ATS Breathe Easy

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.

References:  Roy-Chowdhuri S, Dacic S, Ghofrani M, Illei PB, Layfield LJ, Lee C, Michael CW, Miller RA, Mitchell JW, Nikolic B, Nowak JA, Pastis NJ Jr, Rauch CA, Sharma A, Souter L, Billman BL, Thomas NE, VanderLaan PA, Voss JS, Wahidi MM, Yarmus LB, Gilbert CR. Collection and Handling of Thoracic Small Biopsy and Cytology Specimens for Ancillary Studies: Guideline From the College of American Pathologists in Collaboration With the American College of Chest Physicians, Association for Molecular Pathology, American Society of Cytopathology, American Thoracic Society, Pulmonary Pathology Society, Papanicolaou Society of Cytopathology, Society of Interventional Radiology, and Society of Thoracic Radiology. Arch Pathol Lab Med. 2020 May 13. doi: 10.5858/arpa.2020-0119-CP. Epub ahead of print. PMID: 32401054. Yatabe Y, Dacic S, Borczuk AC, Warth A, Russell PA, Lantuejoul S, Beasley MB, Thunnissen E, Pelosi G, Rekhtman N, Bubendorf L, Mino-Kenudson M, Yoshida A, Geisinger KR, Noguchi M, Chirieac LR, Bolting J, Chung JH, Chou TY, Chen G, Poleri C, Lopez-Rios F, Papotti M, Sholl LM, Roden AC, Travis WD, Hirsch FR, Kerr KM, Tsao MS, Nicholson AG, Wistuba I, Moreira AL. Best Practices Recommendations for Diagnostic Immunohistochemistry in Lung Cancer. J Thorac Oncol. 2019 Mar;14(3):377-407. doi: 10.1016/j.jtho.2018.12.005. Epub 2018 Dec 18. PMID: 30572031; PMCID: PMC6422775. Sehgal IS, Gupta N, Dhooria S, Aggarwal AN, Madan K, Jain D, Gupta P, Madan NK, Rajwanshi A, Agarwal R. Processing and Reporting of Cytology Specimens from Mediastinal Lymph Nodes Collected using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A State-of-the-Art Review. J Cytol. 2020 Apr-Jun;37(2):72-81. doi: 10.4103/JOC.JOC_100_19. Epub 2020 Apr 2. PMID: 32606494; PMCID: PMC7315917. Wahidi MM, Herth F, Yasufuku K, Shepherd RW, Yarmus L, Chawla M, Lamb C, Casey KR, Patel S, Silvestri GA, Feller-Kopman DJ. Technical Aspects of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: CHEST Guideline and Expert Panel Report. Chest. 2016 Mar;149(3):816-35. doi: 10.1378/chest.15-1216. Epub 2016 Jan 12. PMID: 26402427.

A practical case-based approach to the selection of intravenous fluids in the ICU.

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).

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.

ReviewersRyan Thomas, MDElizabeth Fiorino, MDRob Tepper, MDAlbin Leong, MDAdditional AcknowledgementsMichael Kiernan, MD (for expertise on scuba physiology)Contact InformationEmail: TidalVolumeATSPeds@gmail.comTwitter: @ATSPedsReferencesRatjen FA, Colin AA, Stark AR, Mead J, And Wohl MEB, Changes of time constants during infancy and early childhood. J. Appl. Physiol. 67(5):2112-2115, 1989.LeSouef PN, England SJ, and Bryan AC, Passive Respiratory Mechanics in Newborns and Children, Am Rev Respir Dis, 1984:  129:552-558.Otis AB et al, Mechanical Factors in the Distribution of Ventilation, J Appl Physiol,  8(4):  427-443.Deranged Physiology > Respiratory System > Mechanics of Breathing >Time Constants:  https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20034/time-constants

Fatigue Outcome Measures 

Show Notes If you enjoyed this content, please follow or subscribe and leave us a review!  Access the ATS Reading List. Recommended Reading McEvoy et al. 2016. CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea.Weaver et al. 2012. Continuous positive airway pressure treatment of sleepy patients with milder obstructive sleep apnea: results of the CPAP Apnea Trial North American Program (CATNAP) randomized clinical trial. Weaver et al. 1999. An instrument to measure functional status outcomes for disorders of excessive sleepiness.  Berry et al. 2012. American Academy of Sleep Medicine. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. 

More Information: ATS COVID-19 Resource Center

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.