Respiratory Exchange

Host Daniel Culver, DO, is joined by Cleveland Clinic pulmonologists Rachel Scheraga, MD, and Vickram Tejwani, MD, for a recap of the 2026 American Thoracic Society Conference (ATS). They discuss key scientific and clinical highlights, including support for early-career investigators, ATS NOW, advances in lung microenvironment research, emerging airway disease therapies targeting IL-33, and promis...

In this episode of Respiratory Exchange, Dr. Dan Culver speaks with hospitalist and anesthesia outcomes researcher Dr. Roop Kaw about the practical recognition and management of hypercapnic respiratory failure across the inpatient setting. The discussion explores how hospitalists can identify subtle early warning signs, distinguish acute from chronic hypercapnia and use tools such as venous blood...

In this episode of the Respiratory Exchange Podcast, Dr. Dan Culver, Chair of Pulmonary Medicine, hosts an engaging conversation with Dr. Sonali Sethi, president-elect of the American Association of Bronchoscopy and Interventional Pulmonology (AABIP), who shares insights into cutting-edge technologies, the global impact of the AABIP and the future of advanced diagnostic bronchoscopy. Discover how...

In this episode of the Respiratory Exchange Podcast, Dr. Dan Culver, Chair of Pulmonary Medicine, hosts an engaging conversation with Dr. Moises Auron, Professor of Medicine and Pediatrics at Cleveland Clinic. Together, they explore the hospitalists’ perspective on managing COPD exacerbations in admitted patients, emphasizing a holistic approach to care. From addressing comorbidities like sleep ap...

Join Dr. Dan Culver, Chair of Pulmonary Medicine at Cleveland Clinic, as he leads an insightful discussion on the future of mechanical ventilation in this edition of "Respiratory Exchange." With expert guests Dr. Eduardo Mireles and Professor Rob Chatburn, the conversation delves into the evolution of ventilator technology, the integration of artificial intelligence and the challenges of...

In this episode of the Respiratory Exchange podcast, Dr. Les Tolle and Dr. Kamonpun (Joy) Ussavarungsi dive deep into the complexities of lymphangioleiomyomatosis (LAM), a rare and progressive cystic lung disease primarily affecting women of childbearing age. Dr. Ussavarungsi, Director of the Rare Lung Disease Clinic at Cleveland Clinic, shares invaluable insights into LAM’s pathophysiology, diagn...

2025 CHEST Conference Highlights   In this episode, pulmonary and critical care leaders share the most exciting takeaways from the CHEST annual meeting—where innovation and practical insights meet bedside care. Our experts discuss sessions that cover real-world strategies for managing the morbidly obese ICU patient, from fine-tuning ventilation to navigating complex drug dosing. They cover present...

This podcast delivers a high-impact, practical discussion on managing critically ill pregnant patients—an area often outside the daily comfort zone of many pulmonary and critical care physicians. From recognizing subtle red flags like mild hypertension and tachypnea to navigating the complexities of airway management in the third trimester, this episode dives into scenarios you may face in emergen...

What makes the ATS the go-to home for clinicians, researchers and educators in pulmonary health? In this inspiring episode, the new ATS president lays out a bold vision to strengthen the society’s impact—from elevating the quality and timeliness of clinical guidelines to expanding opportunities for every member to engage, grow, and lead. Whether you're a junior investigator or a seasoned clin...

What if subtle CT findings you're used to skimming over could actually predict increased mortality and signal the earliest stages of fibrotic lung disease? In this episode, we dive into how interstitial lung abnormalities—once considered incidental and insignificant—are now being redefined, reclassified and closely scrutinized in light of new evidence and evolving guidelines from ATS and Flei...

Discover how Cleveland Clinic transformed a single ultrasound machine into a cutting-edge, hospital-wide Point-of-Care Ultrasonography (POCUS) program that now performs thousands of cardiac, lung, and vascular ultrasounds annually. In this episode, Drs. Ajit Moghekar and Siddharth Dugar detail their journey from early adoption to national leadership in POCUS, including its critical role during the...

Chronic cough is an often-misunderstood condition that places a significant quality of life burden on patients and their loved ones. For providers, this complex condition requires more than just symptom management—it calls for expert, patient-centered evaluation. In this podcast, Dr. Rachel Taliercio and Dr. Michael Ghobrial discuss how early referral to a specialized chronic cough clinic can redu...

In this episode of Respiratory Exchange, titled "Treating CTEPH: Surgery, Medication or Balloon Angioplasty?" Dr. Gustavo Heresi and Dr. Alice Goyanes discuss specialized, dedicated treatment options for chronic thromboembolic pulmonary hypertension (CTEPH), a type of pulmonary vascular disease. They review when pulmonary endarterectomy is appropriate. They also discuss treatment options...

Dr. Amy Attaway and Dr. Dan Culver review the emerging relationship between COPD patients who have intermittent hypoxemia and an increase they have in co-morbidities and mortality. They discuss how multiple associative studies suggest that intermittent hypoxemia may impact musculature, cardiovascular and neurologic systems. Dr. Attaway and Dr. Culver also underscore the need to review studies in l...

Dr. Angel Coz reviews some of the highlights from the CHEST 2024 conference with Drs. Priya Balakrishnan and Eduardo Mireles-Cabodevila. They cover aspects of talks on pneumoconiosis and occupational lung disease, sarcoidosis medication, diffuse lung disease, ECMO, neuromuscular disease and home mechanical ventilation.  They also discuss the unexpected benefits of getting lost in the hallways with...

Delerium is an acute mental disorder associated with fluctuating changes in cognition and attention and is likely a consequence of another medical condition. In this episode, Dr. Heather Torbic discusses the incidence and types of delirium, pathogenesis and patient-specific risk factors with Dr. Abhijit Duggal. Dr. Torbic also covers bedside tools for the diagnosis of delirium and treatment option...

Sepsis is a leading cause of death in hospitals worldwide. In this episode Drs. Matthew Dettmer and James Morrison discuss the two major patient populations: one that comes in through the emergency department and the other that is already in the hospital. They cover the defining characteristics of these groups, the patient populations more at risk for developing sepsis, and the regulations provide...

Dr. Fernanda Bonilla will discuss the health implications, the challenges and opportunities in vaccinology, and the importance of collaboration in healthcare worldwide.

In this episode, we will explore the impact of RSV on transplant and immunocompromised population, emphasizing the critical role of vaccination. Dr. Gonzalez and Dr. Koval will discuss the risk factors associated with RSV and outline effective prevention strategies to protect this vulnerable population.

Vaccine Hesitancy and Proposed Strategies - Dr. Tosin Goje and Dr. Aanchal Kapoor discuss vaccine hesitancy as techniques used to communicate with patients and families include empathic listening, finding trusted sources, and addressing fears and myths.

Dr. Gregory Poland explains the different aspects and limitations of immunity, such as innate, humoral, cellular, and durable immunity, and the need for booster doses and personalized vaccinology to optimize vaccine responses.

Dr. Kristen Highland speaks with Drs. Peter Mazzone and Vickram Tejwani about the recent 2024 American Thoracic Society Conference. Topics discussed include exposure-related mutations in non-smokers' lungs, doing better at getting the right people to be screened and new tools in development like circulating tumor DNA methylation-based tools, mutation-based tools, proteins and combinations of...

Dr. Frank Esper will discuss the impact of RSV on children. He will review the burden of RSV infection in children, the history and challenges of RSV vaccine development, and the recent breakthroughs and innovations in RSV prevention. The episode will conclude with recommendations and resources for RSV prevention and surveillance.

Measurement of lung volume is used routinely by pulmonologists and according to the Global Lung Initiative (GLI) regression, women as a population have different lung volumes than men.  Dr. Philippe Haouzi, medical director of Cleveland Clinic’s Pulmonary Function Testing Lab, discusses the lack of clear evidence for this assumption and why it’s time to re-evaluate the inclusion of sex as a parame...

Dr. Trate DeVolld and Dr. Katie Rivard will explore the efficacy of RSV vaccines and discuss preventive strategies aimed at reducing the occurrence of severe RSV respiratory illness in infants, children, and older adults.