📰May issue out now!
🫁 Read content on septic shock, early mobilisation in the ICU,
#NSCLC
, ventilator associated
#pneumonia
, pulmonary sarcoidosis and more!
📑Editorial on barriers and ethical considerations in lung transplant:
NEW Series Paper—A tricompartmental model of lung oxygenation disruption to explain pulmonary and systemic pathology in severe
#COVID19
From Prof Dennis McGonagle & colleagues
NEW Comment: Michael A Matthay et al update on evidence-based treatment options that can be provided for patients with severe acute respiratory distress syndrome (
#ARDS
) from
#COVID19
Awake prone positioning of pts w/ hypoxaemic respiratory failure due to
#COVID19
reduces incidence of treatment failure & need for intubation w/o any signal of harm
Meta-trial from the Awake Prone Positioning Meta-Trial Group
NEW Research— Early administration of inhaled budesonide reduced the likelihood of needing urgent medical care and reduced time to recovery after early
#COVID19
RCT from Mona Bafadhel & colleagues
NEW Comment—Rational use of face masks in the
#COVID19
pandemic
S Feng et al compare face mask use recommendations by different health authorities & call for governments and public health agencies to make rational recommendations on appropriate use
"The conjunctival epithelium and the conducting airways appear to be potential portals of infection of
#SARSCoV2
"
Article from M Chan & co on tropism, replication competence, and innate immune responses of
#SARSCoV2
in respiratory tract and conjunctiva
NEW Research—Lenzilumab significantly improved survival without invasive mechanical ventilation in hospitalised patients with
#COVID19
LIVE-AIR trial from Prof Zelalem Temesgen & colleagues
NEW research: Awake prone positioning is feasible and improves oxygenation in patients with respiratory failure due to
#COVID19
-related
#pneumonia
.
From Giuseppe Foti & colleagues
NEW Series paper—Respiratory sequelae of
#COVID19
: pulmonary and extrapulmonary origins, and approaches to clinical care and rehabilitation
From
@SallySingh_
and colleagues
The first in a Series of three papers about
#PASC
#longCOVID
NEW: Clinical course and outcomes of critically ill patients with
#SARSCoV2
pneumonia in Wuhan, China: a single-centered, retrospective, observational study
#COVID19
#Coronavirus
In patients with mild-to-mod
#COVID19
managed without hospital admission, azithromycin + SOC did not reduce the risk of subsequent hospital admission or death
Read the ATOMIC2 trial here , being presented at
#ECCMID2021
by lead author Tim Hinks
@HinksLab
NEW Research—Benzodiazepine use and lack of family visitation are modifiable risk factors for delirium in patients with severe
#COVID19
Study from
@BadenesR
,
@WesElyMD
, and colleagues
NEW Research—Continued enteral nutrition until extubation in critically ill patients in the ICU is a practice that could be safe to implement and be associated with potential benefits
Read the trial from Mickaël Landais & colleagues here:
#SCCM2023
NEW Comment: F Taccone et al on hydroxychloroquine & critically ill
#COVID19
pts
“Whether antimalarial drugs could be effective in changing the disease course in pts with severe COVID-19—in particular, in cases requiring ICU admission—remains unknown"
NEW Research—In community-treated patients, the effect of colchicine on
#COVID19
-related clinical events was not significant
The COLCORONA study from Prof Jean-Claude Tardif & colleagues
The January 2022 issue is here:
Including content on spirometry, vocal chord dysfunction, invasive pneumococcal disease,
#IPF
, adrenal insufficiency,
#asthma
, pulmonary arterial hypertension, and much more!
Read it here:
The
#cytokinestorm
in
#COVID19
: "Targeting thrombin, coagulation factor Xa, or PAR-1, might be an attractive approach to reduce
#SARSCoV2
microthrombosis, lung injury, and associated poor outcomes"
NEW Correspondence from R Jose & A Manuel
NEW Research—Hospitalised
#COVID19
patients in UK who received inhaled form of interferon beta-1a were more likely to recover & less likely to develop severe symptoms than those who received placebo: phase 2 RCT
There is an urgent need for unification of terminology for the sequelae of
#SARSCoV2
infection to ensure that research is directed towards and translated into interventional trials to improve outcomes
NEW Comment—
#LongCOVID
: aiming for a consensus
In his year in review of genomics and precision medicine in lung disease, Victor Ortega highlights a
#GWAS
by Richard Allen and colleagues highlighting genetic associations with
#IPF
, published in The Lancet Respiratory Medicine.
#ATS2018
NEW— <1/4 of
#COVID19
cases shed infectious virus before symptom onset; after a 5-day self-isolation period from symptom onset, 2/3 of cases would still be infectious, but with reduced infectious viral shedding
Study from Seran Hakki & co
NEW—Baricitinib did not improve the composite primary endpoint of progression to NIV,
high-flow O2, IMV, or death; however, it did reduce 28-day all-cause mortality by 38·2% vs placebo (HR 0·57 [95% CI 0·41–0·78])
Read the COV-BARRIER study:
#ISICEM2021
NEW Research—Anakinra did not improve outcomes in patients with mild-to-moderate
#COVID19
pneumonia
CORIMUNO-ANA-1 trial from Xavier Mariette & colleagues
NEW Research—Early initiation of cytokine adsorption in patients with severe
#COVID19
and venovenous
#ECMO
did not reduce serum IL-6 and had a negative effect on survival
RCT from Alexander Supady & colleagues
NEW Research—Cumulative exposure to higher intensities of
#mechanicalventilation
was harmful, even for short durations
Prospective cohort study from Eddy Fan & colleagues on time-varying intensity of mechanical ventilation and mortality
NEW Comment—Immunotherapies for
#COVID19
: lessons learned from
#sepsis
K Remy et al argue if
#SARSCoV2
is similar to other chronic inflammatory & immune suppressive diseases—eg, sepsis—then immune stimulants should be considered as a first-line treatment
New Spotlight on
#COVID19
infection in children from Dr Ian P Sinha and colleagues
Includes info on a national guideline for management of children with
#COVID19
from
@RCPCHtweets
NEW Research—In suspected
#COVID19
in the community, doxycycline was not associated with clinically meaningful reductions in time to recovery or hospital admissions or deaths, and should not be used as a routine treatment
Read the PRINCIPLE trial here
NEW Comment—
#SARSCoV2
antigen testing: weighing the false positives against the costs of failing to control transmission
From Elizabeth Fearon & colleagues
NEW Research—A single dose of the FINLAY-FR-1A vaccine against
#SARSCoV2
strengthened the pre-existing natural immunity, with excellent safety profile
RCT from
@OchoaAzze
& colleagues
NEW Research—Heterologous ChAdOx1 nCov-19–BNT162b2 immunisation w/ 10–12-week interval is well tolerated & improves immunogenicity vs homologous ChAdOx1 nCov-19 vax w/ 10–12-week interval & BNT162b2 vax w/ 3-week interval
Study from Prof Sander & co
NEW Personal View—Confronting
#COVID19
-associated
#cough
and the
#postCOVID
syndrome: role of viral neurotropism, neuroinflammation, and neuroimmune responses
From Prof Kian Fan Chung and colleagues
"Lung damage from bronchiectasis is irreversible and treatment options are scarce. Until recently, most trials have been negative."
Read our Editorial on
#bronchiectasis
here:
NEW Research—Point-of-care serological assays for delayed
#SARSCoV2
case identification among health-care workers in the UK
From Capt Scott J C Pallett & colleagues
Our NEW MAY ISSUE is here: including content on
#COPD
, primary ciliary dyskinesia, prematurity-associated lung disease, and much more!
Check it out here:
NEW—Updated, long-term data from the CROWN study show durable benefit of lorlatinib vs crizotinib in pts w/ treatment-naive, ALK-positive
#NSCLC
From Prof Benjamin Solomon & colleagues
NEW Research—
#Tocilizumab
is not an effective therapeutic option for adults with
#COVID19
, although there might be a role for it in adults with severe
#COVID19
in India
From Arvinder Soin & colleagues
With accompanying podcast:
The first issue of
@LancetRespirMed
for 2021 is here
Includes original research on
#RSV
,
#asthma
, pulmonary embolism,
#IPF
, and systemic sclerosis-ILD, and much much more!
Home oxygen probably makes little or no difference to 3-year mortality in pts with
#COPD
and moderate hypoxaemia
Systematic review & meta-analysis from Yves Lacasse & colleagues
NEW—At baseline,
#COVID19
-related
#ARDS
has no consistent resp subphenotype. Pts diverged from fairly homogenous to a more heterogeneous popn, w/ trajectories of ventilatory ratio and mechanical power being the most discriminatory.
PRoVENT–COVID study:
CORRESPONDENCE: Effectiveness of COVID-19 vaccines to prevent
#longCOVID
: data from Norway
Data demonstrate real-world effectiveness of COVID-19 vaccines to prevent long COVID symptoms and post-COVID thromboembolic and cardiovascular complications
NEW Research—
@ISARIC4C
Deterioration model for adults hospitalised with
#COVID19
can predict clinical deterioration and inform decision making
From Rishi Gupta and colleagues
@CCPUKstudy
@ucl
A stay in the
#ICU
can have long-lasting physical and psychological consequences. This month’s cover story is about the InS:PIRE programme in Glasgow, which helps people to get back on their feet after
#CriticalCare
. .
@GRIICUQI
@taraquasim
NEW Research—Early mobilisation might improve long-term cognitive impairment in ICU survivors after MV, but the increased risk of adverse events in the intervention group should be noted
Read the RCT from Bhakti Patel & colleagues here:
#SCCM2023
NEW Research—Sleep disturbance after hospitalisation for
#COVID19
is associated w/ dyspnoea, anxiety, & muscle weakness. Targeting sleep disturbance might be beneficial in treating the
#postCOVID19condition
From Callum Jackson & colleagues
#ECCMID
Attending
@ERSTalk
#ERSCongress
in Paris? You are invited to join our Editor Emma Grainger and a panel of experts to discuss new insights in diagnosis and treatment of
#bronchiectasis
Read a new Series with
@TheLancet
“When the tobacco industry makes donations or invests in a community, it is not doing so out of generosity; there are always strings attached”
NEW Spotlight—
#Tobacco
industry capitalises on the
#COVID19
pandemic
The final issue of
@LancetRespirMed
for 2020 is live!
Includes original
#COVID19
research:
1) COVID-19 in UK homeless population
2) Pathophysiology of COVID-19-associated
#ARDS
And much, much more