkins.
Tue, 27 Feb 2024 - 603 - Pulmonary Rehabilitation US Reimbursement Update: 2024
Despite well-established evidence of pulmonary rehabilitation (PR)effectiveness, inadequate US reimbursement has resulted in challenges that negatively impact PR financial stability, equity and access.
The road to equitable payment and access to PR is a long and complex journey. All major pulmonary societies are working together to improve equity of PR reimbursement. ATS recently published a PR clinical practice guideline to update the evidence base of PR and further substantiate and define PR’s highly effective impact. As the evidence base of effectiveness improves, we all play a role in understanding and working toward improving patient program access, awareness, and adequate payment.
Tue, 20 Feb 2024 - 602 - ATS ICU Pause Program: Fireside chat with Dr. Lekshmi Santhosh
Dr. Patrick Lyons sits down with Dr. Lekshmi Santhosh, the originator and chair of the ATS ICU-PAUSE program, to discuss this innovative new program. The ATS ICU-PAUSE program is a communication framework that aims to educate health care providers, including trainees, intensivists, hospitalists, and advanced practice providers around patient safety, diagnostic uncertainty and implicit bias during transitions of care. Dr. Lyons, an ICU-PAUSE co-investigator and collaborator, discusses the origins of this program with the ATS, some of the pitfalls of the ICU-to-ward transition, and how the ICU-PAUSE checklist has been used to improve communication across many institutions across the country!
Show Notes
The ATS ICU-PAUSE toolkit and CME module are available on ATS Ed +. This includes a CME-accredited video module featuring national patient safety experts, a downloadable implementation toolkit (including informational packet, .icutoward EHR dotphrase, print-ready post card, and print-ready flyer) as well as resources to get involved and become a participating site and implement the ICU-PAUSE at your own site. To access these materials, please visit ATS Ed+ and create an account.
Tue, 13 Feb 2024 - 601 - Sleep Pioneer - Allan PackTue, 06 Feb 2024
- 600 - Leveraging the Medicare Hospice Benefit for Patients with Advanced Lung Disease
This episode offers a CRUCIAL overview of the Medicare hospice benefit, utilization logistics for advanced lung disease patients, communication strategies, patient-focused methodology in discussions and additional resources to enhance providers’ skill sets in caring for this important and vulnerable patient population.
Tue, 30 Jan 2024 - 599 - Clinicians' experiences with SMART: Single Maintenance and Reliever Therapy
In this podcast, Dr. Ally Larkin, Dr. Carol Mansfield, and Dr. Robyn Cohen discuss their experience implementing Single Maintenance and Reliever Therapy (known as "SMART" or "MART"). SMART is included in the 2020 updates to the National Asthma Education and Prevention Program Asthma Management Guidelines and the 2021 updates to the Global Initiative for Asthma Strategy. In this discussion, they cover how they implemented SMART into their clinical practice, challenges they've faced making the change, how SMART has improved asthma management and control for their patients, and advice for providers seeking to implement SMART into their own practices.
References:
New NAEPP/NHLBI Guidelines (2020):
Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC); Cloutier MM, Baptist AP, Blake KV, Brooks EG, Bryant-Stephens T, DiMango E, Dixon AE, Elward KS, Hartert T, Krishnan JA, Lemanske RF Jr, Ouellette DR, Pace WD, Schatz M, Skolnik NS, Stout JW, Teach SJ, Umscheid CA, Walsh CG. 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. J Allergy Clin Immunol. 2020 Dec;146(6):1217-1270. doi: 10.1016/j.jaci.2020.10.003. Erratum in: J Allergy Clin Immunol. 2021 Apr;147(4):1528-1530. PMID: 33280709; PMCID: PMC7924476.
New GINA Guidelines (2021):
Reddel HK, Bacharier LB, Bateman ED, Brightling CE, Brusselle GG, Buhl R, Cruz AA, Duijts L, Drazen JM, FitzGerald JM, Fleming LJ, Inoue H, Ko FW, Krishnan JA, Levy ML, Lin J, Mortimer K, Pitrez PM, Sheikh A, Yorgancioglu AA, Boulet LP. Global Initiative for Asthma Strategy 2021: Executive Summary and Rationale for Key Changes. Am J Respir Crit Care Med. 2022 Jan 1;205(1):17-35. doi: 10.1164/rccm.202109-2205PP. PMID: 34658302; PMCID: PMC8865583.
Articles on Implementation:
Reddel HK, Bateman ED, Schatz M, Krishnan JA, Cloutier MM. A Practical Guide to Implementing SMART in Asthma Management. J Allergy Clin Immunol Pract. 2022 Jan;10(1S):S31-S38. doi: 10.1016/j.jaip.2021.10.011. Epub 2021 Oct 16. PMID: 34666208.
Cloutier MM, Teach SJ, Lemanske RF Jr, Blake KV. The 2020 Focused Updates to the NIH Asthma Management Guidelines: Key Points for Pediatricians. Pediatrics. 2021 Jun;147(6):e2021050286. doi: 10.1542/peds.2021-050286. Epub 2021 May 3. PMID: 33941586; PMCID: PMC8168603.
Article on the Implementation Gap:
Krings JG, Sekhar TC, Chen V, Blake KV, Sumino K, James AS, Clover AK, Lenze EJ, Brownson RC, Castro M. Beginning to Address an Implementation Gap in Asthma: Clinicians' Views of Prescribing Reliever Budesonide-Formoterol Inhalers and SMART in the United States. J Allergy Clin Immunol Pract. 2023 Sep;11(9):2767-2777. doi: 10.1016/j.jaip.2023.05.023. Epub 2023 May 26. PMID: 37245736.
Tue, 23 Jan 2024 - 598 - Practical PH: Episode 5 - Careers in PH: Pulmonary Hypertension FellowshipTue, 16 Jan 2024
- 597 - Artificial Intelligence in Sleep Medicine: the Past, the Present, and the Future (Episode 1 of 2)
The AI in Sleep Medicine Podcast series (2 episodes) will help users apply the principles of machine learning to clinical care and conceptualize future applications of pediatric and adult sleep medicine. Episode 1 focuses on the definitions and applications of AI in sleep medicine.
References:
Sendak MP, Gao M, Brajer N, Balu S. Presenting machine learning model information to clinical end users with model facts labels. NPJ digital medicine. 2020 Mar 23;3(1):41.Rajpurkar P, Chen E, Banerjee O, Topol EJ. AI in health and medicine. Nature medicine. 2022 Jan;28(1):31-8.sTue, 09 Jan 2024 - 596 - Exercise and Cystic Fibrosis - Katie's StoryTue, 02 Jan 2024
- 595 - From the Trenches: Episode 3 - Lynn Schnapp, MDTue, 19 Dec 2023
- 594 - From the Trenches: Episode 2 - Terri Laguna, MDTue, 12 Dec 2023
- 593 - From the Trenches: Episode 1 - Steve Dudek, MDTue, 05 Dec 2023
- 592 - Wildfire and Pre-term Births Data in Latest Health of the Air Report
The American Thoracic Society together with the Marron Institute of Urban Management at NYU has published the latest Health of the Air Report. Dr. Kevin Cromar and colleagues share local and national estimates of the health impacts of air pollution – including smoke from wildfires – that exceeds recommended levels by the ATS.
Tue, 28 Nov 2023 - 591 - Practical PH: Episode 4 - Careers in PH: The Physician ScientistTue, 21 Nov 2023
- 590 - Health Inequities in Pulmonary RehabilitationTue, 14 Nov 2023
- 589 - Practical PH: Episode 3 - Careers in PH: Academic Research CareerTue, 07 Nov 2023
- 588 - Understanding GLI-Global: Impact on Care and Health Disparities
In this Behavioral Sciences and Health Services Research podcast, Dr. Henry Brems (fellow, Johns Hopkins University) interviews Dr. Sanja Stanojevic, who is the current chair of the ATS of Pulmonary Function Testing committee and an Associate Professor in Department of Community Health and Epidemiology at Dalhousie University. They discuss GLI-Global -- the reference equation recently recommended for spirometry interpretation by the ATS -- including how it was developed, what it means for spirometry interpretation, and how it may impact racial disparities in respiratory disease.
Tue, 31 Oct 2023 - 587 - Practical PH: Episode 2 - Careers in PH: The Academic Clinician EducatorTue, 24 Oct 2023
- 586 - At The Bedside: Episode 5 – Teaching At the BedsideTue, 17 Oct 2023
- 585 - ATS Critical Care Assembly Top Case Reports from 2023
The ATS Critical Care Assembly receives hundreds to thousands of fantastic case reports. In recent years, there have been concentrated efforts to improve the quality of these case reports with a standardized grading rubric, and increased recognition of top submissions. The national conference now hosts multiple poster discussion sessions, and an increasing number of traditional poster sessions each year. In this podcast, we highlight two of the very best case reports from the 2023 National Conference. Please remember to submit your case reports for the 2024 conference by 11/1/23. If yours is one of the top case reports selected, you could be on this podcast next year! If you are interested in a pre-submission review, we are offering case report review and editing to try to help those who are interested but may lack local mentorship. We will be prioritizing submissions from candidates who are international, from a community institution, and for whom English is a second language. We hope that this effort will continue to expand the pool of excellent case reports and provide more accessibility for those who traditionally face challenges in getting their work recognized.
Tue, 10 Oct 2023 - 584 - Critical Perspective Podcast: Bias in Pulse OximetryTue, 03 Oct 2023
- 583 - ATS Core Training Podcast Series - Financial Planning for Trainees
Tune in to this podcast which discusses an incredibly important but often overlooked topic in academia - the cornerstones of financial planning for trainees and junior faculty! In this episode, Dr. Gallo de Moraes (Associate Professor, Pulmonary and Critical Care at Mayo Clinic), who has developed a Financial Planning curriculum for trainees at Mayo Clinic, uncovers practical strategies for budgeting, navigating student loans, and retirement planning to secure our financial futures and well-being with confidence.
Tue, 26 Sep 2023 - 582 - ATS Core Training Podcast Series - Overcoming Impostor Syndrome in Academia
Join us on a journey of introspection as we discuss Impostor Syndrome in Academia. Drs. Terri Laguna and Aneesa Das candidly share personal experiences and anecdotes, discuss the influence of cultural and gender-related factors on Imposter Syndrome, and strategies effective in combating feelings of self-doubt. Additionally, we discuss the importance of mentorship and structural institutional changes to help create a more inclusive and supportive environment, and minimize the development of impostor syndrome.
Tue, 19 Sep 2023 - 581 - At The Bedside: Episode 4 – Bronchopleural Fistula Management in Positive Pressure VentilationTue, 12 Sep 2023
- 580 - The Storytelling Series Episode 2: Conversation with Jesse Roman
The Storytelling Series brings together the best in medical education to share their life experiences and provides a venue for their stories to serve as an inspiration for all others. In this episode, Dr. Roman discusses the importance of mentors, finding and accepting opportunities, and adapting to professional growth.
Tue, 15 Aug 2023 - 579 - The New Longitudinal Knowledge Assessment (LKA): ABIM updates for Physicians Certified in Pulmonary Disease, Critical Care Medicine, and Sleep Medicine
In this Allergy, Immunology, and Inflammation Assembly podcast, we share a recording of the webinar entitled “The New Longitudinal Knowledge Assessment (LKA): ABIM updates for Physicians Certified in Pulmonary Disease, Critical Care Medicine, and Sleep Medicine” that was moderated by Dr. Michelle Manni. During this webinar, Florence Mickens, JD, who serves as the Program Operations Manager for the American Board of Internal Medicine, discusses the LKA and ways to maintain certification for pulmonary disease, critical care medicine, sleep medicine and internal medicine as well as accommodations that have been made during the Covid pandemic. Drs. Laura Evans, Lynn Tanoue, and Jose Gomez-Villalobos join the conversation as discussants.
Tue, 08 Aug 2023 - 578 - The Storytelling Series Episode 1: Conversation with Trish Kritek
The Storytelling Series brings together the best in medical education to share their life experiences and provides a venue for their stories to serve as an inspiration for all others. In this episode, Dr. Kritek talks all about the path she took and what motivates her including how to deal with change.
Tue, 01 Aug 2023 - 577 - The Impact of Opioids on SleepTue, 25 Jul 2023
- 576 - At The Bedside: Episode 3 – Approach to Thrombocytopenia in the ICUWed, 28 Jun 2023
- 575 - Breathe Easy Pediatrics Presents: Tidal Volume Episode 8 – Primary Ciliary Dyskinesia
Tidal Volume is a podcast from ATS Assembly on Pediatrics focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.
In episode 8, Drs. Kubra Melike Bozkanat and Yadira Rivera-Sanchez from University of Texas Southwestern discuss pathophysiology, diagnosis and treatment of Primary Ciliary Dyskinesia.
Reviewers
Ryan Thomas, MD
Michigan State University College of Human MedicineChristina Barreda, MD
University of Wisconsin School of Medicine and Public Health
References- Hannah, W., et al. "Frequency of CFTR Mutations in Individuals Evaluated for Primary Ciliary Dyskinesia." B25. CHRONIC SUPPURATIVE LUNG DISEASE IN CHILDREN. American Thoracic Society, 2018. A2843-A2843.Leigh, Margaret W., et al. "Clinical features and associated likelihood of primary ciliary dyskinesia in children and adolescents." Annals of the American Thoracic Society 13.8 (2016): 1305-1313.Shapiro, Adam J., et al. "Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review." Pediatric pulmonology 51.2 (2016): 115-132.Shoemark, Amelia, et al. "ERS and ATS diagnostic guidelines for primary ciliary dyskinesia: similarities and differences in approach to diagnosis." European Respiratory Journal 54.3 (2019).Shapiro, Adam J., et al. "The prevalence of clinical features associated with primary ciliary dyskinesia in a heterotaxy population: results of a web-based survey." Cardiology in the Young 25.4 (2015): 752-759.Collins, Samuel A., et al. "Nasal nitric oxide screening for primary ciliary dyskinesia: systematic review and meta-analysis." European Respiratory Journal 44.6 (2014): 1589-1599.Shapiro, Adam J., et al. "Nasal nitric oxide measurement in primary ciliary dyskinesia. A technical paper on standardized testing protocols." Annals of the American Thoracic Society17.2 (2020): e1-e12.Davis, Stephanie D., et al. "Primary ciliary dyskinesia: longitudinal study of lung disease by ultrastructure defect and genotype." American journal of respiratory and critical care medicine 199.2 (2019): 190-198.Horani, Amjad, and Thomas W. Ferkol. "Understanding primary ciliary dyskinesia and other ciliopathies." The Journal of pediatrics 230 (2021): 15-22.Zariwala, Maimoona A., Michael R. Knowles, and Margaret W. Leigh. "Primary ciliary dyskinesia." GeneReviews®[Internet](2019).
Contact Information
TidalVolumeATSPeds@gmail.com
Twitter
@ATSPedsTue, 13 Jun 2023 - 574 - ATSRxPodcast: The Science Behind Drug Interactions: Impact of Observational vs. Causality in Interactions Affecting Acute Care Drugs
This podcast features Dr. Todd Miano is a critical care pharmacist and renowned pharmacoepidemiologist who has dedicated his career to improving the safety and effectiveness of acutely ill patients. Dr. Miano has been a pioneer in research involving drug interaction effects and causality. His work has identified both interactions that may have been overhyped and ones that clinicians may not be as familiar with but should be.
Tue, 06 Jun 2023 - 573 - ATSRxPodcast: Emerging Trends and Treatments for AsthmaTue, 30 May 2023
- 572 - Practical PH: Much Ado About CTEPHTue, 16 May 2023
- 571 - At The Bedside: Episode 2 – Atrial Fibrillation in the ICUTue, 09 May 2023
- 570 - Social Media for Early Career Professionals - Should I and How to Do it Well?
Social media is taking on an ever increasing presence in medicine and academics. While it presents opportunities for outreach and networking, it also comes with many inherent challenges. In this podcast, we speak with seasoned ATS members who have successfully navigated social media in their professional spheres. Come join us for this low-key and fun discussion as they share their experiences and their perspectives on how early career professionals can leverage social media to advance their careers.
Tue, 02 May 2023 - 569 - Technical Aspects of Physical Activity MeasurementTue, 25 Apr 2023
- 568 - Roadmap to Sleep Programming and Content for ATS 2023
Please join Dr. Ninotchka Sigua, as she chats with the ATS SRN Programming Chair, Dr. Andrey Zinchuk, about the exciting lineup of sleep-related programs at ATS 2023. This podcast will provide an excellent overview of the sleep content and program. Details of the program is available on the Advance Program Catalog available on the conference website.
Tue, 18 Apr 2023 - 567 - Rehabilitate Anywhere: Exploring the Benefits and Challenges of Telerehabilitation
In this podcast, we explore the groundbreaking world of tele-rehabilitation and how it is transforming the healthcare industry. Tele-rehabilitation is the practice of providing rehabilitation services to patients in remote locations through the use of technology. We discuss the benefits of tele-rehabilitation, including increased accessibility, convenience, and cost-effectiveness for patients. Our experts delve into the various applications of tele-rehabilitation, including its use in pulmonary rehabilitation, neurological conditions, and eduation.
Tue, 11 Apr 2023 - 566 - Health Disparities in Obstructive Sleep Apnea - Treatment Challenges
In this podcast episode, Dr Ashesha Mechineni interviews Dr Bharati Prasad, Associate Professor of Medicine and Medical Director of UIC Sleep Science Center and Program Director of Sleep fellowship at University of Illinois at Chicago. This is the conclusion of our core discussion on Health Disparities in Obstructive Sleep Apnea. Dr Prasad explains how Positive airway pressure treatment variables vary across various treatment groups and how real life factors play a role in overall long term clinical outcomes. She explores variations in research results among COVID 19 pandemic patients with obstructive sleep apnea as she draws to a close.
Tue, 04 Apr 2023 - 565 - Health Disparities in Obstructive Sleep Apnea - Prevalence and Diagnosis
This podcast is a discussion with Dr Susan Redline, Professor of Sleep Medicine at Brigham and Women's Hospital about the current burden of health disparities among Obstructive sleep apnea patients. Spotlight placed on etiological ,pathophysiological and clinical differences among various racial, gender groups along with their clinical implications. Dr Redline's perspective on long term outlook regarding diagnostic modalities used routinely in Sleep practices and future direction of sleep research are discussed.
Tue, 28 Mar 2023 - 564 - Vaccine Hesitancy in the Modern Age
A discussion of vaccine information, hesitancy and uptake among multiple populations and how we can improve uptake in our daily practices
Show References
- McElfish PA, Willis DE, Shah SK, Bryant-Moore K, Rojo MO, Selig JP. Sociodemographic Determinants of COVID-19 Vaccine Hesitancy, Fear of Infection, and Protection Self-Efficacy. J Prim Care Community Health. Jan-Dec 2021;12:21501327211040746. doi:10.1177/21501327211040746 MacDonald NE, Hesitancy SWGoV. Vaccine hesitancy: Definition, scope and determinants. Vaccine. Aug 14 2015;33(34):4161-4. doi:10.1016/j.vaccine.2015.04.036 Nguyen LH, Joshi AD, Drew DA, et al. Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake. medRxiv. Feb 28 2021;doi:10.1101/2021.02.25.21252402 Wong LP, Alias H, Danaee M, et al. COVID-19 vaccination intention and vaccine characteristics influencing vaccination acceptance: a global survey of 17 countries. Infect Dis Poverty. Oct 7 2021;10(1):122. doi:10.1186/s40249-021-00900-w Jacobson RM, St Sauver JL, Finney Rutten LJ. Vaccine Hesitancy. Mayo Clin Proc. Nov 2015;90(11):1562-8. doi:10.1016/j.mayocp.2015.09.006 S. B. Omer, D. A. Salmon, W. A. Orenstein, M. P. deHart and N. Halsey. Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases. NEJM 2009 Vol. 360 Issue 19 Pages 1981-1988 Lila J. Finney Rutten, Xuan Zhu, Aaron L. Leppin, Jennifer L. Ridgeway, Melanie D. Swift, Joan M. Griffin, Jennifer L. St Sauver, Abinash Virk, Robert M. Jacobson. Evidence-Based Strategies for Clinical Organizations to Address COVID-19 Vaccine Hesitancy. Mayo Clinic Proceedings. Volume 96, Issue 3. 2021. Pages 699-707. Raymond John D Vergara, Philip Joseph D Sarmiento, James Darwin N Lagman, Building public trust: a response to COVID-19 vaccine hesitancy predicament, Journal of Public Health, Volume 43, Issue 2, June 2021, Pages e291–e292, https://doi.org/10.1093/pubmed/fdaa282 Corbie-Smith G. Vaccine Hesitancy Is a Scapegoat for Structural Racism. JAMA Health Forum. 2021;2(3):e210434. doi:10.1001/jamahealthforum.2021.0434The 'successful failures' of Apollo 13 and Covid-19 vaccination - STAT (statnews.com)
Tue, 07 Mar 2023 - 563 - Breathe Easy Pediatrics Presents: Tidal Volume Episode 7 – Tracheobronchitis in Children with Tracheostomy Tubes
Tidal Volume is a podcast from ATS Peds focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.
In episode 7, Ryan Thomas MD from Michigan State University discusses tracheobronchitis in children with tracheostomy tubes with Dan Craven MD and Moshe Prero MD from Case Western Reserve University/Rainbow Babies and Children’s Hospital and Alexander Gipsman MD from Children’s Hospital of Philadelphia. We discuss their review article Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem and why they decided to write on this topic. We also discuss the importance of tracheobronchitis in this patient population, the risk factors for infection, the microbiology of the airway, and the diagnosis and treatment of tracheobronchitis in children with tracheostomy tubes.
Guests:
Daniel Craven, MD, Case Western Reserve University
Moshe Prero, MD, Case Western Reserve University
Alexander Gipsman, MD, Children's Hospital of Philadelphia
Host: Ryan Thomas, MD, Michigan State University
Reviewers
Christina Barreda, MD, University of Wisconsin
Elizabeth Fiorino, MD, Hofstra University
Production/Editing
Ryan Thomas, MD, Michigan State University
Contact Information:
Twitter Accounts:
Ryan Thomas, MD
References
- Gipsman A, Prero M, Toltzis P, Craven D. Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem. Pediatr Pulmonol. 2022 Apr;57(4):814-821.Akangire G, Manimtim W, Nyp M, et al. Factors leading to rehospitalization for tracheostomized and ventilator-dependent infants through 2 years of age. J Perinatol. 2017;37(7):857-863.Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-332. Griese M, Felber J, Reiter K, et al. Airway inflammation in children with tracheostomy. Pediatr Pulmonol. 2004;37(4):356-361. Willson DF, Conaway M, Kelly R, Hendley JO. The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children. Pediatr Crit Care Med. 2014;15(4):299-305. Cline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ. Surveillance tracheal aspirate cultures do not reliably predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. Chest. 2012;141(3):625-631. Rusakow LS, Guarín M, Wegner CB, Rice TB, Mischler EH. Suspected respiratory tract infection in the tracheostomized child: the pediatric pulmonologist's approach. Chest. 1998;113(6):1549-1554. Goldstein I, Wallet F, Nicolas-Robin A, Ferrari F, Marquette CH, Rouby JJ. Lung deposition and efficiency of nebulized amikacin during escherichia coli pneumonia in ventilated piglets. Am J Respir Crit Care Med. 2002;166(10):1375-1381. Herrmann G, Yang L, Wu H, et al. Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa. J Infect Dis. 2010;202(10):1585-1592. Tamma PD, Turnbull AE, Milstone AM, Lehmann CU, Sydnor ER, Cosgrove SE. Ventilator-associated tracheitis in children: does antibiotic duration matter? Clin Infect Dis. 2011;52(11):1324-1331. Chastre J, Wolff M, Fagon JY, et al. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA. 2003;290(19):2588-2598. Silva RC, Ojano-Dirain CP, Antonelli PJ. Effectiveness of pediatric tracheostomy tube cleaning. Arch Otolaryngol Head Neck Surg. 2012;138(3):251-256. Morrison JM, Hassan A, Kysh L, Dudas RA, Russell CJ. Diagnosis, management, and outcomes of pediatric tracheostomy-associated infections: A scoping review. Pediatr Pulmonol. 2022 May;57(5):1145-1156. Jutras C, Autmizguine J, Chomton M, et al. Inhaled antibiotics for the prevention of respiratory tract infections in children with a tracheostomy. Front Pediatr. 2021;9:633039.
Tue, 28 Feb 2023 - 562 - Critical Perspective Podcast: Haloperidol for the Treatment of Delirium in Critically Ill Patients
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Nina Andersen-Ranberg. They discuss her recent RCT published in the NEJM investigating haloperidol for delirium in ICU patients. Dr. Andersen-Ranberg is a physician undergoing her PhD training in Anesthesiology in Zealand University Hospital, Køge Denmark.
Tue, 21 Feb 2023 - 561 - Critical Perspective Podcast: Non-Invasive Respiratory Support in Critically Ill Adults
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Laurent Brochard. They discuss his recent NEJM publication reviewing non-invasive respiratory support in critically ill adults. Dr. Brochard is the Director of the Interdepartmental Division of Critical Care Medicine, University of Toronto, Canada and the Deputy Editor of the Blue Journal.
Tue, 14 Feb 2023 - 560 - Critical Perspective Podcast: Outcomes Among Mechanically Ventilated Patients With Severe Pneumonia and Acute Hypoxemic Respiratory Failure From SARS-CoV-2 and Other Etiologies
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. William Checkley. They discuss outcomes in critically ill patients with pneumonia due to SARS-CoV-2 compared to other etiologies. Dr. Checkley is an Associate Professor of Medicine in the Division of Pulmonary and Critical Care at the Johns Hopkins School of Medicine, Baltimore Maryland.
Tue, 07 Feb 2023 - 559 - Pulmonary-Palliative Care for Advanced Lung Disease Episode 4: Initiating and Sustaining Compassionate, Honest Dialogues about Mortality for Patients with Serious Respiratory IllnessTue, 31 Jan 2023
- 558 - Critical Perspective Podcast: Long-term (180-Day) Outcomes in Critically Ill Patients With COVID-19 in the REMAP-CAP Randomized Clinical Trial
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Alisa Higgins. They discuss long-term outcomes in critically ill patients with COVID-19. Dr. Higgins is Senior Research Fellow at Monash University in Melbourne, Australia.
Tue, 24 Jan 2023 - 557 - Thinking Cellularly in the Bronchoscopy Suite
Good communication with the cytopathologist is important to increase the yield of the EBUS-TBNA procedure. A pulmonologist interviews a cytopathologist to shed light on the process behind the scenes and obtain the pathologist's perspective on small tissue handling. Their goal is to review the handling of thoracic small biopsies and cytology specimens for ancillary and molecular studies. They will decipher the cytopathologists’ vocabulary to maximize the yield of EBUS TBNA and finally, they will summarize evidence-based recommendations around key aspects of small specimen tissue sampling and biomarker testing in NSCLC.
Tue, 17 Jan 2023 - 556 - At The Bedside: Episode 1 – Fluid Selection in SepsisTue, 10 Jan 2023
- 555 - Critical Perspective Podcast: Dexmedetomidine and Propofol Sedation in Critically Ill Patients and Dose Associated 90-day Mortality
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Yahya Shehabi. They discuss sedation with dexmedetomidine and propofol in critically ill patients. Dr. Shehabi is Professor of Medicine at Monash University (Australia).
Tue, 03 Jan 2023 - 554 - Critical Perspective: Peri-intubation Cardiovascular Collapse in Patients Who Are Critically Ill
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Drs. Vincenzo Russotto and John Laffey. The authors discuss their 2022 Blue Journal publication that investigated peri-intubation cardiovascular collapse in the critically ill. Dr. Russotto is a Consultant in Anesthesia and Intensive Care at University Hospital San Gerardo, Monza Italy. Dr. Laffey is a Professor of Anaesthesia and Intensive Care Medicine at the School of Medicine of the National University of Ireland, Galway Ireland.
Tue, 20 Dec 2022 - 553 - Breathe Easy Pediatrics Presents: Tidal Volume Episode 6 – RC Time Constants
Tidal Volume is a podcast from ATS Assembly on Pediatrics focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher. In episode 6, Christopher Green MD and Christina Barreda MD from the University of Wisconsin discuss the concept of RC time constants. There is a description of what RC time constants are and an overview of why RC time constants are important, followed by a discussion of some case scenarios where understanding RC time constants is useful.
Tue, 13 Dec 2022 - 552 - Measuring Fatigue in Chronic Respiratory Disease
In this podcast, Dr Felipe Machado from Hasselt University in Belgium interviews Yvonne Goërtz and Maarten van Herck. They are at the final stages of their PhDs at CIRO, a specialized rehabilitation center for people with chronic respiratory diseases in collaboration with Maastricht University in the Netherlands. Yvonne and Maarten’s research has mainly focused on fatigue, which is the topic of this podcast and accompanies the great work they produced for the assembly on fatigue outcome measures.
Tue, 06 Dec 2022 - 551 - ATS Reading List Podcast: Episode 5 - OSA and Cardiovascular Outcomes
In this episode of the ATS Reading List Podcast we sit down with Dr. Vaishnavi Kundel, an Assistant Professor of Medicine at the Icahn School of Medicine at Mount Sinai. Dr. Kundel's research focuses on investigating the links between sleep apnea, sleep duration, and cardiovascular diseases using multi-modality imaging techniques. This episode will focus on two articles in the areas of her research. Happy listening!
Tue, 29 Nov 2022 - 550 - Pulmonary-Palliative Care: We Be-LUNG together Episode 3: Human Caring: The Intersection of Palliative Care and Critical Illness in ICUs, through COVID and Beyond
Guest Barbara A. McLean, has been a Critical Care intensivist Nurse Practitioner for 40+ years. She joins us for this episode where we discuss the intersection of palliative care, compassionate communication and critical illness, and most recently through the COVID-9 pandemic, with the perspectives of the critical care and palliative medicine providers as well as an ICU family member.
Tue, 22 Nov 2022 - 549 - Critical Perspective: Emergency Abortion Care
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Andrea MacDonald and Dr. Deepshikha Ashana. The authors discuss their November 1, 2022 JAMA article entitled "The Challenge of Emergency Abortion Care Following the Dobbs Ruling.' Drs. Ashana and MacDonald are affiliated with the Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University, Durham, North Carolina.
Fri, 18 Nov 2022 - 548 - At The Bedside: Episode 0 – Non-invasive Positive Pressure Ventilation
A practical case-based approach to the management of Non-Invasive Positive Pressure Ventilation with an expert in the field.
Tue, 15 Nov 2022 - 547 - ATS Reading List Podcast: Episode 4 - Submassive Pulmonary Embolism
In this episode, we have the pleasure of sitting down with Dr. Parth Rali to discuss two foundational articles on pulmonary embolism treatment. We will discuss the 2002 MAPPETT III trial and 2014 PEITHO trial. Both were published in the New England Journal of Medicine.
Tue, 08 Nov 2022 - 546 - ATS Reading List Podcast: Episode 3 - Obstetrics and Critical Care
In this episode, we have the pleasure of sitting down with Dr. Elyse LaFond to discuss two articles on obstetric critical care. We will discuss, with some brevity, part 1 and part 2 of articles entitled “Critical Illness in Pregnancy” both of which were published in CHEST in 2015. For our audience, the episode that follows is not all-encompassing when it comes to these two articles but I will add that they are themselves highly accessible in the sense there are a number of high yield principles and some really great tables highlighting an otherwise dense and difficult topic.
Tue, 25 Oct 2022 - 545 - The Role of Speech Pathologists in a Multi-Disciplinary Pulmonary Rehabilitation Team
This webinar discusses the important role of speech pathologists in the pulmonary rehabilitation multidisciplinary team, helping to manage persistent cough, breathlessness, dysphagia, and vocal cord dysfunction for people living with chronic respiratory disease. We discuss the evidence around the optimal dose for speech pathology, clinical signs and symptoms indicating need for referral to a speech pathologist, and tips for how to help people with chronic respiratory disease to manage problematic symptoms during exercise.
Tue, 18 Oct 2022 - 544 - ATS Reading List Podcast: Episode 2 - Treatment of Pulmonary Arterial Hypertension
In this episode, we have the pleasure of sitting down with Dr. Hilary DuBrock to discuss two foundational articles on pulmonary arterial hypertension treatment. We will discuss the 2013 SERAPHIN and 2015 AMBITION trials both published in the New England Journal of Medicine.
Tue, 11 Oct 2022 - 543 - ATS Careers in Genomics: Starting a Genomics Career
In the past 20 years, human genetics and genomics research has boomed and given us novel insights into the nature of human disease. Despite this explosion the field is technically and analytically challenging but at the same time rapidly changing and evolving. This leaves many of us wondering, "How does one develop and sustain a successful career in human genomics?" Drs. Blanca Himes and Craig Hersh share their insights and advice on how to start your career in respiratory genomics.
Tue, 04 Oct 2022 - 542 - ATS Reading List Podcast: Episode 1 - History of ATS Reading List
This first episode of the Reading List Podcast we sit down with Dr. Bob Kempainen to discuss something we all know and love, the ATS Reading List. We will walk through the history of the reading list from how the project started, how it continues to grow and change, and what we can look forward to next.
Tue, 27 Sep 2022 - 541 - Systematic reviews in the context of Pulmonary Rehabilitation
In this podcast, Drs. Alex Jenkins & Arwel Jones discuss the fundamentals of preparing and conducting systematic reviews. From designing protocols to interpreting results, this podcast gives a brief overview of the essential components and considerations needed for a successful systematic review which follows Cochrane guidance. This is sure to be a very informative podcast for anyone with little to no experience in conducting systematic reviews, or individuals who find interpretations of systematic review challenging. There has been a huge upturn in the amount of systematic reviews since the beginning of the pandemic, and this podcast aims to provides people with the basic tools needed to conduct a successful systematic review.
Tue, 06 Sep 2022 - 540 - How We Review a Medical Education Research Manuscript
In this podcast, Drs. Molly Hayes and Hank Fessler discuss their thoughtful approach and experience with the peer review process of medical education-based literature, as published in their recent article in ATS Scholar.
Tue, 30 Aug 2022 - 539 - Interventional Pulmonology Career Pathways (Thoracic Oncology Assembly): Balancing IP with translational cancer research and making the switch to industry
Dr. Edmund Moon balanced running a successful translational research lab in the area of CAR T cell therapies for solid organ tumors with clinical Interventional pulmonary prior to recently joining GSK. We talk to him about translational research in lung cancer, the difficulties of running a successful lab while maintain clinical IP skills and what attracted him to industry.
Tue, 23 Aug 2022 - 538 - ATS Critical Care Assembly Presents The Top Case Reports from ATS 2022
Every year, the ATS Critical Care Assembly receives hundreds of critical care case report submissions. In the past few years, there has been a focused and systematic effort to improve the quality of these case reports and the feedback to submitters. ATS 2022 represented a marked success in this effort, and the Critical Care Assembly hosted dozens of poster sessions highlighting these fascinating cases. Additionally, for the first time, there were two discussion sessions to allow attendees to engage with the authors and case reports even further. In this episode, we highlight four of the top critical care case reports from the ATS 2022 National Conference. We also review the newly implemented scoring rubric and get some great tips from our guests about how to write and present an expert quality case report.
Tue, 16 Aug 2022 - 537 - Pulmonary-Palliative Care Episode 2: Initiating dialogue about Advance Illness Planning and Goals of Care for Advanced Lung Disease Patients
An engaging and informative podcast tackling issues surrounding pulmonary palliative care and improving the quality of life for advanced lung disease patients.
Tue, 09 Aug 2022 - 536 - How to Negotiate Your First Contract
In this podcast Dr. Mark Adelman moderates a panel discussion focused on the first job search with Drs. Steve Doyle and Jennifer McCallister from The Ohio State University Wexner Medical Center and Dr. Michelle Sharp from Johns Hopkins University. The conversation discusses a general approach to the job search as well as effective strategies for negotiating key aspects of your first contract.
Fri, 01 Feb 2019 - 535 - Elevator Pitch: Zentensivism
In this "Breathe Easy Elevator Pitch" podcast, Dr. Siva Bhavani interviews Dr. Matt Siuba, and they discuss the philosophy of maximally-attentive minimally-invasive critical care known as Zentensivism.
Tue, 02 Aug 2022 - 534 - Pediatric PAP Adherence: Handling Loss to Follow-up and When to Stop Psychology Involvement and Seek Alternatives to PAP Therapy
This podcast includes pediatric pulmonary, psychology, and sleep specialist nationally and is an open discussion on how our programs handle loss to follow-up and when to stop psychology involvement and seek alternatives to PAP Therapy.
Tue, 26 Jul 2022 - 533 - Pediatric PAP Adherence: The Role of Telehealth and Remote Tracking Programs to Improve Pediatric PAP Adherence
This podcast includes pediatric pulmonary, psychology, and sleep specialist nationally and is an open discussion on how Telehealth and remote tracking programs are utilized in each of our practices.
Tue, 19 Jul 2022 - 532 - A Conversation with Dr. Curtis
Dr. Curtis shares his perspective on his diagnosis of a serious medical illness and reflects on his work in light of this diagnosis.
Tue, 12 Jul 2022 - 531 - ATSRxPodcast: Push Dose Vasopressors
Dr. Lemieux discusses the safety and efficacy of peripheral administration and push dose vasopressors in the management of hypotension.
Tue, 05 Jul 2022 - 530 - ATSRxPodcast: Non-Catecholamine Vasopressors in Septic Shock
Drs. Sacha and Wieruszewski discuss the use of vasopressin and angiotensin II in septic shock. They discuss when to start adjunct vasopressors, what patients may receive the most benefit, and weaning strategies.
Tue, 28 Jun 2022 - 529 - ATSRxPodcast: Future of Biomarkers and Precision Medicine in SepsisTue, 21 Jun 2022
- 528 - Pediatric PAP Adherence: Medication Utilization for PAP Desensitization and Sleep Initiation and Maintenance in Special Pediatric Patient Populations
This podcast includes pediatric pulmonary, psychology, and sleep specialist nationally and is an open discussion on the role of medications to improve PAP desensitization and sleep initiation and maintenance.
Tue, 14 Jun 2022 - 527 - Pediatric PAP Adherence: Utilizing Alternative PAP supplies and Alternatives to PAP Therapy
This podcast includes pediatric pulmonary, psychology, and sleep specialist nationally and is an open discussion on alternative PAP supplies and alternatives to PAP therapy such as HFNC.
Tue, 07 Jun 2022 - 526 - Pediatric PAP Adherence: Selecting the Optimal PAP Setting to Improve Patient Adherence
This podcast includes pediatric pulmonary, psychology, and sleep specialist nationally and is an open discussion on the role of adjusting different PAP settings – CPAP versus BPAP versus auto-titrating modalities and even using lower than optimal PAP pressures to acclimate a patient.
Tue, 31 May 2022 - 525 - Critical Perspective: PEEP and Lung Recruitment Selection Strategies with Mortality in Acute Respiratory Distress Syndrome
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Drs. Jose Dianti and Ewan Goligher. They discuss their recent 2022 publication in the Blue Journal about the association of PEEP and Lung Recruitment Selection Strategies with Mortality in Acute Respiratory Distress Syndrome: A Systematic Review and Network Meta-Analysis.
Tue, 17 May 2022 - 524 - ATS 2022 Preview and Guide to the Meeting
In this podcast, Dr. Marc Gauthier moderates a panel discussion with Drs. Sara Assaf, Cathy Bonham, Blanca Himes and Anne Sperling about the upcoming ATS Annual Meeting in San Francisco. The discussion focuses on the structure of the meeting and tips for approaching and navigating the meeting as a fellow, post-doc or junior faculty member.
Tue, 10 May 2022 - 523 - ATS Sleep Roadmap 2022
Discussion with Dr. Naomi Shah on various sleep-related offerings at the ATS2022 international conference.
Fri, 06 May 2022 - 522 - Interviewing for Your First Job in the Virtual EraTue, 03 May 2022
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