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Advancing best patient outcomes in chest medicine. Official account of the American College of Chest Physicians® #CHEST2024 @journal_CHEST
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Commonly used phrases in critical care that can be misleading or disempowering and what to say instead:
#journalCHEST
3
166
329
Acute respiratory failure is one of the most common reasons for admission to the intensive care unit. Check out our infographic on hypoxemic respiratory failure and learn more on the CHEST
#COVID19
Resources page:
#CHESTCritCare
1
122
316
Original research suggests that implementing a protocol for peripheral administration of norepinephrine safely can avoid 1 central venous catheter day in the average patient. Read more in the February
@journal_CHEST
issue:
#MedTwitter
#MedEd
#CritCare
10
94
287
No difference in anaerobic infections in severe aspiration community-acquired pneumonia vs CAP with aspiration risk factors:
#journalCHEST
4
134
269
Night shift workers usually sleep 1 to 4 hours less per day than daytime workers. A new infographic from the CHEST Sleep Medicine Network outlines strategies for before, during, and after your shift to maximize quality sleep.
#CHESTSleep
#SleepMedicine
4
113
267
Prone positioning may be utilized for patients in hypoxemic respiratory failure. Learn about possible positions, physiology, clinical data, and practical considerations:
#COVID19
#CHESTCritCare
2
71
192
Diagnosis and Management of Myositis-Associated Lung Disease. Read the full
#CHESTReview
in the June
@journal_CHEST
issue:
#MedEd
#MedTwitter
0
76
150
How I Do It: How We Escalate Vasopressor and Corticosteroid Therapy in Patients With
#SepticShock
. Read the full original research in the March
@journal_CHEST
issue:
#MedEd
#MedTwitter
#CritCare
#Sepsis
1
68
177
We are pleased to announce that Dr. Anthony Fauci will be giving our keynote address on Sunday, October 18, at
#CHEST2020
.
Learn more and register now:
3
53
169
Late intubation associated with longer ICU LOS and duration of MV in
#COVID19
.
Nonsurvivors had longer time to intubation vs survivors.
Read more in the latest issue of
#journalCHEST
:
5
70
160
Antimicrobial stewardship can help improve patient care, especially in cases of COVID-19. Learn more:
1
79
159
CHEST presents a simple method for blood gas interpretation that will provide a basic foundation of understanding.
For more, visit the CHEST
#COVID19
Clinical Resources page:
#CHESTCritCare
2
61
149
Diffuse alveolar damage reported on histopathology in 88% patients with
#COVID19
, similar to both H1N1 (90%) and SARS (98%):
#journalCHEST
2
79
143
Late intubation associated with longer ICU LOS and duration of MV in
#COVID19
.
Nonsurvivors had longer time to intubation vs survivors.
Read more in
#journalCHEST
:
6
79
136
Acute respiratory failure is one of the most common reasons for admission to the intensive care unit. Check out our infographic on hypoxemic respiratory failure and learn more on the CHEST
#COVID19
Resources page:
#CHESTCritCare
0
56
131
A doctor in Bangladesh has found a simple way to treat infant pneumonia by using shampoo bottles as makeshift ventilators.
3
79
129
RV dysfunction in sepsis:
* In 48% patients with sepsis
* Associated with threefold ↑ 28-day mortality
Read the study in
#journalCHEST
:
2
57
133
Pictorial Review of Fibrotic Interstitial Lung Disease on High-Resolution CT Scan and Updated Classification
Read the full review in the April
@journal_CHEST
issue:
#MedEd
#MedTwitter
1
68
130
89% patients developed atelectasis in at least 1 out of 8 segments and 72% patients in at least 4 segments during bronchoscopy under general anesthesia:
#journalCHEST
4
48
125
#journalCHEST
“How I Do It”
Using diaphragm ultrasound in weaning from mechanical ventilation:
0
43
125
@raykakumru
We value the effort taken to bring this to our attention. Any measures to address the actions of an individual are confidential. CHEST does not endorse these values and emphasizes the importance that all people be treated with respect and dignity by their clinicians.
6
0
119
Prone positioning may be utilized for patients in hypoxemic respiratory failure. Learn about possible positions, physiology, clinical data, and practical considerations:
#COVID19
#CHESTCritCare
3
48
121
Radiographic Lung Abnormalities in First-Degree Relatives of Patients With Different Subtypes of
#PulmonaryFibrosis
. Read the full research letter in the June
@journal_CHEST
issue:
#MedTwitter
#MedEd
0
33
119
Commonly used phrases in critical care that can be misleading or disempowering and what to say instead:
#journalCHEST
0
67
119
Fellow-in-training member, Meredith Greer, MD (
@EmmGeezee
), shares the top 10 things she wishes she had known when starting her fellowship:
#lifeasafellow
5
27
118
Surviving critical illness does not always equate to recovery, with its aftermath frequently complicated by post-intensive care syndrome (PICS). Read more in
#journal_CHESTCritCare
:
#MedEd
#MedTwitter
#CritCare
1
61
118
CHEST stands with our members and health care providers everywhere as they continue to stand on the frontlines of COVID-19. Thank you
@gbosslet
for speaking up in front of the Indiana legislature. Help spread the word.
“I did not sign up to see people die needlessly” Watch this courageous testimony from Dr. Bosslet, pulmonary, critical care physician. All our professional societies
@accpchest
@atscommunity
@SCCM
should amplify! Thank you
@gbosslet
#PeopleILookUpTo
9
180
518
2
20
115
Focused Lung and Cardiac Ultrasound Exams in COVID-19 Patients—now available on our
#COVID19
resource page:
0
67
114
An organization is only as good as its employees and we’ve got some of the best. A big thank you goes to our staff for putting such a tremendous effort into making
#CHEST2022
a success! 🎉👏
4
15
113
Systematic review on vaping-related acute parenchymal lung injury published in
#journalCHEST
:
2
87
112
Is contrast administration associated with acute
#kidney
injury in the critically ill?
#journalCHEST
2
75
109
Special Feature summarizes disease presentations and provides a practical approach to diagnosis of organizing pneumonia. Read the article from the
@journal_CHEST
's July issue:
#MedEd
#MedTwitter
0
59
110
Prone positioning may be utilized for patients in hypoxemic respiratory failure. Learn about possible positions, physiology, clinical data, and practical considerations:
#COVID19
#CHESTCritCare
1
35
107
Understand the roles of respiratory rate and dead space when implementing lung-protective ventilation:
#journalCHEST
1
38
106
Acute respiratory failure is one of the most common reasons for admission to the intensive care unit. Check out our infographic on hypoxemic respiratory failure and learn more on the CHEST
#COVID19
Resources page:
#CHESTCritCare
0
48
105
Comparative Survival Analysis of Immunomodulatory Therapy for COVID-19 Cytokine Storm:
#journalCHEST
1
42
102
Diagnosis and Management of Myositis-Associated Lung Disease. Read the full
#CHESTReview
in the June
@journal_CHEST
issue:
#MedEd
#MedTwitter
0
50
98
There are several types of vaccines currently under development for
#COVID19
, each with different potential strengths and weaknesses. Understand each vaccine's mechanisms of action, pros and cons and which companies are developing which vaccines:
3
58
95
Dr. Erin Cowley shares her battle with imposter syndrome and tips on how to combat it.
1
56
90
The first study to assess the effectiveness of nebulized tranexamic acid in patients with hemoptysis: could this be the magic elixir we’ve been waiting for?
#journalCHEST
3
57
91
A recent study discovered that vaping with nicotine causes sticky mucus that may lead to chronic illness.
8
84
89
With so much
#COVID19
content to navigate online, ask yourself these questions to help decide what is relevant info, especially before posting. For more coronavirus resources, visit:
#coronavirus
2
64
88
Diffuse alveolar damage reported on histopathology in 88% patients with
#COVID19
, similar to both H1N1 (90%) and SARS (98%):
#journalCHEST
1
41
87
Acute respiratory failure is one of the most common reasons for admission to the intensive care unit. Check out our infographic on hypoxemic respiratory failure and learn more on the CHEST
#COVID19
Resources page:
#CHESTCritCare
0
43
90
CHEST updates their antithrombotic therapy guidelines for patients with atrial fibrillation.
1
41
88
After an extensive review of the present and potential conditions affecting in-person participation, CHEST 2021 will be fully online again this year. We learned from last year and are ready to do it better all over again. Learn more:
#CHEST2021
5
31
87
Noninvasive ventilation, or assisted breathing using positive pressure delivered by a nasal, mask, or helmet interface, is increasingly used in the critical care setting to support impending respiratory failure:
#COVID19
#CHESTCritCare
0
43
88
Optimal SaO2 is 94% to 98% with
#hypoxemia
and
#hyperoxemia
; both are associated with increased mortality.
#journalCHEST
1
73
86
And the winner is…Case Western Reserve University (MetroHealth)! 🏆
Congrats to the new
#CHESTChallenge2020
champions! 🎉
#CHEST2020
4
17
87
Prevalence of pulmonary embolism during an acute exacerbation of COPD varies from 3% in ED to 29% in inpatient setting, review indicates.
2
60
85
CHEST released new clinical guidelines for venous thromboembolism (VTE) management, providing 29 recommendations on 17 PICO questions, four of which have not been addressed previously.
Read the full guidelines:
#CHESTNews
1
44
85
Radiographic Lung Abnormalities in First-Degree Relatives of Patients With Different Subtypes of
#PulmonaryFibrosis
. Read the full research letter in the June
@journal_CHEST
issue:
#MedTwitter
#MedEd
#PF
0
26
86
A concise review of the pulmonary manifestations in rheumatic disease: an excellent overview!
#journalCHEST
1
52
80
INSIDE LOOK 👀 Read more of the research from the upcoming
@journal_CHEST
issue (May 8): Does the nebulized route of tranexamic acid administration reduce the amount of hemoptysis compared with the IV route in patients presenting to the ED with hemoptysis?
0
33
83
#COVID19
Does Not Lead to a “Typical” Acute Respiratory
Distress Syndrome: via
@atscommunity
#CHESTCritCare
#ARDS
0
44
83
How I Do It: Using cardiopulmonary exercise testing to evaluate dyspnea and exercise tolerance in people with chronic respiratory conditions such as
#PAH
and
#COPD
. Read the full article in the June issue of
@journal_CHEST
:
#MedTwitter
#MedEd
0
40
83
The CHEST guideline on respiratory management of patients with neuromuscular weakness is published in the August
@journal_CHEST
issue. Read the 15 graded recommendations, one good practice statement and one consensus-based statement:
#MedEd
#JournalCHEST
1
38
80
Surviving
#sepsis
guidelines from
@SCCM
and
@ESCIM
on management of critically ill patients with
#COVID19
:
#CHESTCritCare
#coronavirus
0
52
79
“Those photographs reveal and force us to confront the new reality: we are all vulnerable to COVID-19.”
Humanizing ICU care during
#COVID19
:
#journalCHEST
0
24
82
Shock is common in critically ill patients. Learn about the different types of shock, the associated clinical findings and physiology, and treatments for each type:
#CHESTCritCare
2
44
80
Attempts to wean certain critically ill patients off mechanical ventilators are less successful when they are sleep deprived, study indicates.
0
49
80
Learn how Drs. Bullen and team select patients w/
#ARDS
to receive VV-ECMO in
#journalCHEST
:
2
36
76
How I Do It: Management of life-threatening
#asthma
. Read the appropriate triage, pharmacologic therapy and ventilation strategies.
Read the full article in the October
@journal_CHEST
issue:
#CHESTAirways
#MedEd
#MedTwitter
2
38
79
ICU Management of the Patient With Fibrotic Interstitial Lung Disease
Read more in the third issue of
#journal_CHESTCritCare
:
#MedEd
#CritCare
#MedTwitter
0
41
79
The CHEST guideline on respiratory management of patients with neuromuscular weakness is published in the August
@journal_CHEST
issue. Read the 15 graded recommendations, one good practice statement and one consensus-based statement:
#MedEd
#MedTwitter
0
58
79
Get an overview of ECMO goals, parameters, potential complications, and more:
#CHESTCritCare
0
35
79
INSIDE LOOK 👀 Read more of the latest research from the upcoming issue (July 6):
Review management of hematologic emergencies in adults with critical illness in this
@journal_CHEST
article:
#MedEd
#MedTwitter
1
30
76
ICU Management of the Patient With Fibrotic Interstitial Lung Disease
Read more in the third issue of
#journal_CHESTCritCare
:
#MedEd
#CritCare
#MedTwitter
0
36
78
New guideline, “Respiratory Management of Patients With Neuromuscular Weakness”, covers mouthpiece ventilation, transition to home mechanical ventilation, salivary secretion management, and airway clearance therapies. View the full guideline:
1
48
77
Does supplemental oxygen improve echocardiographic parameters in nonhypoxemic patients with intermediate-risk pulmonary embolism? Read the original research in the March
@journal_CHEST
issue:
#MedEd
#MedTwitter
1
31
76
Separate myths and facts on use of HFNC and NIV in patients with
#COVID19
, including a review of recommendations from various societies, evidence and suggested treatment algorithm:
#journalCHEST
#CHESTCritCare
1
48
75
Systematic review on vaping-related acute parenchymal lung injury published in
#journalCHEST
:
3
28
75
Patients with comorbid stable COPD and chronic hypercapnic respiratory failure have improved symptoms, survival rates with high-intensity noninvasive ventilation, evidence suggests.
2
58
75
Antimicrobial stewardship can help improve patient care, especially in cases of COVID-19. Learn more:
0
42
73
Jaspal Singh, MD, FCCP, provides an introduction to the fundamentals of mechanical ventilation in an interactive module:
#COVID19
3
31
73
Highly trained beagles can detect lung cancer with 97% accuracy.
6
30
74
Review the position paper from the Fleischner Society on chest CT diagnosis and clinical management of drug-related pneumonitis due to molecular targeting agents and immune-checkpoint inhibitors:
#journalCHEST
0
25
74
#journalCHEST
“How I Do It”
Using diaphragm ultrasound in weaning from mechanical ventilation:
1
32
73
Night shift workers usually sleep 1 to 4 hours less per day than daytime workers. A new infographic from the
#CHESTSleep
Network outlines strategies for before, during, and after your shift to maximize quality sleep.
0
29
73
1
33
70
New guideline, “Respiratory Management of Patients With Neuromuscular Weakness,” recommends:
Noninvasive ventilation (NIV) treatment*
Individualizing NIV treatment*
Anticholinergic medication as first-line therapy*
*Read the full guideline:
0
37
72
There are several types of vaccines currently under development for
#COVID19
, each with different potential strengths and weaknesses. Understand each vaccine's mechanisms of action, pros and cons and which companies are developing which vaccines:
0
28
72
Special Feature summarizes disease presentations and provides a practical approach to diagnosis of organizing pneumonia. Read the article from the July issue of the
@journal_CHEST
:
#MedEd
#MedTwitter
0
37
70
Extubation may be safe for patients still on vasoactive infusions, study suggests.
3
38
70
When PPE is used, health care workers have not been infected by COVID-19 as a result of the use of nebulizers.
Learn more about nebulization in the
#COVID19
era:
1
30
70
Cefepime-associated neurotoxicity is uncommon, but critically ill patients with renal dysfunction may be at greater risk.
Read more:
#journalCHEST
#CHESTCritCare
2
33
68
Seizures are common in the ICU. It's important to be able to address them promptly and effectively. In this educational
#infographic
, we review
#seizures
and status epilepticus, and provide an algorithm to consider when treating this critical condition:
0
39
70
There are several types of vaccines currently under development for
#COVID19
, each with different potential strengths and weaknesses. Understand each vaccine's mechanisms of action, pros and cons and which companies are developing which vaccines:
0
53
69
Antibiotics provide no additional benefit in patients with sepsis related to
#COVID19
:
#journalCHEST
3
35
69
0
58
64
Critically ill patients with severe
#COVID19
may be at risk of acute kidney injury (AKI). Get an overview of the causes and classification of AKI, diagnosis and management strategies, and indications for renal replacement therapy:
0
19
66
Does the nebulized route of tranexamic acid administration reduce the amount of hemoptysis compared with the IV route in patients presenting to the ED with hemoptysis? Read the full research in the May
@journal_CHEST
issue:
#MedEd
#MedTwitter
1
31
67
Understand the role of chest imaging in the management of patients with
#COVID19
from Fleischner Society Guidelines, just published in
#journalCHEST
and Radiology. Read the summary:
1
41
66