Respiratory Exchange

Thomas Gildea, MD, section head of Interventional Pulmonary and Bronchoscopy, discusses Excessive Dynamic Airways Collapse (EDAC) and Tracheobronchomalacia (TBM). He talks about breathing issues that may indicate airway collapse, as well as possible connections with asthma and COPD, long-term corticosteroid use and obesity. Dr. Gildea covers using dynamic CT as a diagnostic tool and treatment poss...

Dr. Hannah Wang and Dr. Christopher Attaway will explore emerging RSV testing as it pertains to understanding the capabilities and limitations of different diagnostic tests.

Immune checkpoint inhibitors have revolutionized the management of many cancers. However, adverse events and side effects on various organs, including pneumonitis in the lungs, can be caused by these therapies. This episode of Respiratory Exchange Podcast covers patient or therapy side effect risk factors, using tools such as CT scans and bronchoscopy to assist in diagnosis through exclusion and t...

Welcome to a special series by Respiratory Exchange Addressing the Impact of RSV and Vaccine Hesitancy.  In this series, we 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.   This episode will focus on the RSV Vaccination for Older Adults, and the importance of vaccinatio...

Dr. Michaela Gack explains her research on emerging respiratory viruses and vector-borne pathogens. She discusses the recent advancements in RSV vaccine development while addressing the challenges in RSV epidemiology, vaccination strategies and the importance of education, messaging, and novel approaches in antiviral treatment.

Dr. Siddarth Dugar talks with Congress Co-chair Roshni Sreedharan, MD and Cleveland Clinic Director of Translational Critical Care Research, Vidula Vachharajani, MD about the 2024 SCCM Congress. They discuss interesting sessions such as: identifying modifiable treatments on ARDS, typing of Sepsis biomarkers, whether to get a chest X-ray post-central line placement or not and a late-breaker session...

There have been drastic changes made in the regulation of opioids for medical treatment in the past few decades. However, with advent of fentanyl and carfentanil addiction, overdose-related death continues to increase. In this episode, our guests discuss continued regulation of opioids, use of naloxone and when it may not counteract an overdose, the case for limiting the use of opiates in elderly...

In the ICU, each patient has a team of professionals on-hand to work with family to promote their well-being. While in-person communication is always best, what happens when that’s not an option – at all? Dr. Adi Gerblich talks about how the ICU at Cleveland Clinic Hillcrest Hospital pioneered virtual ICU rounding years before COVID made it necessary for everyone to go virtual. Hear about the hurd...

Dr. Cyndee Miranda and Dr. Joseph Khabbaza ,experts from the Infectious Disease and Pulmonary Medicine departments at Cleveland Clinic respectively, delve into NTM: how developing an index of suspicion can help identify patients early, what diagnostic criteria work well, when watchful waiting is called for, and the benefits of following a guideline-based regimen to determine success.

Sleep experts Loutfi Aboussouan, MD and Reena Mehra, MD join this episode of Respiratory Exchange to discuss identifying sleep apnea in patients, improving CPAP patient compliance and device alternatives for treatment including hypoglossal nerve stimulation.

Dr. Aanchal Kapoor covers some of the highlights from the CHEST 2023 conference with Drs. Angel Coz and Colin Gillespie including: procedure simulations, transfusion in the ICU, networking at the conference, pros and cons of artificial intelligence in critical care, controversies in mechanical ventilation, sepsis, ARDS, flexible vs rigid bronchoscopy, rescue strategies for hard to ventilate patien...

What do golf clubs, computers and aerospace engineering have in common? They all use a beryllium alloy as part of their manufacturing process. Beryllium is used in many industries and, over time, workers who are in contact with this element can become sensitized to it and may develop chronic beryllium disease. Dr. Maeve MacMurdo discusses ways to identify patients who may be sensitized, as well as...

Eduardo Mireles, MD, director of the Medical Intensive Care Unit and vice-chair of the Department of Critical Care Medicine at Cleveland Clinic, discusses the current gap between ventilator technology, with its multiple options, and the education needed for providers who monitor patients. He reviews the course he developed to address this gap, the Standardized Education on Ventilatory Assistance (...

Dr. Fred Hsieh discusses eosinophilic-related diseases and their possible causes, such as allergic diseases or parasitic infection. He covers the best way to proceed when your CBC report shows a high eosinophil number and what hypereosinophilia syndrome actually is. Dr. Hsieh reviews the challenge in treating eosinophilic-related diseases with corticosteroids, and new, FDA-approved treatments that...

ATS LIVE! Part 2 Interviews from the 2023 American Thoracic Society Conference Host: Amy Attaway, MD Recorded live at ATS, Dr. Amy Attaway talks with attendees about their emerging and innovative work. Dr. Anna May: Medication use before starting positive airway pressure therapy. Dr. Neha Solanki: Platelets’ association with severe asthma. Dr. Peng Zhang: Repurposing medications to decrease asthma...

Recorded live at ATS, Dr. Amy Attaway, Associate Director of the Cleveland Clinic COPD Center, talks with attendees about their emerging and innovative work:•Dr. Elizabeth Regan: COPDGene study.•Drs. Onder Yildirim and Thom Conlon: COPD iNET.•Dr. Roger Kim: AI radio mix tool. Racial disparities in lung cancer screening.

Dr. Rachel Scheraga and Dr. Brian Southern in the Respiratory Institute at the Cleveland Clinic, cover the best of the 2023 ATS conference. They highlight discussions on recent IPF trials, omics and spatial transcriptomics, incorporating wearables data in clinical trials, climate change impact on lung disease risk and behavior, the updated pulmonary hypertension guidelines and more.

This underrecognized disease is too often diagnosed late in the fungal infection’s fibrotic progression. Learn how using a combination of CT scans, bronchoscopy and the assistance of interventional radiologists can help you diagnose and differentiate fibrosing mediastinitis from other pulmonary disorders such as asthma or COPD. Also in this episode, multiple palliative modalities for fibrosing med...

Occupational lung disease is anything related to exposures that occurred on the job. This includes something that may be happening now or happened 20, 30 years ago. Hear why talking to your patient about their job or deployment history may be key to determining lung disease origin and developing a successful treatment plan.

Dr. Maryam Valapour, director of Lung Transplant Outcomes Research at Cleveland Clinic, discusses the intersection of transplant science and health policy and the role of the physician-scientist. She also covers the need to build better lung allocation models, the concept of minimizing the impact of geography in organ distribution, looking into who doesn't get access to transplant that should...

Alpha-1 antitrypsin deficiency is a genetic disease that commonly goes unrecognized. For some patients who have COPD or emphysema, alpha-1 is a predisposing condition they have that can be identified through a simple blood test. In this episode, Dr. James Stoller discusses this disease, effective therapies and novel treatments being investigated that include corrector molecules, gene editing appro...

Military burn pits were used during deployment to burn away any kind of waste created. The fumes produced have caused serious lung injury and disease. Drs. Mauve MacMurdo and Neha Solanki discuss burn pit exposure, legislation designed to help military who have developed deployment-related lung disease, and the need to evaluate and support these patients.

Dr. Peter Mazzone talks with Drs. Sethi Sonali and Angel Coz about some of the highlights from the CHEST 2022 conference, including the two-part Critical Care Year End Review covering mechanical ventilation, neurology, ICU, sepsis, ARDIS and surgical critical care.

Dr. Humberto Choi, director of Cleveland Clinic’s Smoking Cessation Program, discusses ways for clinicians to be proactive and individualize treatment options to help people quit smoking. He also reviews electronic cigarettes, vaping and why they aren’t a safer alternative to smoking tobacco.

Dr. Elliot Dasenbrook, founder and director of the Cleveland Clinic Adult Cystic Fibrosis Program, discusses the formation of the multidisciplinary adult program. He covers past treatments and how the new modulators have made such a dramatic difference for patient care, including patients on the lung transplant waiting list. Dr. Dasenbrook also talks about how the need for transitional care, from...