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Respiratory Exchange

Clevleand Clinic Respiratory Institute

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A Cleveland Clinic podcast exploring timely and timeless clinical and leadership topics in the disciplines of pulmonary medicine, critical care medicine, allergy/immunology, infectious disease and related areas. Hosted by Raed Dweik, MD, MBA, Chair of the Respiratory Institute at Cleveland Clinic.
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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 refer…
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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 appropri…
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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. Culv…
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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 unexpec…
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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 …
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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 …
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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, mutati…
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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.…
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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 tim…
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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 …
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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 bronchosc…
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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…
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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-centra…
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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, th…
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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 necessa…
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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…
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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 bronchosco…
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