CHEST Journal Podcasts

Terence K. Trow, MD, FCCP (one of the authors for the new Pharmacologic Therapy for Pulmonary Arterial Hypertension (PAH) in Adults CHEST Guideline and Expert Panel Report); Mary G. George, MD (corresponding author of the new CDC pulmonary hypertension surveillance report); and editorialist Anna R. Hemnes, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP to review these important articles. The new CHEST PAH Guidelines distill the available evidence on new therapies and treatment. Among the points emphasized by Dr. Trow is the need to use more than echocardiograms in diagnosis; right-sided heart catheterization is also required. Dr. George reviews the data from the National Vital Statistics System and from the National Hospital Discharge Survey, noting that after a period of decline, the mortality associated with PH among men is beginning to rise; a rise among women also continues.

Clive Kearon, MD, PhD, and COL Lisa K. Moores, MC, USA, FCCP, join CHEST Evidence-Based Medicine Section Editor, Ian T. Nathanson, MD, FCCP, to review the important updates to the VTE Guidelines. This is the first of the topic updates to CHEST since the move to a "living guidelines" model, where topics will be updated on a rolling basis, not compiled into a single supplement containing all updates.

Gerard J. Criner, MD, FCCP, is interviewed by CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, on the just released guidelines for the prevention of acute exacerbations of COPD, a major cause of morbidity and mortality in the United States and the world.

Matthew C. Miles, MD, FCCP, and Rendell W. Ashton, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss strategies for success in fellowship. This is the first article in the new CHEST section Teaching, Education, and Career Hub (TEaCH).

Laura Myers, MD, MPH, and Joseph D. Zibrak, MD, join CHEST Podcast Editor, Gretchen R. Winter, MD, to discuss medical malpractice involving pulmonary and critical care physicians.

Angel O. Coz Yataco, MD, FCCP, and Jayshil J. Patel, MD, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss the administration of broad-spectrum antibiotics in patient with sepsis.

Steven Simpson, MD, and Clifford S. Deutschman, MD, MS, join CHEST Podcast D. Kyle Hogarth, MD, FCCP to discuss the merits of the new Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), recently published in JAMA. Dr. Simpson wrote an editorial for CHEST on this topic.

James D. Chalmers, MD, PhD, and Ian D. Pavord, FMedSci, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate if inhaled corticosteroids should be withdrawn in patients with in GOLD 3 COPD.

Paul E. Marik, MD, FCCP, and Mitchell M. Levy, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether the Surviving Sepsis Campaign guidelines should be retired.

Richard S. Irwin, MD, Master FCCP (CHEST Editor in Chief and Cough Guidelines Panel Chair) and Cough Expert Panel Member Tamara Pringsheim, MD, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to introduce the latest updates to the CHEST Cough Guidelines. The introductory overview article is published in this month's issue and other cough topic updates will be published in upcoming issues of CHEST. The focus of this month's podcast is the development of the current guidelines. Drs. Irwin and Pringsheim emphasize the importance of evaluating research to make recommendations and the importance of bringing experts in all fields to the table. Dr. Pringsheim, in addition to being a guideline writing expert, was invited to join the panel because she is a neuroscientist specializing in movement disorders and could better help to evaluate evidence for habit cough. 

Marin H. Kollef, MD, FCCP, and Eddy Fan, MD, PhD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate if persistent or worsening ARDS refractory to optimized ventilation and proning deserve​s​ a trial of​​ prostacyclin​.​

Borja G. Cosio, MD, and Peter Barnes, MD, Master FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss Dr. Cosio et al's study that proposes diagnostic criteria to identify patients with asthma-COPD overlap syndrome (ACOS).

Tracy J. Doyle, MD, MPH, and Ivan O. Rosas, MD, FCCP, discuss the findings of their research, suggesting that subclinical rheumatoid arthritis-associated interstitial lung disease is prevalent and that a subset of patients will experience progression of lung disease over time. D. Kyle Hogarth, MD, FCCP, podcast editor of CHEST interviews them and editorialist Gregory P. Cosgrove, MD, FCCP, to review the data, particularly at-risk patients. 

Jose L. Cardenas-Garcia, MD, and Seth J. Koenig, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether all initial episodes of hemoptysis should be evaluated by bronchoscopy.

In this month's podcast, Pietro Caironi, MD, and Angel O. Coz Yataco, MD, FCCP take on the Point/Counterpoint topic with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP. Dr. Caironi takes the "Yes" side, arguing that albumin has been shown to correct for hypoalbumenia in patients with sepsis. Dr. Coz Yataco takes the opposing view that mortality rates are not shown to improve and that the cost is high.

Ahmed H. El-Sherief, MD, and editorialist Galit Aviram, MD, join CHEST podcast editor, D. Kyle Hogarth, MD, FCCP, to discuss the study by Dr. El-Sherief and others on the inconsistencies in lymph node classification and the need for a lymph node map that simultaneously communicates a standard set of lymph node station definitions in three languages—using the language of anatomic landmarks for surgeons, bronchoscopic landmarks for pulmonologists, and visual CT landmarks for radiologists.

Brian Funaki, MD, and Mark L. Lessne, MD, joint CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss this month's Point/Counterpoint debate: Do the Benefits Outweigh the Risks for Most Patients Under Consideration for Inferior Vena Cava Filters?

Craig M. Lilly, MD, FCCP, and Curtis N. Sessler, MD, FCCP, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss battling intensivist burnout.

Dominique Pepper, MD, and Andre C. Kalil, MD, MPH, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the serial procalcitonin measurement for antibiotic de-escalation and discontinuation.

Emily Henkle, PhD, MPH, and James D. Chalmers, MBChB, PhD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the high prevalence of bronchiectasis in the U.S. and significant heterogeneity in bronchiectasis patients with and without COPD.