Sitemap - 2013 - PulmCCM

Best of 2013 in PulmCCM (Part 2 of 2)

Best of 2013 in PulmCCM (Part 1 of 2)

Overdiagnosis rate with lung cancer screening CT is 18%

Respect the glycocalyx - or at least know it exists

Management of obstructive sleep apnea: New guideline from ACP

Ventilator-Induced Lung Injury Review (Part 2 of 2)

Ventilator-Induced Lung Injury Review (Part 1 of 2)

Do colloids save lives in hypovolemic shock?

CPAP for sleep apnea improved drug-resistant hypertension

Hypothermia did not help after out-of-hospital cardiac arrest, in largest study yet

Idiopathic pulmonary fibrosis linked to herpesvirus infection

Shock Review: Mechanisms and Therapies

Shock Review: Goals of Therapy

Statins don't help in ventilator-associated pneumonia treatment

"CPAP cures metabolic syndrome" paper in NEJM: retracted!

Breath tests can accurately diagnose lung cancer

Olodaterol, a new once-daily LABA, proven effective for COPD

Breo Ellipta (vilanterol/fluticasone) matches Advair in RCT

Indacaterol vs Tiotropium: Tie on FEV1; Spiriva wins on exacerbations

"Choosing Wisely" campaign targets pulmonary hypertension drugs' off-label use

Esmolol infusion reduced septic shock mortality by 40% in RCT

Dysphagia and swallowing disorders in the ICU (Review)

Dupilumab reduced asthma exacerbations by ~90% in RCT

Ambrisentan (Letairis) stopped early in IPF trial

Ultrasound for central line placement: crucial, or just a crutch?

Overnight intensivists unnecessary in well-staffed ICUs? (Meta-analysis)

Riociguat (Adempas) approved for PAH and CTEPH (pulmonary hypertension)

Home testing for sleep apnea bankrupting U.S. sleep centers

Spiriva Respimat inhaler as safe as HandiHaler (TIOSPIR)

Mechanical ventilation in ARDS due to sepsis

Pulmonary rehabilitation: no benefit at one year, even with extended Rx? (Review)

Blood products for sepsis and septic shock

Intubation Checklists -- are theirs better than yours?

E-cigarettes prove effective for smoking cessation

Vasopressors for septic shock

Mild weight gain after quitting smoking outweighed by cessation's benefits

Join Us at the 2013 Pittsburgh International Lung Conference

Ultrasound Case 2: Unexplained tachycardia and dyspnea

Surviving Sepsis guidelines: useful, but patients deserve individualized care

Review of Surviving Sepsis Guidelines 2013

Review of Surviving Sepsis Guidelines: Diagnosis of Sepsis and Septic Shock

Review of Surviving Sepsis Guidelines: Early Goal Directed Therapy, Initial Fluid Resuscitation

Review of Surviving Sepsis Guidelines: Initial Antibiotic / Antimicrobial Therapy

How to diagnose asthma (Review)

More children to be considered for adult lung transplants

Vasopressin, steroids, epinephrine cocktail improved cardiac arrest outcomes

How to manage lung cancer when resection is high risk

Low tidal volume ventilation reduces complications from abdominal surgery

USPSTF Recommends Lung Cancer Screening CT; Obamacare Pays

Oral N-acetylcysteine (NAC) reduces COPD exacerbations in RCT

Riociguat for Pulmonary Hypertension: New Kid on the Block

Riociguat improves chronic thromboembolic pulmonary hypertension (CTEPH)

How to ration lung cancer screening CTs, rationally

Diagnosing and managing obstructive sleep apnea, before and after surgery (Review)

Intensivists overnight in the ICU don't help, if you're already good

Biomarkers help predict COPD exacerbations

Early parenteral nutrition does not improve survival

EUS with EBUS beat transbronchial biopsies for diagnosis of sarcoidosis in RCT

In COPD exacerbations, 5 days steroids seem as good as 14 (REDUCE trial)

Many people with metastatic lung cancer think radiation can cure

Early tracheostomy does not improve survival or other outcomes (TracMan trial)

FDA warns against use of Hetastarch in ICU

In intracerebral hemorrhage, rapid blood pressure reductions were safe (INTERACT2)

High-Altitude Illness: Prediction, Prevention, Treatment

Decontaminate all incoming ICU patients to reduce infections, says RCT

Ultrasound in the ICU: Hypotension after a cholecystectomy (Case 1)

Why do we bother to check CVP?

Managing anticoagulation for surgery and invasive procedures (Review)

How safe is EBUS? Complication rates <1% at experienced centers

A turn for the best? Prone positioning saves lives in ARDS trial

How to prevent COPD exacerbations

"Checking residuals" during tube feeding on mechanical ventilation: unnecessary?

New lung cancer prediction tool promises better use of screening CT

Staph vaccine fails in cardiothoracic surgery patients

Taking Apixaban (Eliquis) after completing Coumadin prevents recurrent DVT/PE

FDA approves Breo Ellipta, a new once-daily COPD inhaler treatment

Killer carbapenem-resistant bacteria spreading through LTACs

Allowing families to witness CPR had positive effects (RCT)

Pulse oximetry as time machine: Lag times confuse doctors, complicate intubations (EMCrit)

The fight against dogma in critical care

Anti-reflux therapy no help for most with chronic cough

How dangerous are ground glass nodules over time?

Inferior vena cava filters: debatable benefit; rarely removed

Obesity may improve survival in ARDS, but with renal failure

New GOLD guidelines: Better than the old GOLD

Got sleep apnea? Climbing Everest? Pack your Diamox (RCT)

What works to help people with pulmonary fibrosis feel better? (Review)

Having a pulmonary embolism? Don't wait for the weekend

Maintenance of board certification needs overhaul, now (Jonathan Weiss)

Passive leg raise offers promise in predicting fluid responsiveness

Big Tobacco win: Feds to take breather in fight for scary cigarette labeling

Bactrim for idiopathic pulmonary fibrosis? Intriguing, but not yet (RCT)

FDA warns of sudden cardiac death with use of azithromycin

High frequency oscillation ventilation fails as 1st-line treatment for ARDS (RCTs)

Weaning from Mechanical Ventilation Update (Review)

Hope floats: Fecal transplants cure >90% of recurrent C. difficile (RCT)

Diuretics beat ultrafiltration at treating congestive heart failure with acute renal failure (RCT)

"Trach collar" beats pressure support trials for long-term ventilator weaning (RCT)

Knowing When, When Knowing Is Impossible (Paul McLean)

Intubation in pre-hospital cardiac arrest strongly associated with worse outcomes

Time to retire routine replacement of peripheral IVs

Pulmonary Hypertension Update, Part 2: Treatment of PH (Review)

Blood transfusion harmful in some patients with GI bleeds (RCT)

Pulmonary Hypertension Update, Part 1: Classification & Diagnosis (Review)

See CPAP work for OSA in this "explicit" video

Etomidate associated with increased mortality in sepsis: meta-analysis

Forget "embolic burden" of pulmonary embolism: location is everything

Continuing beta blockers safe during acute COPD exacerbations

Does your COPD patient need in-flight oxygen? New algorithm may help

Come One, Come All – Low tidal volumes improve outcomes

Does GERD really cause chronic cough?

Sedation vacations don't improve outcomes in large trial (RCT)

Intensive glucose control probably kills, says NICE-SUGAR post-hoc

PANTHER-IPF negative, stopped early for harm from steroids, Imuran in IPF (RCT)

Precedex as good as Versed or Propofol, but with cardiovascular effects (RCT)

Tranexamic acid saves lives, reduces transfusions. So why does no one use it? (Review)

Antibiotics (azithromycin) to prevent COPD exacerbations (Review)

Azithromycin reduces exacerbations in non-CF bronchiectasis (RCT)

Femoral lines might not be so bad after all for infection risk

Inhaled corticosteroids stunt growth of America's youth by a half-inch

At treating asthma, patients may be as good as their doctors (BASALT trial)

Adding tiotropium (Spiriva) helped some with uncontrolled asthma (RCT)

PET scans often inaccurate; may deny curative surgery for lung cancer

Should lactate clearance replace ScvO2 in sepsis protocols?

Hydroxyethyl starch fries kidneys in another large trial (RCT)