Breathe Easy (American Thoracic Society)

Guests 
Dr. MeiLan Han
University of Michigan

Dr. Mitchell Grayson
Ohio State University

Dr. Başak Çoruh
University of Washington

Hosts
Dr. Vickram Tejwani
Cleveland Clinic 

Dr. Lauren Eggert
Stanford University

Show Notes

If you enjoyed this content, please follow or subscribe and leave us a review!

Access the ATS Reading List.

Recommended Reading

1. Pulido T, Adzerikho I, Channick RN, et al. Macitentan and morbidity and mortality in pulmonary arterial hypertension. N Engl J Med. 2013;369(9):809-818. 
2. Supplement to: Pulido T et al. 2013. 
3. Galiè N, Barberà JA, Frost AE, et al. Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension. N Engl J Med. 2015;373(9):834-844. doi:10.1056/NEJMoa1413687
4. Supplement to: Galiè et al. 2015. 
5. Simonneau G, Channick RN, Delcroix M, et al. Incident and prevalent cohorts with pulmonary arterial hypertension: insight from SERAPHIN. Eur Respir J. 2015;46(6):1711-1720. doi:10.1183/13993003.00364-2015

Podcast Credits

Writer: Ryan Thomas, MD

Producer: Ryan Thomas, MD

Reviewers: 

Christina Barreda, MD

Elizabeth Fiorino, MD

References:

1. Andreeva AV Regulation of surfactant secretion in alveolar type II cells 2007 AmJPhyLung
2. Banfi C, Agostoni P. Surfactant protein B: From biochemistry to its potential role as diagnostic and prognostic marker in heart failure. Int J Cardiol. 2016 Oct 15;221:456-62
3. Chroneos ZC, et al. Pulmonary surfactant: an immunological perspective. Cell Physiology and Biochemistry 2010; 25: 13-26.
4. Cole FS, Nogee LM, Hamvas A. Defects in surfactant synthesis: clinical implications. Pediatr Clin N Am 2006; 53: 911-927.
5. Guillot-Alveolar epithelial cells Master regulators of lung homeostasis 2013 IntJBiochemCellBio
6. Frerking I, et al. Pulmonary surfactant: functions, abnormalities, and therapeutic options. Intensive Care Med 2001; 27: 1699-1717.
7. Herzog EL Knowns and Unknowns of the Alveolus PROCATS57778
8. Mason RJ. Biology of alveolar type II cells-2006-Respirology
9. Murray and Nadel's Textbook of Respiratory Medicine 5th ed. Accessed via MDConsult.
10. Nathan N Surfactant protein A: A key player in lung homeostasis IntJBioCellBio 2016
11. Nkadi PO, et al. An overview of pulmonary surfactant in the neonate: genetics, metabolism, and the role of surfactant in health and disease. Mol Genet Metab 2009; 97: 95-101.
12. Whitsett JA, Wert SE, Weaver TE. Alveolar surfactant homeostasis and the pathogenesis of pulmonary disease. Annual Review of Medicine 2010; 61: 105-119.
13. Wert SE, Whitsett JA, Nogee LM. Genetic disorders of surfactant dysfunction. Pediatr Dev Pathol. 2009; 12(4): 253-274.

Dr. Patrick Lyons sits down with Dr. Lekshmi Santhosh, the originator and chair of the ATS ICU-PAUSE program, to discuss this innovative new program.  The ATS ICU-PAUSE program is a communication framework that aims to educate health care providers, including trainees, intensivists, hospitalists, and advanced practice providers around patient safety, diagnostic uncertainty and implicit bias during transitions of care.  Dr. Lyons, an ICU-PAUSE co-investigator and collaborator, discusses the origins of this program with the ATS, some of the pitfalls of the ICU-to-ward transition, and how the ICU-PAUSE checklist has been used to improve communication across many institutions across the country!

Show Notes

The ATS ICU-PAUSE toolkit and CME module are available on ATS Ed +.  This includes a CME-accredited video module featuring national patient safety experts, a downloadable implementation toolkit (including informational packet, .icutoward EHR dotphrase, print-ready post card, and print-ready flyer) as well as resources to get involved and become a participating site and implement the ICU-PAUSE at your own site.  To access these materials, please visit ATS Ed+ and create an account.

ATS ICU-PAUSE

Guest: Dr. Alpa Patel, MD. Associate Professor of Pediatrics, The Ohio State College of Medicine. Director, Cardiopulmonary Rehabilitation Program, Nationwide Children's Hospital, Columbus, OH.

Host: Dr. Andres Herrera-Camino, MD. Assistant Professor/Clinical Scholar, Department of Child Health, The University of Arizona College of Medicine in Phoenix. Divisions of Pediatric Critical Care and Pulmonary Medicine, Phoenix Children's Hospital, Phoenix, AZ.

Tidal Volume is a podcast from ATS Assembly on Pediatrics focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.

In episode 8, Drs. Kubra Melike Bozkanat and Yadira Rivera-Sanchez from University of Texas Southwestern discuss pathophysiology, diagnosis and treatment of Primary Ciliary Dyskinesia.

Reviewers
Ryan Thomas, MD
Michigan State University College of Human Medicine

Christina Barreda, MD
University of Wisconsin School of Medicine and Public Health

References

1. Hannah, W., et al. "Frequency of CFTR Mutations in Individuals Evaluated for Primary Ciliary Dyskinesia." B25. CHRONIC SUPPURATIVE LUNG DISEASE IN CHILDREN. American Thoracic Society, 2018. A2843-A2843.
2. Leigh, Margaret W., et al. "Clinical features and associated likelihood of primary ciliary dyskinesia in children and adolescents." Annals of the American Thoracic Society 13.8 (2016): 1305-1313.
3. Shapiro, Adam J., et al. "Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review." Pediatric pulmonology 51.2 (2016): 115-132.
4. Shoemark, Amelia, et al. "ERS and ATS diagnostic guidelines for primary ciliary dyskinesia: similarities and differences in approach to diagnosis." European Respiratory Journal 54.3 (2019).
5. Shapiro, Adam J., et al. "The prevalence of clinical features associated with primary ciliary dyskinesia in a heterotaxy population: results of a web-based survey." Cardiology in the Young 25.4 (2015): 752-759.
6. Collins, Samuel A., et al. "Nasal nitric oxide screening for primary ciliary dyskinesia: systematic review and meta-analysis." European Respiratory Journal 44.6 (2014): 1589-1599.
7. Shapiro, Adam J., et al. "Nasal nitric oxide measurement in primary ciliary dyskinesia. A technical paper on standardized testing protocols." Annals of the American Thoracic Society17.2 (2020): e1-e12.
8. Davis, Stephanie D., et al. "Primary ciliary dyskinesia: longitudinal study of lung disease by ultrastructure defect and genotype." American journal of respiratory and critical care medicine 199.2 (2019): 190-198.
9. Horani, Amjad, and Thomas W. Ferkol. "Understanding primary ciliary dyskinesia and other ciliopathies." The Journal of pediatrics 230 (2021): 15-22.
10. Zariwala, Maimoona A., Michael R. Knowles, and Margaret W. Leigh. "Primary ciliary dyskinesia." GeneReviews®[Internet](2019).

Contact Information
TidalVolumeATSPeds@gmail.com

Twitter
@ATSPeds

Host:  Dr. Christina Barreda

Guest: Dr. Christopher Green

Contact Information

Email: TidalVolumeATSPeds@gmail.com

Twitter Accounts:

Christina Barreda, MD
@PulmPedsDoc

ATS Peds:
@ATSPeds

 References:

1. Menkes AJ and Traystman RJ. Collateral Ventilation. American Review of Respiratory Disease 1977; 116: 287-309
2. Terry P and Traystman RJ. The Clinical Significance of Collateral Ventilation. Ann Am Thorac Soc 2016; 13(12): 2251-2257.
3. Traystman RJ, Terry PB and Menkes HA. Carbon Dioxide – a major determinant of collateral ventilation. Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology 45(1): 69-74, 1978
4. Terry PB, Traystman RJ, Newball HH, Batra G, Menkes HA. Collateral Ventilation in Man. NEJM 298: 10-15, 1978.

Drs. Katherine Cox-Flaherty and Meghan Cirulis dissect a challenging case of decompensated RV failure in a patient with pulmonary hypertension. Tune in for pearls on how to recognize and treat this condition with PH and RV expert, Dr. Corey Ventetuolo. 

The AI in Sleep Medicine Podcast series (2 episodes) will help users apply the principles of machine learning to clinical care and conceptualize future applications of pediatric and adult sleep medicine. Episode 1 focuses on the definitions and applications of AI in sleep medicine.

References: 

• Sendak MP, Gao M, Brajer N, Balu S. Presenting machine learning model information to clinical end users with model facts labels. NPJ digital medicine. 2020 Mar 23;3(1):41.
• Rajpurkar P, Chen E, Banerjee O, Topol EJ. AI in health and medicine. Nature medicine. 2022 Jan;28(1):31-8.s 

Host:

Dr. Alex Jenkins – Respiratory Research Officer, University of Nottingham, UK

Guest:

Dr. Arwel Jones – Research Fellow, University of Lincoln, UK

Show Notes

If you enjoyed this content, please follow or subscribe and leave us a review! 

Access the ATS Reading List.

Recommended Reading

1. Guntupalli, et al. 2015. Critical Illness in Pregnancy. Part I.
2. Guntupalli, et al. 2015. Critical Illness in Pregnancy. Part II. 
3. Hunt, 2015. Bleeding and Coagulopathies in Critical Care. 
4. Arnold, et al. 2017. Thrombotic Microangiopathies: A General Approach to Diagnosis and Management.
5. Levi and Scully. 2018. How I Treat Disseminated Intravascular Coagulation. 
6. Tolcher et al. 2020. Prone Positioning for Pregnant Women With Hypoxemia Due to Coronavirus Disease 2019 (COVID-19)

Guests: 

Dr. Christopher Harris
(Neonatal Respiratory Clinician/Scientists)
King's College Hospital, London
@drcmharris

Host:

Ms. Lakshanie Wickramasinghe
(Immunologist, PhD student)
Central Clinical School, Monash University, Australia
@LakshanieW

Guests: Oliver Eickelberg MD and Paul Schumacker PhD

Interviewer: Maor Sauler MD

Host
Dr. Alex Jenkins

Postdoctoral Research Fellow, McGill University, Montreal, Canada

Guest
Prof. Pierantonio Laveneziana
Pulmonologist & Professor of Respiratory Medicine, Sorbonne Université, Paris, France 

Guests:

Dr. Jennifer Alison
Professor of Respiratory Physiotherapy, Faculty of Medicine and Health, University of Sydney
Professor of Allied Health, Sydney Local Health District

David Meharg
Research Associate, University of Sydney
Faculty of Medicine and Health and the Poche Centre for Indigenous Health, Australia

Host:

Dr. Tania Janaudis-Ferreira
Assistant Professor, School of Physical and Occupational Therapy, McGill University, Montreal, Canada
Junior Scientist, Research Institute of the McGill University Health Centre

More Information: ATS COVID-19 Resource Center

The Storytelling Series brings together the best in medical education to share their life experiences and provides a venue for their stories to serve as an inspiration for all others. In this episode, Dr. Kritek talks all about the path she took and what motivates her including how to deal with change. 

Guest
Diana Lemieux
Senior Clinical Pharmacy Specialist
Yale New Haven Hospital

Host
Marilyn N. Bulloch, PharmD, BCPS, FCCM
Associate Clinical Professor and Director of Strategic Operations
Harrison College of Pharmacy | Auburn University

Guest
J Randall Curtis MD, MPH
University of Washington

Host
Nathan Mesfin MD
Boston University

Guest: Mang Yu, MD, PhD, MS, Stanford University

Host: Nina Bracken, APN, University of Illinois at Chicago

Guests
Marcelo Zapata-Canivilo
McMaster University

Aysha Tandon
University of Arizona – Phoenix

Kristen Nelson McMillan
Advocate Chidlren’s Hospital / University of Chicago
Grant Turner, UCLA

Hosts
Matthew Stutz
Cook County Health and Hospital System

David Furfaro
Beth Israel Deaconess Medical Center / Harvard Medical School

Molly Hayes
Beth Israel Deaconess Medical Center / Harvard Medical School

Dr. Kathryn del Valle has a conversation with Dr. Hilary DuBrock about Pulmonary Hypertension fellowship, including what it entails, who is eligible to apply, and why it can be beneficial for those pursuing a career in PH.

Guest: Dr. Peter Thomas

Host: Dr. Claire Nolan

More Information: ATS COVID-19 Resource Center

A discussion of vaccine information, hesitancy and uptake among multiple populations and how we can improve uptake in our daily practices

Show References

1. McElfish PA, Willis DE, Shah SK, Bryant-Moore K, Rojo MO, Selig JP. Sociodemographic Determinants of COVID-19 Vaccine Hesitancy, Fear of Infection, and Protection Self-Efficacy. J Prim Care Community Health. Jan-Dec 2021;12:21501327211040746. doi:10.1177/21501327211040746
2.  MacDonald NE, Hesitancy SWGoV. Vaccine hesitancy: Definition, scope and determinants. Vaccine. Aug 14 2015;33(34):4161-4. doi:10.1016/j.vaccine.2015.04.036
3.  Nguyen LH, Joshi AD, Drew DA, et al. Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake. medRxiv. Feb 28 2021;doi:10.1101/2021.02.25.21252402
4.  Wong LP, Alias H, Danaee M, et al. COVID-19 vaccination intention and vaccine characteristics influencing vaccination acceptance: a global survey of 17 countries. Infect Dis Poverty. Oct 7 2021;10(1):122. doi:10.1186/s40249-021-00900-w
5.  Jacobson RM, St Sauver JL, Finney Rutten LJ. Vaccine Hesitancy. Mayo Clin Proc. Nov 2015;90(11):1562-8. doi:10.1016/j.mayocp.2015.09.006
6.  S. B. Omer, D. A. Salmon, W. A. Orenstein, M. P. deHart and N. Halsey. Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases. NEJM 2009 Vol. 360 Issue 19 Pages 1981-1988
7.  Lila J. Finney Rutten, Xuan Zhu, Aaron L. Leppin, Jennifer L. Ridgeway, Melanie D. Swift, Joan M. Griffin, Jennifer L. St Sauver, Abinash Virk, Robert M. Jacobson. Evidence-Based Strategies for Clinical Organizations to Address COVID-19 Vaccine Hesitancy. Mayo Clinic Proceedings. Volume 96, Issue 3. 2021. Pages 699-707.
8.  Raymond John D Vergara, Philip Joseph D Sarmiento, James Darwin N Lagman, Building public trust: a response to COVID-19 vaccine hesitancy predicament, Journal of Public Health, Volume 43, Issue 2, June 2021, Pages e291–e292, https://doi.org/10.1093/pubmed/fdaa282
9.  Corbie-Smith G. Vaccine Hesitancy Is a Scapegoat for Structural Racism. JAMA Health Forum. 2021;2(3):e210434. doi:10.1001/jamahealthforum.2021.0434
10. The 'successful failures' of Apollo 13 and Covid-19 vaccination - STAT (statnews.com)

In this podcast, we explore the groundbreaking world of tele-rehabilitation and how it is transforming the healthcare industry. Tele-rehabilitation is the practice of providing rehabilitation services to patients in remote locations through the use of technology. We discuss the benefits of tele-rehabilitation, including increased accessibility, convenience, and cost-effectiveness for patients. Our experts delve into the various applications of tele-rehabilitation, including its use in pulmonary rehabilitation, neurological conditions, and eduation. 

Host
Siva Bhavani, Emory University

Guest
Peter Watkinson, Oxford University 

Guest:

Dr Pat Camp
Associate Professor, Department of Physical Therapy, University of British Columbia
Canada and Programme Chair, ATS Pulmonary Rehabilitation Assembly

Host:

Dr Claire Nolan
Senior Research Physiotherapist, Royal Brompton and Harefield NHS Foundation Trust, UK and Web Committee Director
ATS Pulmonary Rehabilitation Assembly

Reviewers

Ryan Thomas, MD
Elizabeth Fiorino, MD
Rob Tepper, MD
Albin Leong, MD

Additional Acknowledgements

Michael Kiernan, MD (for expertise on scuba physiology)

Contact Information

Email: TidalVolumeATSPeds@gmail.com
Twitter: @ATSPeds

References

1. Ratjen 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.

2. LeSouef PN, England SJ, and Bryan AC, Passive Respiratory Mechanics in Newborns and Children, Am Rev Respir Dis, 1984:  129:552-558.

3. Otis AB et al, Mechanical Factors in the Distribution of Ventilation, J Appl Physiol,  8(4):  427-443.

4. Deranged Physiology > Respiratory System > Mechanics of Breathing >Time Constants:  https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20034/time-constants

In this "Breathe Easy Critical Perspective" podcast, Dr. Dominique Pepper interviews Dr. Michael Sjoding. They discuss his NEJM publication about bias in pulse oximetry measurement. Dr. Sjoding is an Assistant Professor in the Division of Pulmonary and Critical Care at the University of Michigan.

Guests: Karen Ridge PhD and Martin Kolb MD PhD 

Interviewer: Maor SaulerMD

M. Patricia Rivera, MD, ATSF, immediate past-president of the American Thoracic Society and lung cancer expert, offers up a compelling argument for trusting science. As we're buffeted by government actions and disease outbreaks, it is critical that clinicians and public health officials work together to minimize the impact. Patti Tripathi hosts.

06:46 What is immune amnesia and how does it relate to measles?
08:51 What is the role of federal health agencies?
10:07 What is the ripple effect generated by research funding?
12:36 Why should the public trust science?

Guests:
Eric Schierholtz (patient).
Dr Marla Beauchamp - physical therapist and assistant professor at McMaster University, Canada.

Hosts:
Enya Daynes and Linzy Houchen-Wolloff, Research Physiotherapists, University Hospitals of Leicester NHS Trust, UK.

More Information: ATS COVID-19 Resource Center

More Information: ATS COVID-19 Resource Center

Show Notes

If you enjoyed this content, please follow or subscribe and leave us a review!

Access the ATS Reading List.

A practical case-based approach to the evaluation and management of thrombocytopenia in the ICU  

Host
Siva Bhavani
Emory University

Guest
Matt Siuba
Cleveland Clinic  

More Information: ATS COVID-19 Resource Center

Host

Lauren Castro, APN

Guests

Linda Chlan, RN, PhD
Annie Heiderscheit, PhD, MT-BC, LMFT

Resources

Featured articles from Pubmed:

• Music and six-minute walk-distance- one step at a time: Commentary on "Rhythmic auditory stimulation increases 6-minute walk distance in individuals with COPD: A repeated measures study"
• Economic Evaluation of a Patient-Directed Music Intervention for ICU Patients Receiving Mechanical Ventilatory Support
• Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial

Self-described pulmonary fibrosis warrior and former journalist, Teresa Barnes, joins host and former CNN news anchor Patti Tripathi for the premiere episode of ATS Breathe Easy, the Latest. Ms. Barnes is chief executive of Pulmonary Fibrosis Warriors and former chair of the ATS Public Advisory Roundtable. PAR is comprised of 12-15 executives of respiratory-related patient interest organizations like the Pulmonary Fibrosis Warriors. 

Guest: Dr Mona Sarfaty (Executive Director, Medical Society Consortium on Climate and Health, Center for Climate Change Communication, George Mason University)

Host: Dr Claire Nolan (PR Assembly Web Director, Harefield Respiratory Research Group, UK)

Health Benefits of Air Pollution Reduction

More Information: ATS COVID-19 Resource Center

Guests 

Dr. Matthew Griffith, Rocky Mountain Regional VA Medical Center/University of Colorado

Dr. Kathleen Akgun, VA Connecticut Healthcare System/Yale University

Host 

Dr. Christopher Worsham, Mass General Hospital/Harvard Medical School

Guest:
Dr. Camilla Hoyos, University of Sydney

Host:
Dr. Rob Stansbury, West Virginia University

Guest:  Dr. Gerard Silvestri, MD MS.  Professor of Medicine - Medical University of South Carolina

Host:  Dr. Nichole Tanner, MD MSCR. Associate Professor Medicine - Medical University of South Carolina

Guest
Jennifer Wescoe Singley, M.Ed., NCC
Founder and Executive Director
Wescoe Foundation for Pulmonary Fibrosis

Host
Dr Patricia Fogelman DNP, ACHPN
System Director, Palliative Medicine, Guthrie Clinic
Sayre PA

Guest
Dr. Christine Argento M.D.
Associate Professor of Medicine
John Hopkins Medicine

Host
Dr. Mark Weir M.B Ch.B 
Assistant Professor Thoracic Medicine
Lewis Katz School of Medicine at Temple University

More Information: ATS COVID-19 Resource Center

Guest:
Dr Clete Kushida, Professor of Psychiatry At Stanford and Division Chief of Stanford Sleep Medicine

Host:
Sumit Bhargava, MD, Clinical Professor of Pediatrics at Stanford and Medical Director of the Lucile Packard Children’s Hospital Sleep Laboratory.

ATS Scholar editor Nitin Seam, MD, ATSF - clinical professor of Medicine at George Washington University and the Uniformed Services University - shares some takeaways from his editorial on the ATS journals' position on the evolving role of artificial intelligence on scientific research and review. Eddie Qian, MD, of Vanderbilt University Medical Center, hosts.

06:35 - What are the main takeaways of the ATS editorial?
09:13 - Should large language models be authors?
09:59 - Why would a reviewer want to upload a paper to an LLM?
21:08 - What are topics around AI and LLMs that should be studied in medicine?

Read the editorial in the American Journal of Respiratory and Critical Care Medicine:  https://www.atsjournals.org/doi/full/10.1164/rccm.202411-2208ED

More Information: ATS COVID-19 Resource Center

Guests:  

Asha Devereaux, MD, MPH

Tania T. Von Visger, PhD, APRN, CNS, CCNS, PCCN 

Host:

Nina Bracken, MSN, ACNP-BC

Guests: 

Dr. Christopher Harris
(Neonatal Respiratory Clinician/Scientists)
King's College Hospital, London
@drcmharris

Host:

Ms. Lakshanie Wickramasinghe
(Immunologist, PhD student)
Central Clinical School, Monash University, Australia
@LakshanieW

Guests

Dr. Kelli-Lee Harford
Emory + Children's Pediatric Institute

Dr. Roberta Leu
Emory + Children's Pediatric Institute

Dr. Wendy Ward
Arkansas Children's Hospital

Dr. Supriya Jambhekar
Arkansas Children's Hospital

Dr. Stephen Sheldon
Lurie Children's Hospital of Chicago

Dr. Allison H. Clarke
Lurie Children's Hospital of Chicago

Dr. Daniel S. Lewin
Sleep Health and Wellness Center

Miriam Weiss
Children's National Hospital

Host

Dr. Chana Chin
CHOC-Children's Health Orange County – ATS SRN

Dr. Marni Nagel
CHOC-Children's Health Orange County

Dr. Amy Morse
CHOC-Children's Health Orange County

Guests: 

Dr. Gary Wong: Prince of Wales Hospital, Hong Kong
Dr. Ralph Epaud: Centre intercommunal de Creteil, France
Dr. Paul Moore: Monroe Carell Jr Children’s Hospital, Venderbilt University, US
Dr. Larry Lands: Montreal Children’s Hospital-McGill University Health Centre, Canada
Dr. Enrico Lombardi: Meyer Children’s Hospital, Florence, Italy
Dr. Hannah Blau: Pulmonary Institute at Schneider Children's Medical Center, Israel
Dr.Heather Zar: Univ of Cape Town, South Africa
Dr. Renato Stein: Pontifical Catholic University of Rio Grande do Sul, Brazil

Hosts: 

Dr. Ozge Yilmaz, Celal Bayar Univ Medical Faculty, Manisa, Turkey
 Dr. Laura Graciela Gochicoa-Rangel , National Institute of Respiratory Diseases, Mexico City, Mexico

More Information: ATS COVID-19 Resource Center

Guest:  Dr. Sumita Khatri, Cleveland Clinic Lerner College of Medicine

Host:  Dr. Michelle Manni, UPMC Children's Hospital of Pittsburgh

Host: Lakshanie Wickramasinghe

Guest Name: Prof. Benjamin Marsland

Position:  

• Head of the Respiratory Immunology Laboratory, Department of the Immunology and Pathology, Central Clinical School, Monash University.
• Awarded 2018 Veski Innovation Fellowship

In this episode of the Elevator Pitch, we talk to Dr. Anica Law, chair of the Critical Care Assembly Planning Committee to learn more about what the committee does and how ATS members can get involved.

Guests
Rosemary Adamson, MB BS (she/her)
Associate Professor of Medicine & Associate Fellowship Program Director, University of Washington
Associate Section Chief, Pulmonary, Critical Care& Sleep Medicine, Veterans Affairs Puget Sound Healthcare System

Darlene Nelson, MD, MHPE
Assistant Professor of Medicine
Pulmonary and Critical Care Fellowships Program Director, Mayo Clinic Rochester MN
Course Director – Midwest Introductory Bronchoscopy and Pleural Procedures Course

Host
Melissa New, MD
Assistant Professor of Medicine, University of Colorado
Associate Fellowship Program Director, Pulmonary & Critical Care Medicine
Rocky Mountain Regional Veteran Affairs Medical Center

Resources

• Pulmonary
• Bronchoscopy Simulator
• Labeled bronchial tree diagram
• Ontario Bronchoscopy Assessment Tool

OBAT References 

• Development of Learning Curves for Bronchoscopy
• Development and Validation of a Bronchoscopy Competence Assessment Tool in a Clinical Setting 

The APCCMPD procedural teaching video is available to faculty at member institutions through the APCCMPD website.

More Information: ATS COVID-19 Resource Center

More Information: ATS COVID-19 Resource Center

Dr. Khushboo Goel has a conversation with Dr. Tim Lahm about his journey to becoming a PH expert and his tips for budding academic-physicians and physician-scientists.

Join us on a journey of introspection as we discuss Impostor Syndrome in Academia. Drs. Terri Laguna and Aneesa Das candidly share personal experiences and anecdotes, discuss the influence of cultural and gender-related factors on Imposter Syndrome, and strategies effective in combating feelings of self-doubt. Additionally, we discuss the importance of mentorship and structural institutional changes to help create a more inclusive and supportive environment, and minimize the development of impostor syndrome. 

Tune in to this podcast which discusses an incredibly important but often overlooked topic in academia - the cornerstones of financial planning for trainees and junior faculty! In this episode, Dr. Gallo de Moraes (Associate Professor, Pulmonary and Critical Care at Mayo Clinic), who has developed a Financial Planning curriculum for trainees at Mayo Clinic, uncovers practical strategies for budgeting, navigating student loans, and retirement planning to secure our financial futures and well-being with confidence.

Guest: Dr Anne Melzer, a Pulmonary and Critical Care Physician and Assistant Professor at the University of Minnesota. She also holds a position at the VA.  Furthermore, Dr Melzer is associated with the Behavioral Science and Health Services Research (BSHSR) Assembly of the ATS and the Tobacco Action Committee (TAC).

Host: Dr. Sana Siddiqui, on behalf of the Web Committee of the Respiratory, Structure and Function (RSF) Assembly of the ATS.

Dr. Naftali Kaminski chats with Dr. Jose Herazo-Maya as he discusses his trajectory in becoming a Division Chief, how his international background influences his work-style approach and his fascination with heights and planes. 

In this podcast episode, Dr Ashesha Mechineni interviews Dr Bharati Prasad, Associate Professor of Medicine and Medical Director of UIC Sleep Science Center and Program Director of Sleep fellowship at University of Illinois at Chicago. This is the conclusion of our core discussion on Health Disparities in Obstructive Sleep Apnea. Dr Prasad explains how Positive airway pressure treatment variables vary across various treatment groups and how real life factors play a role in overall long term clinical outcomes. She explores variations in research results among COVID 19 pandemic patients with obstructive sleep apnea as she draws to a close. 

Guests
Blanca Himes PhD
University of Pennsylvania

Craig Hersh, MD, MPH
Brigham and Women's Hospital and Harvard Medical School

Hosts
Matthew Moll, MD, MPH
Brigham and Women's Hospital and Harvard Medical School 

Victor Ortega, MD, PhD
Mayo Clinic

American Thoracic Society-Sleep and Respiratory Neurobiology is pleased to present the new podcast, Sleep Pioneers. Join us as we get to know trailblazers in the field better through conversations about their insights working in the field of sleep.

Guests

Dr. Kelli-Lee Harford
Emory + Children's Pediatric Institute

Dr. Roberta Leu
Emory + Children's Pediatric Institute

Dr. Wendy Ward
Arkansas Children's Hospital

Dr. Supriya Jambhekar
Arkansas Children's Hospital

Dr. Stephen Sheldon
Lurie Children's Hospital of Chicago

Dr. Allison H. Clarke
Lurie Children's Hospital of Chicago

Dr. Daniel S. Lewin
Sleep Health and Wellness Center

Miriam Weiss
Children's National Hospital

Host

Dr. Chana Chin
CHOC-Children's Health Orange County – ATS SRN

Dr. Marni Nagel
CHOC-Children's Health Orange County

Dr. Amy Morse
CHOC-Children's Health Orange County

Drs. Meghan Cirulis and Khushboo Goel discuss chronic thromboembolic pulmonary hypertension (CTEPH) with international expert, Dr. Kim Kerr. 

American Thoracic Society Critical Care Assembly is excited to present the Elevator Pitch where we talk to scientists behind recent studies to understand how their research can impact the way we practice in the ICU.

Resources mentioned during this podcast

Apps

• Insight Timer
• Headspace
• 10% Happier

Websites

• UCSD Center for Mindfulness
• Mindful.org
• Mindful Healthcare Collective

Guest

Ni-Cheng Liang, MD

Host

Nina Bracken, MSN, ACNP-BC

More Information: ATS COVID-19 Resource Center

More Information: ATS COVID-19 Resource Center

Guests
Dr. Kelli-Lee Harford
Emory + Children's Pediatric Institute

Dr. Roberta Leu
Emory + Children's Pediatric Institute

Dr. Wendy Ward
Arkansas Children's Hospital

Dr. Supriya Jambhekar
Arkansas Children's Hospital

Dr. Stephen Sheldon
Lurie Children's Hospital of Chicago

Dr. Allison H. Clarke
Lurie Children's Hospital of Chicago

Dr. Daniel S. Lewin
Sleep Health and Wellness Center

Miriam Weiss
Children's National Hospital

Host
Dr. Chana Chin
CHOC-Children's Health Orange County – ATS SRN

Dr. Marni Nagel
CHOC-Children's Health Orange County

Dr. Amy Morse
CHOC-Children's Health Orange County

Please join Dr. Ninotchka Sigua, as she chats with the ATS SRN Programming Chair, Dr. Andrey Zinchuk, about the exciting lineup of sleep-related programs at ATS 2023. This podcast will provide an excellent overview of the sleep content and program.   Details of the program is available on the Advance Program Catalog available on the conference website.

Host

Alex Jenkins, PhD
McGill University, Canada 
ATS Evidence Synthesis Methodology Working Group Member

Guest

Arwel Jones, PhD
Monash University, Australia
TSANZ Evidence-Based Medicine & Practice Special Interest Group & ERS Clinical Practice Guideline Methodology Network

Cochrane Handbook for Systematic Reviews of Interventions | Cochrane Training 

Guests:

Dr. Amanda Tatler
Dr. Francesca Polverino
Dr. Christopher Pascoe
Dr. Joshua Englert
Dr. Marta Bueno Fernandez
Dr. Maria Basil

Host:

Dr. Rachel Knipe

More Information: ATS COVID-19 Resource Center

This episode offers a CRUCIAL overview of the Medicare hospice benefit, utilization logistics for advanced lung disease patients, communication strategies, patient-focused methodology in discussions and additional resources to enhance providers’ skill sets in caring for this important and vulnerable patient population.

Contact Information: 

Ryan Thomas, MD:
 @MSUPedsPulm

Robert Quinn, PhD:
 @Quinn_Labs

ATS Peds:
 @ATSPeds

Selected Relevant References: 

Lindsay Caverly: 

• Caverly LJ et al. Measures of Cystic Fibrosis Airway Microbiota During Periods of Clinical Stability. Ann Am Thorac Soc. 2019 Dec;16(12):1534-1542.
• Caverly LJ, Zhao J, LiPuma JJ. Cystic fibrosis lung microbiome: Opportunities to reconsider management of airway infection. Pediatr Pulmonol . 2015 Oct;50 Suppl 40:S31-8.
• Caverly LJ, Huang YJ, Sze MA. Past, Present, and Future Research on the Lung Microbiome in Inflammatory Airway Disease. Chest . 2019 Aug;156(2):376-382.
• Caverly LJ, LiPuma JJ. Cystic fibrosis respiratory microbiota: unraveling complexity to inform clinical practice. Expert Rev Respir Med. 2018 Oct;12(10):857-865.
• Carmody et al. Fluctuations in airway bacterial communities associated with clinical states and disease stages in cystic fibrosis. PLoS One. 2018 Mar 9;13(3):e0194060.

Robert Quinn: 

• Quinn RA et al. Microbial, host and xenobiotic diversity in the cystic fibrosis sputum metabolome. ISME J. 2016 Jun; 10(6): 1483–1498. 
• Quinn RA et al. A Winogradsky-based culture system shows an association between microbial fermentation and cystic fibrosis exacerbation. The ISME Journal volume 9, pages1024–1038. ISME J. 2015 Mar 17;9(4):1024-38.
• Quinn RA et al. Metabolomics of pulmonary exacerbations reveals the personalized nature of cystic fibrosis disease. PeerJ. 2016 Aug 11;4:e2174.
• Raghunashi R et al. High-Resolution Longitudinal Dynamics of the Cystic Fibrosis Sputum Microbiome and Metabolome through Antibiotic Therapy. mSystems. 2020 Jun 23;5(3):e00292-20.
• Quinn RA et al. Ecological networking of cystic fibrosis lung infections. NPJ Biofilms Microbiomes. 2016 Dec 2;2:4.

Other Referenced Works: 

• Muhlebach MS et al. Initial acquisition and succession of the cystic fibrosis lung microbiome is associated with disease progression in infants and preschool children. PLoS Pathog. 2018 Jan 18;14(1):e1006798.
• Sly PD et al. Lung disease at diagnosis in infants with cystic fibrosis detected by newborn screening. Am J Respir Crit Care Med 2009; 180: pp. 146-152
• JM Flynn et al. Disruption of Cross-Feeding Inhibits Pathogen Growth in the Sputa of Patients with Cystic Fibrosis. 
• Muhlebach MS et al.  Anaerobic bacteria cultured from cystic fibrosis airways correlate to milder disease: a multisite study. Eur Respir J. 2018 Jul 11;52(1):1800242. mSphere. 2020 Apr 29;5(2):e00343-20.
• Pittman JE et al. Association of Antibiotics, Airway Microbiome, and Inflammation in Infants with Cystic Fibrosis. Ann Am Thorac Soc. 2017 Oct;14(10):1548-1555.
• Nelso MT et al. Maintenance tobramycin primarily affects untargeted bacteria in the CF sputum microbiome. Thorax. 2020 Jul 6
• Cowley SC et al. Pediatric Cystic Fibrosis Sputum Can Be Chemically Dynamic, Anoxic, and Extremely Reduced Due to Hydrogen Sulfide Formation. mBio. 2015 Jul 28;6(4):e00767.
• Heltshe SL et al. Pseudomonas aeruginosa in cystic fibrosis patients with G551D-CFTR treated with ivacaftor. Clin Infect Dis. 2015 Mar 1;60(5):703-12.
• Singh SB. Pathogen acquisition in patients with cystic fibrosis receiving ivacaftor or lumacaftor/ivacaftor. Pediatr Pulmonol. 2019 Aug;54(8):1200-1208.
• Hisert KB et al. Restoring Cystic Fibrosis Transmembrane Conductance Regulator Function Reduces Airway Bacteria and Inflammation in People with Cystic Fibrosis and Chronic Lung Infections. Am J Respir Crit Care Med. 2017 Jun 15;195(12):1617-1628.

Dr. Naftali Kaminski chats with Dr. Steve Dudek as he discusses his passion for marathon running, his decision to become a division chief, his role as chair of the APCCSD, as well as what he enjoys most about his chief role.

Tidal Volume is a podcast from ATS Peds focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.

In episode 7, Ryan Thomas MD from Michigan State University discusses tracheobronchitis in children with tracheostomy tubes with Dan Craven MD and Moshe Prero MD from Case Western Reserve University/Rainbow Babies and Children’s Hospital and Alexander Gipsman MD from Children’s Hospital  of Philadelphia. We discuss their review article Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem and why they decided to write on this topic.  We also discuss the importance of tracheobronchitis in this patient population, the risk factors for infection, the microbiology of the airway,  and the diagnosis and treatment of tracheobronchitis in children with tracheostomy tubes. 

Guests:  

Daniel Craven, MD, Case Western Reserve University

Moshe Prero, MD, Case Western Reserve University

Alexander Gipsman, MD, Children's Hospital of Philadelphia

Host:  Ryan Thomas, MD,  Michigan State University

Reviewers

Christina Barreda, MD, University of Wisconsin 

Elizabeth Fiorino, MD, Hofstra University

Production/Editing

Ryan Thomas, MD,  Michigan State University

Contact Information:

TidalVolumeATSPeds@gmail.com

Twitter Accounts:

Ryan Thomas, MD

@MSUPedsPulm

@ATSPeds

References

1.  Gipsman A, Prero M, Toltzis P, Craven D. Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem. Pediatr Pulmonol. 2022 Apr;57(4):814-821.
2. Akangire G, Manimtim W, Nyp M, et al. Factors leading to rehospitalization for tracheostomized and ventilator-dependent infants through 2 years of age. J Perinatol. 2017;37(7):857-863.
3. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-332.
4.  Griese M, Felber J, Reiter K, et al. Airway inflammation in children with tracheostomy. Pediatr Pulmonol. 2004;37(4):356-361.
5.  Willson DF, Conaway M, Kelly R, Hendley JO. The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children. Pediatr Crit Care Med. 2014;15(4):299-305.
6.  Cline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ. Surveillance tracheal aspirate cultures do not reliably predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. Chest. 2012;141(3):625-631.
7.  Rusakow LS, Guarín M, Wegner CB, Rice TB, Mischler EH. Suspected respiratory tract infection in the tracheostomized child: the pediatric pulmonologist's approach. Chest. 1998;113(6):1549-1554.
8.  Goldstein I, Wallet F, Nicolas-Robin A, Ferrari F, Marquette CH, Rouby JJ. Lung deposition and efficiency of nebulized amikacin during escherichia coli pneumonia in ventilated piglets. Am J Respir Crit Care Med. 2002;166(10):1375-1381.
9.  Herrmann G, Yang L, Wu H, et al. Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa. J Infect Dis. 2010;202(10):1585-1592.
10.  Tamma PD, Turnbull AE, Milstone AM, Lehmann CU, Sydnor ER, Cosgrove SE. Ventilator-associated tracheitis in children: does antibiotic duration matter? Clin Infect Dis. 2011;52(11):1324-1331.
11.  Chastre J, Wolff M, Fagon JY, et al. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA. 2003;290(19):2588-2598.
12.  Silva RC, Ojano-Dirain CP, Antonelli PJ. Effectiveness of pediatric tracheostomy tube cleaning. Arch Otolaryngol Head Neck Surg. 2012;138(3):251-256.
13.  Morrison JM, Hassan A, Kysh L, Dudas RA, Russell CJ. Diagnosis, management, and outcomes of pediatric tracheostomy-associated infections: A scoping review. Pediatr Pulmonol. 2022 May;57(5):1145-1156.
14.  Jutras C, Autmizguine J, Chomton M, et al. Inhaled antibiotics for the prevention of respiratory tract infections in children with a tracheostomy. Front Pediatr. 2021;9:633039.

American Thoracic Society-Sleep and Respiratory Neurobiology continues its podcast series, Sleep Pioneers. Join us as we get to know trailblazers in the field better through conversations about their insights working in the field of sleep.

Guest
Dr. Osheen Abramian
Assistant Program Director, Interventional Pulmonology Fellowship
Assistant Professor of Medicine Cooper Medical School of Rowan University

Host
Dr. Mark Weir M.B Ch.B 
Assistant Professor Thoracic Medicine at Lewis Katz School of Medicine
Temple University

Guest
Dr. Seth Bauer
Clinical Pharmacist, Department of Pharmacy, Cleveland Clinic,
Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine;

Host
Marilyn N. Bulloch, PharmD, BCPS, FCCM
Associate Clinical Professor and Director of Strategic Operations
Harrison College of Pharmacy | Auburn University

Dr. Naftali Kaminski chats with Dr. Mark Gladwin as he discusses his role as the Dean of University of MD, School of Medicine, and Vice President of Medical Affairs, shares his upbringing in a social science home in an ever-changing environment that has led him to become extremely adaptable and discusses his keys to success and advice. 

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.

Host:

Ms. Lakshanie Wickramasinghe
(Immunologist, PhD student)
Central Clinical School, Monash University, Australia
@LakshanieW

Guest:
 
Dr. Anne Hilgendorff
 
 Position:

• Director of the Center for Comprehensive Developmental Care at the Social Pediatric Center and the Dr. von Hauner Children's Hospital 
• Head of the Translational Research Group 'Mechanisms of Neonatal Chronic Lung Disease' at the Institute of Lung Biology and Disease and the Comprehensive Pneumology Center, Helmholtz Zentrum Muenchen.

Dr. Meghan Cirulis explores the pros and cons of an academic research career in PVD with Drs. Andrea Frump and Rebecca Vanderpool. 

More Information: ATS COVID-19 Resource Center

Guests:  Dr. Peter Caravan and Dr. Sydney Montesi

Hosts: Dr. Rachel Knipe and Dr. Eric Abston

Guest:  Kristina Montemayor, MD MHS, John Hopkins University

Host: Michelle L. Manni, PhD, UPMC Children's Hospital of Pittsburgh

Guest
Karandeep Singh
University of Michigan 

Host
Siva Bhavani
Emory University

This podcast is a discussion with Dr Susan Redline, Professor of Sleep Medicine at Brigham and Women's Hospital about the current burden of health disparities among Obstructive sleep apnea patients. Spotlight placed on etiological ,pathophysiological and clinical differences among various racial, gender groups along with their clinical implications. Dr Redline's perspective on long term outlook regarding diagnostic modalities used routinely in Sleep practices and future direction of sleep research are discussed.