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Seminars in respiratory and critical care medicine最新文献

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Future Considerations and Areas for Innovation for Pulmonary Rehabilitation in Chronic Obstructive Lung Disease Patients. 慢性阻塞性肺病患者肺康复的未来考虑因素和创新领域。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-10-25 DOI: 10.1055/s-0044-1791825
John W Connell, Scott A Humason, Ralph J Panos, Robert Burkes
{"title":"Future Considerations and Areas for Innovation for Pulmonary Rehabilitation in Chronic Obstructive Lung Disease Patients.","authors":"John W Connell, Scott A Humason, Ralph J Panos, Robert Burkes","doi":"10.1055/s-0044-1791825","DOIUrl":"10.1055/s-0044-1791825","url":null,"abstract":"<p><p>Pulmonary rehabilitation is an effective therapy that improves day-to-day symptoms and quality of life in patients with chronic obstructive pulmonary disease. In this review, we look at the role of virtual programs, implementation of artificial intelligence, emerging areas of improvement within the educational components of programs, and the benefit of advanced practice providers in directorship roles.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"605-610"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in the Understanding and Management of Chronic Obstructive Pulmonary Disease. 慢性阻塞性肺病的认识和管理进展》（Advances in the Understanding and Management of Chronic Obstructive Pulmonary Disease）。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-11-12 DOI: 10.1055/s-0044-1791738
Robert Burkes, Christina MacRosty
{"title":"Advances in the Understanding and Management of Chronic Obstructive Pulmonary Disease.","authors":"Robert Burkes, Christina MacRosty","doi":"10.1055/s-0044-1791738","DOIUrl":"https://doi.org/10.1055/s-0044-1791738","url":null,"abstract":"","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":"45 5","pages":"541-542"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating COPD in Aging Populations: Insights Into Pathophysiology and Comprehensive Care. 老龄人群慢性阻塞性肺病的护理：洞察病理生理学和综合护理。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-11-12 DOI: 10.1055/s-0044-1792112
William T Atchley, Amy Montgomery, Rohan Seth, Tanmay Gandhi, Shannon Brewer
{"title":"Navigating COPD in Aging Populations: Insights Into Pathophysiology and Comprehensive Care.","authors":"William T Atchley, Amy Montgomery, Rohan Seth, Tanmay Gandhi, Shannon Brewer","doi":"10.1055/s-0044-1792112","DOIUrl":"https://doi.org/10.1055/s-0044-1792112","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) poses a significant and growing health burden among aging populations, marked by increasing prevalence and complex management challenges specific to elderly patients. This review explores the multifaceted interplay between COPD and aging, highlighting overlapping pathophysiological processes and comorbidities that complicate diagnosis and treatment. We examine age-specific management strategies, emphasizing the need for tailored approaches that account for the unique physical, cognitive, and health-related quality of life impacts on older adults. Additionally, we discuss preventive treatments and the critical roles of mental health, end-of-life care, and caregiver support in comprehensive disease management. The importance of integrative approaches to enhancing health care delivery is also underscored. Finally, we outline future directions, focusing on novel treatment pathways and the identification of biomarkers for early detection. Addressing these elements is essential for optimizing care in this vulnerable population and alleviating the significant societal and economic impacts of COPD among aging patients.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":"45 5","pages":"560-573"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bronchoscopic Lung Volume Reduction: A Review. 支气管镜肺容积缩小术：综述。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI: 10.1055/s-0044-1787876
Shreya Podder, Marium Khan, Zane Sink, Steven Verga, Jonathan S Kurman, Elizabeth Malsin
{"title":"Bronchoscopic Lung Volume Reduction: A Review.","authors":"Shreya Podder, Marium Khan, Zane Sink, Steven Verga, Jonathan S Kurman, Elizabeth Malsin","doi":"10.1055/s-0044-1787876","DOIUrl":"10.1055/s-0044-1787876","url":null,"abstract":"<p><p>Bronchoscopic lung volume reduction (BLVR) is an established treatment modality for the management of advanced chronic obstructive pulmonary disease complicated by severe emphysema and hyperinflation refractory to other therapies. BLVR aims to reduce hyperinflation and residual volume, thereby improving pulmonary function, symptom control, and quality of life. Multiple distinct devices and technologies, including endobronchial coils, thermal vapor ablation, bio-lung volume reduction, and airway bypass stenting, have been developed to achieve lung volume reduction with varying degrees of accessibility and evidence. The most promising BLVR treatment modality to date has been the placement of one-way endobronchial valves (EBVs), with more than 25,000 cases performed worldwide. Identifying symptomatic patients who would benefit from BLVR is challenging and can be time and resource intensive, and candidacy may be limited by physiologic parameters. Additional new technologies may be able to improve the identification and evaluation of candidates as well as increase the portion of evaluated patients who ultimately qualify for BLVR. In this review, we aim to provide historical context to BLVR, summarize the available evidence regarding its use, discuss potential complications, and provide readers with a clear guide to patient selection and referral for BLVR, with a focus on EBV placement. In addition, we will highlight potential future directions for the field.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"593-604"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lung Transplant for Chronic Obstructive Pulmonary Disease. 肺移植治疗慢性阻塞性肺病。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-07-19 DOI: 10.1055/s-0044-1787560
Kyle Swartz, Ali Mansour, Sammar Alsunaid
{"title":"Lung Transplant for Chronic Obstructive Pulmonary Disease.","authors":"Kyle Swartz, Ali Mansour, Sammar Alsunaid","doi":"10.1055/s-0044-1787560","DOIUrl":"10.1055/s-0044-1787560","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) carries a high burden of morbidity and mortality to patient and a high cost to health care systems. Lung transplantation is a last resort available for end-stage COPD patients interested in pursuing it and meeting the strict transplant requirements. It requires commitment from patients and their loved ones to support them through this tough process. This review will cover history of transplant, indications, candidate selection, evaluation testing, transplant listing, type of transplant (single versus bilateral), posttransplant complications, immunosuppression, and rejection. It is tailored to the COPD patient when applicable; however, many aspects of lung transplantation are shared amongst all lung diseases eligible for transplant.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"611-618"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Viral Infections in the Development and Progression of COPD. 病毒感染在慢性阻塞性肺病的发生和发展中的作用。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-10-25 DOI: 10.1055/s-0044-1791737
Robert Burkes
{"title":"The Role of Viral Infections in the Development and Progression of COPD.","authors":"Robert Burkes","doi":"10.1055/s-0044-1791737","DOIUrl":"10.1055/s-0044-1791737","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is a common chronic disease seen in smokers associated with poor functional status, quality of life, and morbidity and mortality from acute worsening of chronic symptoms, also called exacerbations. As a disease, the risk factors for COPD are well defined; however, there is room for innovation in identifying underlying biological processes, or \"endotypes,\" that lead to the emergence and/or progression of COPD. Identifying endotypes allows for more thorough understanding of the disease, may reveal the means of disease prevention, and may be leveraged in novel therapeutic approaches. In this review, we discuss the interface of viral infections with both cellular and epithelial immunity as a potential endotype of interest in COPD.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"543-547"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing Interventions for Chronic Obstructive Pulmonary Disease. 制定慢性阻塞性肺病干预措施。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-10-01 Epub Date: 2024-07-05 DOI: 10.1055/s-0044-1787875
Audra J Schwalk, Niral M Patel, Nagendra Y Madisi
{"title":"Developing Interventions for Chronic Obstructive Pulmonary Disease.","authors":"Audra J Schwalk, Niral M Patel, Nagendra Y Madisi","doi":"10.1055/s-0044-1787875","DOIUrl":"10.1055/s-0044-1787875","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is an incurable, progressive respiratory disease that may have a significant negative impact on the morbidity and mortality of affected patients. A substantial portion of the world's population is affected by COPD, and despite optimal medical management with medications, supplemental oxygen, and pulmonary rehabilitation, many patients are left debilitated because of this disease. Bronchoscopic treatment modalities offer a less-invasive method for the treatment of refractory COPD compared to surgical interventions and have expanded the potential therapeutic options for these patients. Bronchoscopic lung volume reduction is aimed at decreasing the hyperinflation and air trapping that occur in emphysema, and the most studied and successful intervention is endobronchial valve placement. Endobronchial coils, polymeric sealants, and thermal ablation are other researched alternatives. Additional interventional procedures are being investigated for the treatment of the mucus hypersecretion and cough that are associated with the chronic bronchitis phenotype of COPD and include targeted lung denervation, metered dose spray cryotherapy, deobstruction balloon, and bronchial rheoplasty. This review summarizes the most recent evidence pertaining to available therapies for the management of COPD, including chronic bronchitis, with a particular focus on bronchoscopic interventions.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"582-592"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recovery from Sepsis: Management beyond Acute Care. 败血症后的康复：急性期护理之外的管理。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-08-01 Epub Date: 2024-07-05 DOI: 10.1055/s-0044-1787993
Sarah K Andersen, Margaret S Herridge, Kirsten M Fiest
{"title":"Recovery from Sepsis: Management beyond Acute Care.","authors":"Sarah K Andersen, Margaret S Herridge, Kirsten M Fiest","doi":"10.1055/s-0044-1787993","DOIUrl":"10.1055/s-0044-1787993","url":null,"abstract":"<p><p>Recovery from sepsis is a key global health issue, impacting 38 million sepsis survivors worldwide per year. Sepsis survivors face a wide range of physical, cognitive, and psychosocial sequelae. Readmissions to hospital following sepsis are an important driver of global healthcare utilization and cost. Family members of sepsis survivors also experience significant stressors related to their role as informal caregivers. Increasing recognition of the burdens of sepsis survivorship has led to the development of postsepsis recovery programs to better support survivors and their families, although optimal models of care remain uncertain. The goal of this article is to perform a narrative review of recovery from sepsis from the perspective of patients, families, and health systems.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"523-532"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sepsis from Science to Social Perspective. 从科学到社会视角看败血症。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-08-01 Epub Date: 2024-08-29 DOI: 10.1055/s-0044-1789249
Djillali Annane, Ricard Ferrer
{"title":"Sepsis from Science to Social Perspective.","authors":"Djillali Annane, Ricard Ferrer","doi":"10.1055/s-0044-1789249","DOIUrl":"https://doi.org/10.1055/s-0044-1789249","url":null,"abstract":"","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":"45 4","pages":"459-460"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Definition and Epidemiology of Sepsis. 败血症的定义和流行病学。
IF 2.3 3区 医学
Seminars in respiratory and critical care medicine Pub Date : 2024-08-01 Epub Date: 2024-07-05 DOI: 10.1055/s-0044-1787990
Pietro Arina, Daniel A Hofmaenner, Mervyn Singer
{"title":"Definition and Epidemiology of Sepsis.","authors":"Pietro Arina, Daniel A Hofmaenner, Mervyn Singer","doi":"10.1055/s-0044-1787990","DOIUrl":"10.1055/s-0044-1787990","url":null,"abstract":"<p><p>Here we review the epidemiology of sepsis, focusing on its definition, incidence, and mortality, as well as the demographic insights and risk factors that influence its occurrence and outcomes. We address how age, sex, and racial/ethnic disparities impact upon incidence and mortality rates. Sepsis is more frequent and severe among the elderly, males, and certain racial and ethnic groups. Poor socioeconomic status, geographic location, and pre-existing comorbidities also elevate the risk of developing and dying from sepsis. Seasonal variations, with an increased incidence during winter months, is also apparent. We delve into the predictive value of disease severity scores such as the Sequential Organ Failure Assessment score. We also highlight issues relating to coding and administrative data that can generate erroneous and misleading information, and the need for greater consistency. The Sepsis-3 definitions, offering more precise clinical criteria, are a step in the right direction. This overview will, we hope, facilitate understanding of the multi-faceted epidemiological characteristics of sepsis and current challenges.</p>","PeriodicalId":21727,"journal":{"name":"Seminars in respiratory and critical care medicine","volume":" ","pages":"461-468"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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