Pulmonary News

Lies, Damned Lies, and Asthma

Aminophylline suppositories, cocaine nasal packs, and potassium iodide were commonly prescribed for asthma in 1963 when Claude A. Frazier, MD, wrote a thoughtful essay on the do’s and don’ts in treating allergic asthma in Consultant.1 How times have changed! Dr Frazier left us with several clinical observations that are prophetic. He was correct in asserting [...]

Lies, Damned Lies, and Asthma2019-01-11T09:38:03+00:00

What exercises can help increase lung capacity?

Patients with asthma, COPD or other chronic lung conditions always asks me whether exercise can reverse or improve the disease or improve lung capacity? Generally speaking, breathing exercises or pulmonary rehab program does not improve pulmonary functional capacity as measured by FEV1. However, they can perform exercises that may reduce shortness of breath, anxiety, and [...]

What exercises can help increase lung capacity?2019-01-09T01:55:44+00:00

Thirty-Day Hospital Readmission Metric Linked to Increased Mortality for HF and Pneumonia

Physicians are at increased pressure to reduce readmissions for certain chronic diseases. A recent study found that implementation of the 30-day readmission rules has been associated with increased 30-day post-discharge mortality for those hospitalized for heart failure and pneumonia. Post-discharge deaths have increased by 0.25% for patients hospitalized with heart failure and by 0.40% for [...]

Thirty-Day Hospital Readmission Metric Linked to Increased Mortality for HF and Pneumonia2019-01-09T01:51:54+00:00

Add Corticosteroids to Your Arsenal for the treatment of Inpatient Community-Acquired Pneumonia.

Corticosteroids were both beneficial and cost-effective for hospitalized adults with severe CAP. Hospitalized people with non-severe CAP may also benefit from corticosteroid therapy, but with no survival advantage In 2015, results of two randomized trials showed that systemic corticosteroids were beneficial for some hospitalized patients with community-acquired pneumonia (CAP; NEJM JW Gen Med Mar 15 [...]

Add Corticosteroids to Your Arsenal for the treatment of Inpatient Community-Acquired Pneumonia.2018-12-19T01:49:53+00:00

Home oxygen therapy for COPD: Does it matter whether the patient is hypoxemic? Evidence vs Reality

Home oxygen therapy for COPD: Does it matter whether the patient is hypoxemic? Evidence vs Reality? Long-term oxygen therapy (LTOT) is given to improve survival time in people with COPD and severe chronic hypoxemia at rest. The efficacy of oxygen therapy for breathlessness and health-related quality of life (HRQOL) in people with COPD and mild [...]

Home oxygen therapy for COPD: Does it matter whether the patient is hypoxemic? Evidence vs Reality2018-12-19T01:52:32+00:00
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