Highlights from November
This month’s handpicked reading list
COPD
Silent Airway Mucus Plugs in COPD and Clinical Implications
Original research finds that older age, female sex, and Black race are risk factors for silent mucus plugs, which were associated with worse functional, structural, and clinical measures of COPD.
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CRITICAL CARE
Association Between Spontaneous Breathing Trial Methods and Reintubation in Adult Critically Ill Patients
A network meta-analysis of randomized controlled trials investigating the effects of different spontaneous breathing trial methods on reintubation found that the only intervention with a statistically lower risk of reintubation compared with T-tube was high-flow oxygen.
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EDUCATION AND CLINICAL PRACTICE
Effective Behaviors of Leaders During Clinical Emergencies
Original research identifies three themes related to leadership during clinical emergencies—control, collaboration, and common understanding—that provide a potential framework to develop a leadership curriculum for critical care trainees.
PULMONARY VASCULAR
Exercise Hemodynamics Predict Pulmonary Arterial Hypertension in BMPR2 Mutation Carriers
Before development of pulmonary arterial hypertension in BMPR2 mutation carriers, α is reduced markedly and may serve as a useful parameter in the setting of early disease detection.
SLEEP
Identifying Risk of Postoperative Cardiorespiratory Complications in OSA
A cohort study of 6,770 consecutive patients who underwent diagnostic polysomnography for possible OSA provides a basis for better identifying high-risk patients with OSA and determining appropriate postoperative care.
THORACIC ONCOLOGY
Pulmonologists’ Attitudes and Role in Precision Medicine Biomarker Testing for Non-Small Cell Lung Cancer
Despite the role of bronchoscopy and pulmonology societal guidelines for staging, qualitative research finds that pulmonologists lack the necessary resources and multidisciplinary infrastructure likely required to efficiently accomplish biomarker testing.
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