BreathePub Date : 2025-01-21eCollection Date: 2025-01-01DOI: 10.1183/20734735.0119-2024
Nicola Mortimer Ocean, Brijesh V Patel, Benjamin Garfield
{"title":"Extracorporeal membrane oxygenation for adults with respiratory failure secondary to cardiorespiratory disease: evolving indications and clinical practice.","authors":"Nicola Mortimer Ocean, Brijesh V Patel, Benjamin Garfield","doi":"10.1183/20734735.0119-2024","DOIUrl":"10.1183/20734735.0119-2024","url":null,"abstract":"<p><p>Extracorporeal membrane oxygenation (ECMO) can support patients with severe cardiorespiratory failure presenting with hypoxia who would otherwise have not survived. Patient selection for ECMO is challenging and relies on the integration of physiological variables with an assessment of reversibility of the underlying condition or suitability for transplantation. In this review, we focus on patients with cardiorespiratory disease who may present with severe hypoxia. We will discuss the indications and contraindications for ECMO; the evidence for ECMO, which is limited to a small number of clinical trials and registry data; the complications of ECMO; expanding technologies and indications; the development of a multidisciplinary ECMO network; and future research. The aim is to increase knowledge of this important area for respiratory physicians.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240119"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2025-01-21eCollection Date: 2025-01-01DOI: 10.1183/20734735.0116-2024
Christophe Guignabert
{"title":"From basic scientific research to the development of new drugs for pulmonary arterial hypertension: insights from activin-targeting agents.","authors":"Christophe Guignabert","doi":"10.1183/20734735.0116-2024","DOIUrl":"10.1183/20734735.0116-2024","url":null,"abstract":"<p><p>Pulmonary arterial hypertension (PAH) is a severe disorder of the pulmonary vasculature leading to right ventricular failure. This pulmonary vascular remodelling leads to increased pulmonary vascular resistance and high pulmonary arterial pressures. Despite the development of new therapies, many patients continue to experience significant morbidity and mortality. This review offers a comprehensive overview of the current understanding of PAH pathophysiology, with a focus on key mechanisms that contribute to pulmonary endothelial cell dysfunction and the pathological accumulation of pulmonary artery smooth muscle cells, mesenchymal cells and inflammatory cells in the walls of remodelled small pulmonary vessels, three processes central to the progression of PAH. In particular, it highlights recent developments in targeting the activin signalling pathway, a novel therapeutic approach that shows promise in modulating these pathological processes. The review also addresses the ongoing challenges in translating preclinical findings into effective clinical treatments, emphasising the importance of integrating human data with preclinical models and adopting innovative strategies to bridge the gap between research and clinical practice.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240116"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2025-01-21eCollection Date: 2025-01-01DOI: 10.1183/20734735.0129-2024
Gamze Oğuz Erdem, Rahşan Çevik Akyil, Feride Taşkin Yilmaz
{"title":"Developments in the field of respiratory nursing in Türkiye.","authors":"Gamze Oğuz Erdem, Rahşan Çevik Akyil, Feride Taşkin Yilmaz","doi":"10.1183/20734735.0129-2024","DOIUrl":"10.1183/20734735.0129-2024","url":null,"abstract":"<p><p>Nursing plays a critical role in delivering healthcare services. It is a health discipline encompassing both science and art, designed to support people from birth to the end of life, in health and illness. Nurses are required to identify the physical and psychological needs of individuals, families and society with a comprehensive, human-oriented approach and to meet these needs. Nursing provides essential services at every stage of healthcare, from health protection and improvement to disease treatment and rehabilitation. In Türkiye, nursing education is offered at high school, associate and undergraduate levels. Specialisation in a specific branch is possible through Master's and doctoral studies. However, there is no specialised branch or recognised certificate programme in respiratory nursing. Nurses specialising in respiratory diseases typically work in respiratory or intensive care units. Respiratory nurses play a crucial role in care and treatment management within the multidisciplinary team. This viewpoint provides information about the historical development of nursing, nursing education, and the status and development of respiratory nursing in Türkiye, as well as the efforts by the International Coalition for Respiratory Nursing to recognise respiratory nursing as a specialty worldwide.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240129"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2025-01-21eCollection Date: 2025-01-01DOI: 10.1183/20734735.0231-2024
Natalia Maeva, Lucy Robinson
{"title":"Living with pulmonary arterial hypertension: a patient's perspective on dyspnoea crises.","authors":"Natalia Maeva, Lucy Robinson","doi":"10.1183/20734735.0231-2024","DOIUrl":"https://doi.org/10.1183/20734735.0231-2024","url":null,"abstract":"<p><p><b>A patient with pulmonary arterial hypertension shares their experiences, from diagnosis to daily life, including the physical and psychological battle of breathlessness in management of chronic lung disease</b> https://bit.ly/4gxgIBC.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240231"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2025-01-21eCollection Date: 2025-01-01DOI: 10.1183/20734735.0125-2024
Shan Kai Ing, Yih Hoong Lee, Nga Hung Ngu, Kelly Kee Yung Wong, Adam Malik Bin Ismail, Chan Sin Chai, Siew Teck Tie, Sze Shyang Kho
{"title":"A 69-year-old man with generalised lymphadenopathy, glandular swelling and pleural effusion.","authors":"Shan Kai Ing, Yih Hoong Lee, Nga Hung Ngu, Kelly Kee Yung Wong, Adam Malik Bin Ismail, Chan Sin Chai, Siew Teck Tie, Sze Shyang Kho","doi":"10.1183/20734735.0125-2024","DOIUrl":"10.1183/20734735.0125-2024","url":null,"abstract":"<p><p><b>Patients with multisystemic presentation including respiratory symptoms and generalised lymphadenopathy should alert the clinician to this potential diagnosis</b> https://bit.ly/4eJ0PHT.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"21 1","pages":"240125"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2024-12-10eCollection Date: 2024-10-01DOI: 10.1183/20734735.0189-2023
David Drummond, Ireti Adejumo, Kjeld Hansen, Vitalii Poberezhets, Gregory Slabaugh, Chi Yan Hui
{"title":"Artificial intelligence in respiratory care: perspectives on critical opportunities and challenges.","authors":"David Drummond, Ireti Adejumo, Kjeld Hansen, Vitalii Poberezhets, Gregory Slabaugh, Chi Yan Hui","doi":"10.1183/20734735.0189-2023","DOIUrl":"10.1183/20734735.0189-2023","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming respiratory healthcare through a wide range of deep learning and generative tools, and is increasingly integrated into both patients' lives and routine respiratory care. The implications of AI in respiratory care are vast and multifaceted, presenting both promises and uncertainties from the perspectives of clinicians, patients and society. Clinicians contemplate whether AI will streamline or complicate their daily tasks, while patients weigh the potential benefits of personalised self-management support against risks such as data privacy concerns and misinformation. The impact of AI on the clinician-patient relationship remains a pivotal consideration, with the potential to either enhance collaborative care or create depersonalised interactions. Societally, there is an imperative to leverage AI in respiratory care to bridge healthcare disparities, while safeguarding against the widening of inequalities. Strategic efforts to promote transparency and prioritise inclusivity and ease of understanding in algorithm co-design will be crucial in shaping future AI to maximise benefits and minimise risks for all stakeholders.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"20 3","pages":"230189"},"PeriodicalIF":2.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2024-12-10eCollection Date: 2024-10-01DOI: 10.1183/20734735.0227-2023
Rachel Ong-Salvador, Pierantonio Laveneziana, Franciscus de Jongh
{"title":"ERS/ATS Global Lung Function Initiative normal values and classifying severity based on z-scores instead of per cent predicted.","authors":"Rachel Ong-Salvador, Pierantonio Laveneziana, Franciscus de Jongh","doi":"10.1183/20734735.0227-2023","DOIUrl":"10.1183/20734735.0227-2023","url":null,"abstract":"<p><p>Among the most discussed issues in the field of pulmonary function testing are reference equations and standardised methods of interpreting pulmonary function test (PFT) results. The Global Lung Function Initiative (GLI) task force gathered information from multiple countries with diverse ethnicities to create a multi-ethnic reference formula suitable for a broad age range. Their first output was the GLI-2012 spirometry reference equations. Together with the GLI-2012 reference equations, the GLI document recommended the use of z-scores to standardise the interpretation of PFT results. Z-scores were introduced as an alternative to per cent predicted and fixed thresholds in interpreting PFTs. After more than a decade, there is still debate on which method of interpretation is better.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"20 3","pages":"230227"},"PeriodicalIF":2.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2024-12-10eCollection Date: 2024-10-01DOI: 10.1183/20734735.0175-2024
Senani N H Rathnayake, Joana Cruz, Sara Cuevas Ocaña, Mareike Lehmann, Heleen Demeyer
{"title":"The more stars, the brighter! Interview with the ECM award winner 2023.","authors":"Senani N H Rathnayake, Joana Cruz, Sara Cuevas Ocaña, Mareike Lehmann, Heleen Demeyer","doi":"10.1183/20734735.0175-2024","DOIUrl":"https://doi.org/10.1183/20734735.0175-2024","url":null,"abstract":"<p><p><b>In this early career forum, the 2023 ECM awardee shares her insights into research, her career path, her personal life and collaborations (@Mkg_Lehmann)</b> https://bit.ly/4f0AiVY.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"20 3","pages":"240175"},"PeriodicalIF":2.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2024-12-10eCollection Date: 2024-10-01DOI: 10.1183/20734735.0003-2024
Jodie A Schildkraut, Niklas Köhler, Christoph Lange, Raquel Duarte, Stephen H Gillespie
{"title":"Advances in tuberculosis biomarkers: unravelling risk factors, active disease and treatment success.","authors":"Jodie A Schildkraut, Niklas Köhler, Christoph Lange, Raquel Duarte, Stephen H Gillespie","doi":"10.1183/20734735.0003-2024","DOIUrl":"10.1183/20734735.0003-2024","url":null,"abstract":"<p><p>Tuberculosis (TB) is a major global health threat and demands improved diagnostic and treatment monitoring methods. Conventional diagnostics, such as sputum smear microscopy and culture, are limited by slow results and low sensitivity, particularly in certain patient groups. Recent advances in biomarker research offer promising solutions in three key areas: risk of disease, diagnosis of active disease and monitoring of treatment response. For risk assessment, novel genetic signatures and metabolites show potential in predicting the progression from TB infection to active TB. A 16-gene signature, for example, predicts this progression with significant accuracy. In diagnosing active TB, RNA-based transcriptomic signatures provide higher diagnostic accuracy than traditional methods. These signatures, such as a three-gene RNA sequence, effectively differentiate active TB from other diseases and infections, addressing issues of specificity and sensitivity. Monitoring treatment response is crucial, given the varying response rates in treating TB. Emerging biomarkers focus on bacterial burden and host response. They offer more precise and timely assessments of treatment efficacy, enhance personalised treatment approaches and potentially improve patient outcomes. These advancements in biomarkers for TB risk, diagnosis and treatment response represent significant steps towards more effective TB management and control, aligning with global efforts to decrease the burden of TB. Here we aim to highlight several promising biomarkers used to predict risk of disease progression, active TB disease and treatment success.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"20 3","pages":"240003"},"PeriodicalIF":2.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BreathePub Date : 2024-12-10eCollection Date: 2024-10-01DOI: 10.1183/20734735.0107-2024
Laurens J Ceulemans, Dorina Esendagli, Giuseppe Cardillo, Marcello Migliore
{"title":"Lung volume reduction: surgery <i>versus</i> endobronchial valves.","authors":"Laurens J Ceulemans, Dorina Esendagli, Giuseppe Cardillo, Marcello Migliore","doi":"10.1183/20734735.0107-2024","DOIUrl":"10.1183/20734735.0107-2024","url":null,"abstract":"<p><p>Volume reduction is a disease-modifying treatment that aims to reshape the diseased lung towards a more normal total lung capacity by removing severely damaged and overinflated lung parenchyma. It is an effective therapeutic strategy in well-selected patients, resulting in improvements in exercise tolerance, lung function, quality of life and survival. The most widespread strategies for volume reduction are either video-assisted thoracoscopic surgery or bronchoscopic lung volume reduction. It is crucial to decide which approach would be more suitable for specific patients, as this is related to the outcome of the procedure. Factors like emphysema distribution on computed tomography, the presence or absence of collateral ventilation, the patient's pulmonary function tests, a history of other comorbidities and previous interventions might all influence the choice of procedure. It is crucial that this decision is taken by a multidisciplinary expert team to have the best outcome and fewer complications.</p>","PeriodicalId":9292,"journal":{"name":"Breathe","volume":"20 3","pages":"240107"},"PeriodicalIF":2.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}