PRESS-NEWS.org - Press Release Distribution
PRESS RELEASES DISTRIBUTION

CHEST releases clinical practice guideline on respiratory management of patients with neuromuscular weakness

2023-03-15
(Press-News.org) Glenview, Illinois – The American College of Chest Physicians® (CHEST) recently released a new clinical guideline on respiratory management of patients with neuromuscular weakness. Published in the journal CHEST®, the guideline contains 15 evidence-based recommendations, a good practice statement and an ungraded consensus-based statement.

Endorsed by the American Association for Respiratory Care, the American Thoracic Society, the American Academy of Sleep Medicine and the Canadian Thoracic Society, the guideline recommendations include mouthpiece ventilation, transition to home mechanical ventilation, salivary secretion management and airway clearance therapies.

“Respiratory muscle weakness is a serious concern in patients with neuromuscular diseases. It can lead to inadequate ventilation, nighttime hypoventilation and the inability to mobilize secretions, which is frequently the cause of death in this population,” says Akram Khan, MD, FCCP, Associate Professor, Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, and the lead author on the guideline. “We anticipate this guideline will standardize and improve the care provided to patients with neuromuscular diseases and subsequent weakness.”

The guideline includes the following highlighted recommendations:

For patients with neuromuscular diseases (NMD) and chronic respiratory failure, we recommend using noninvasive ventilation (NIV) for treatment. (Strong recommendation) For patients with NMD requiring NIV, we suggest individualizing NIV treatment to achieve ventilation goals. (Conditional recommendation) For patients with NMD at risk for respiratory failure, we suggest pulmonary function testing at a minimum of every 6 months as appropriate to the course of the specific NMD. (Conditional recommendation) For patients with NMD and sialorrhea, we suggest a therapeutic trial of an anticholinergic medication as firstline therapy with continued use only if there are perceived benefits compared with side effects. (Conditional recommendation) Each recommendation is classified as strong, referred to as “recommended,” or conditional, referred to as “suggested.” The panel offers graded recommendations when there is sufficient evidence and ungraded consensus-based statements in areas that were thought to warrant guidance, despite an insufficient grade of evidence.

The entire list of recommendations and population, intervention, comparator and outcome questions included in the guideline can be accessed through the CHEST journal website.

About the American College of Chest Physicians

The American College of Chest Physicians® (CHEST) is the global leader in the prevention, diagnosis and treatment of chest diseases. Its mission is to champion advanced clinical practice, education, communication and research in chest medicine. It serves as an essential connection to clinical knowledge and resources for its 19,000+ members from around the world who provide patient care in pulmonary, critical care and sleep medicine. For information about the American College of Chest Physicians, and its flagship journal CHEST®, visit chestnet.org.

END


ELSE PRESS RELEASES FROM THIS DATE:

Researcher solves nearly 60-year-old game theory dilemma

2023-03-15
To understand how driverless vehicles can navigate the complexities of the road, researchers often use game theory — mathematical models representing the way rational agents behave strategically to meet their goals.  Dejan Milutinovic, professor of electrical and computer engineering at UC Santa Cruz, has long worked with colleagues on the complex subset of game theory called differential games, which have to do with game players in motion. One of these games is called the wall pursuit game, a relatively simple model for a situation in which a faster pursuer ...

Mediterranean diet cuts women’s cardiovascular disease and death risk by nearly 25%

2023-03-15
Sticking closely to a Mediterranean diet cuts a woman’s risks of cardiovascular disease and death by nearly 25%, finds a pooled data analysis of the available evidence—the first of its kind—published online in the journal Heart. The findings prompt the researchers to call for more sex specific research to guide clinical practice in heart health. Cardiovascular disease accounts for more than a third of all deaths in women around the world. While a healthy diet is a key plank of prevention, most relevant clinical trials have included relatively few women or haven’t reported the results by sex, say the researchers. And current guidelines ...

High blood caffeine level might curb amount of body fat and type 2 diabetes risk

2023-03-15
A high blood caffeine level might curb the amount of body fat a person carries and their risk of type 2 diabetes, suggests research published in the open access journal BMJ Medicine. In light of their findings, the potential role of calorie free caffeinated drinks for lowering the risks of obesity and type 2 diabetes is probably now worth exploring, say the researchers. Previously published research indicates that drinking 3-5 daily cups of coffee, a rich source of caffeine, is associated with a lower risk ...

TikTok health information videos on Mpox often inaccurate and of poor quality

2023-03-15
Health information on M(onkey)pox, posted on the social media platform TikTok, is often inaccurate, incomplete, and of poor quality, finds a recent analysis of relevant videos, published in the open access journal BMJ Global Health. The findings highlight the potential risks of using social media for health information, particularly during public health emergencies, warn the researchers. Mpox, formerly called monkeypox, usually describes fever, swollen lymph glands (lymphadenopathy), and painful skin pustules all over the body ...

Altered “neuronal avalanches” in brains of epilepsy patients tied to cognitive performance

2023-03-15
New research by the Human Brain Project has found that in the brains of patients with epilepsy, changes in large scale neuronal activations can be detected in the brain’s resting state activity, even when no seizure is ongoing. The non-invasive approach could lead to a new method to aid epilepsy diagnostics. Diagnosing epilepsy can be problematic for patients, who sometimes have to wear helmets and electrodes for prolonged periods of time waiting for an epileptic episode to happen, so that the clinicians can document it with EEG. Alternatively, the seizure is artificially induced, causing discomfort. The new ...

Neolithic ceramics reveal dairy processing from milk of multiple species

Neolithic ceramics reveal dairy processing from milk of multiple species
2023-03-15
A new study has found evidence of cheesemaking, using milk from multiple animals in Late Neolithic Poland. The research suggests that early farmers reduced the lactose content in milk by making it into cheese or other dairy products like yoghurt, and used dairy products from a number of different animals, such as cows, sheep or goats. Lactose intolerance was a common condition in almost everyone in Europe during the Neolithic and until the Late Bronze Age when the genetic mutation became widespread, enabling adults to produce lactase, the enzyme which breaks down lactose in the body. Researchers looked at the practice of dairy processing ...

Community health workers can help protect pregnant women and their babies from malaria

2023-03-15
Community health workers can make a great difference in increasing the number of pregnant women who receive life-saving preventive antimalarial treatment, according to a study conducted in four sub-Saharan African countries and led by the Barcelona Institute for Global Health (ISGlobal), an institution supported by “la Caixa” Foundation. The findings, published in The Lancet Global Health, will help to guide malaria control strategies in pregnant women and improve maternal and infant health in malaria-endemic ...

Robots can help improve mental wellbeing at work – as long as they look right

Robots can help improve mental wellbeing at work – as long as they look right
2023-03-15
Robots can be useful as mental wellbeing coaches in the workplace – but perception of their effectiveness depends in large part on what the robot looks like. Researchers from the University of Cambridge carried out a study in a tech consultancy firm using two different robot wellbeing coaches, where 26 employees participated in weekly robot-led wellbeing sessions for four weeks. Although the robots had identical voices, facial expressions, and scripts for the sessions, the robots’ physical appearance affected how participants interacted with it. Participants who did their wellbeing exercises with a toy-like robot said that they felt more of a connection ...

Knowing your ants from your anteaters: are wildlife documentaries showing us the ‘real’ natural world?

2023-03-15
Wildlife documentaries miss an opportunity to highlight the diversity of nature by focusing too much on mammals and birds, according to a new study. In a new study published in People and Nature, researchers from the University of Cambridge have shown that while the production of wildlife documentaries has exploded over recent decades, they portray a biased view of the natural world around us. Our natural world is under threat, from habitat and biodiversity loss, to high extinction rates. At the same time, there is a growing disconnect between people and nature, with children’s opportunities to experience the natural world diminishing. Now more ...

Propeller advance paves way for quiet, efficient electric aviation

Propeller advance paves way for quiet, efficient electric aviation
2023-03-15
Electrification is seen as having an important role to play in the fossil-free aviation of tomorrow. But electric aviation is battling a trade-off dilemma: the more energy-efficient an electric aircraft is, the noisier it gets. Now, researchers at Chalmers University of Technology, Sweden, have developed a propeller design optimisation method that paves the way for quiet, efficient electric aviation. In recent years, electrification has been described as having an important role in reducing emissions from future aviation. Due to the challenges posed by longer ranges, interest is chiefly focused on electric propeller planes covering shorter distances. Propellers connected to ...

LAST 30 PRESS RELEASES:

Aston University establishes new independent investment company

Outbreak of typhoid on Dutch ship traced to contaminated drinking water

Extremely rare gene variants point to a potential cause of age-related macular degeneration

After spinal cord injury, kinesthetic sense helps restore movement, model suggests

Cookin' with gas: UWO professor earns patent for flameless industrial oven

This is your brain on everyday life

Iguana stole my cake! and left behind a nasty surprise

Combination therapy a promising option for advanced kidney cancer patients already treated with immunotherapy

Final Human Brain Project Summit closes with a vision for the future of digital brain research

Metformin & leucine prevent cellular senescence & proteostasis disruption

Plastic transistor amplifies biochemical sensing signal

Childhood asthma declines during COVID-19 pandemic

Study shows ketamine could be beneficial for treating brain injury in children

Yak milk consumption among Mongol Empire elites

Hope for salamanders? Illinois study recalibrates climate change effects

Engineered E. coli delivers therapeutic nanobodies to the gut

New type of friction discovered in ligand-protein systems

New UNC Chapel Hill study quantifies $562M in financial risk from Hurricane Florence using novel modeling approach that evaluates risk of mortgage default and property abandonment

What is foreign exchange market or simply Forex?

Can cities make room for woodpeckers?

Study: ChatGPT has potential to help cirrhosis, liver cancer patients

A healthy microbiome may prevent deadly infections in critically ill people

Academic institutions receive lower financial returns from biotechnology licenses than commercial firms

Harnessing nature to promote planetary sustainability

Study examines how social rank affects response to stress

The stars in the brain may be information regulators

The Institut Pasteur and the University of São Paulo sign articles of association to establish the Institut Pasteur in São Paulo

Mathematical model provides bolt of understanding for lightning-produced X-rays

nTIDE March 2023 Deeper Dive: Intersection of race and disability perpetuate inequalities in employment impacting Black/African American people with disabilities

Researchers uncover the first steps driving antibiotic resistance

[Press-News.org] CHEST releases clinical practice guideline on respiratory management of patients with neuromuscular weakness