Pier-Valerio Mari

Pulmonary and Critical Care Medicine fellow at @UniCatt #PoliclinicoGemelli

[Emily Fridenmaker @emily_fri]

Today I’m going to cover some basics of asthma. 🫁

Most of this content comes from this year’s GINA report.

[NEJM @NEJM]

Presented at #ATS2023: In the BOREAS trial, dupilumab resulted in a lower annualized rate of exacerbations than placebo among patients with COPD and an elevated blood eosinophil count. Full trial results: https://t.co/9IWZr3YqsN

[ERS publications @ERSpublications]

ERJ: This study demonstrates that pulmonologists improve their individual diagnostic interpretation of pulmonary function tests when supported by AI-based computer protocols with automated explanations. Such teamwork may become commonplace in the future. https://t.co/3CDL1egHcQ

[IMCrit @IM_Crit_]

New guidelines for the management of severe community-acquired pneumonia:

[ERS publications @ERSpublications]

ERJ: A European multi-stakeholder working group has reached a consensus on Core Outcome Measures sets for paediatric and adult Severe Asthma (COMSA). These should inform future clinical trials and enhance comparability of findings. https://t.co/wfuWSnjDJi

[ERS publications @ERSpublications]

ERJ: Diagnostic protocols for the assessment of small airway disease have been advanced to optimise the clinical management of patients with asthma https://t.co/srZNJybvCz

[ERS publications @ERSpublications]

The ICD-11 has adopted three timeframes for dyspnoea: acute, subacute and chronic, the latter despite underlying causes being optimally treated. Breathlessness, a word patients use, is now a synonym for dyspnoea. https://t.co/yDqyykFfD4

[John Hurst @ProfHurst]

Expressing the FEV1/FVC ratio as a % of predicted should be BANNED.

(I feel a bit better now).

[ERS publications @ERSpublications]

ERJ: Asthma patients with small airways dysfunction (SAD) could be identified reasonably well by asking about wheezing at rest and a few patient characteristics, but accuracy to predict SAD increases considerably when using lung function tests https://t.co/8IuYzOXlKs

[NEJM @NEJM]

The recent release of ChatGPT and other artificial intelligence tools have put a spotlight on this developing topic. This thread explores the history of AI in medicine, clinical uses of AI and machine learning, and the use of chatbots. Full article: https://t.co/Euor4SHIt9 1/24

[The Lancet Respiratory Medicine @LancetRespirMed]

Study finds that hydrocortisone for patients w/severe pneumonia, cuts the risk of death by about half

Read story from @statnews here: https://t.co/4luDNOwNg0

And the study from @NEJM here: https://t.co/lTIjl69V9a

[Critical Care Reviews @CritCareReviews]

Hydrocortisone in Severe Community-Acquired Pneumonia

➡️ 800 pts
➡️ IV hydrocortisone 200 mg daily for 4 or 8 days or placebo
➡️ D28 mortality: 6.2% vs 11.9% (difference, −5.6%; 95% CI, −9.6 to −1.7; P=0.006)

CCR Journal Watch
https://t.co/Sp06oA6IDG

[Mushtaq Bilal, PhD @MushtaqBilalPhD]

Here's how to supercharge your literature review using an AI-powered app called Litmaps:

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

Ureter dumping urine into the bladder or FLAMETHROWER?

Via @EmergOmBur @grepmeded

#MedTwitter

[Sameed M @_MSAMEED]

Echocardiographic signs to screen for PH, a thread🧵 @MegriMohammed @Huzaifahsmd @ATS_PC @ZonairKhanMD @heresi_gustavo @criticalcaremom @SobanUmar @PVRI @Huzaifahsmd @AmjadKanj @echonous @sbonnet2 @PHatStanford @EinsteinPccm

[The Innovation | Medicine @Innov_Medicine]

Normal vs. Abnormal Breath Sounds
via stephbeggs
#Pulmonology #MedEd

[The Innovation | Medicine @Innov_Medicine]

Auscultating Lung Sounds via stephbeggs #MedEd

[Nick Mark MD @nickmmark]

Here’s the explanation and a special @OnePagerICU all about flow volume loops on PFTs.

[ERS publications @ERSpublications]

Asthma diagnosis in adults still remains a challenge with over- and under-diagnosis. Spirometry with reversibility testing is essential. Nitric oxide, peak expiratory flow variability and bronchial challenge testing should also be considered. https://t.co/DrviIWfN9X

[StudyXing Medicine @USMLEStepStudy]

Causes of acute and chronic cough, suggested diagnostics by @CritCultivation