CHEST Pulse

Acute and Long-term Neurological Implications of COVID-19

Acute hypoxemic respiratory failure is the calling card of COVID-19, but there are detrimental effects on the central nervous system, including numerous organs. In this episode, experts in ICU sedation, neurointensive care, and postcritical care outcomes discuss issues related to the sedation of ventilated COVID-19 patients, acute direct and indirect neurological effects, chronic neurological recovery, and the interplay of all three. (Originally recorded August 6, 2020)

Moderators: Steven Q. Simpson, MD, FCCP, and Deepa Gotur, MD, FCCP

Panelists: Neha S. Dangayach, MD; Ashish K. Khanna MD, FCCP; and Carla M. Sevin, MD 

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Crisis Standards of Care in COVID-19

COVID-19 surges put many health-care systems under significant strain. The experience in New York City taught us that existing guidelines regarding crisis standards of care (CSC) are difficult to operationalize and might not be nimble enough, and many frontline decisions regarding resource allocation are made subjectively. This episode describes crisis CSC, identifies current vulnerabilities, and provides ideas on how to approach CSC in the setting of an ongoing pandemic. (Originally recorded July 23, 2020)

Moderator: Vikramjit Mukherjee, MD, MBBS

Panelists: Asha Devereaux, MD, MPH, FCCP; Jeffrey Dichter, MD, FCCP; Laura Evans, MD; Ryan Maves, MD, FCCP; and Amit Uppal, MD

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Approach to Hypoxia in COVID-19 Patients

Experts discuss updates in the management of hypoxia in patients with COVID-19 based on emerging evidence and experience gained during the pandemic. The panel covers assessment and the role of various invasive and noninvasive interventions when managing critically ill patients with COVID-19. (Originally recorded July 9, 2020)

Moderator: Viren Kaul, MD

Panelists: Alice Gallo De Moraes, MD; Vikramjit Mukherjee, MD, MBBS; and Nida Qadir, MD

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Multisystem Inflammatory Syndrome in Children

In May 2020, the CDC issued a national health advisory on a newly reported multisystem inflammatory syndrome in children. This syndrome presented with fever, shock, and signs of hyperinflammation, and temporally occurred 2-4 weeks following COVID-19 exposure. Panelists discuss this newly identified syndrome, its presentation, clinical course, potential pathophysiology, and potential treatment options. (Originally recorded July 2, 2020)

Moderators: Christopher Carroll, MD, FCCP, and Nancy Stewart, DO

Panelists: Adrienne Randolph, MD, MSc, and Manish Patel, MD

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Racism, COVID, and CHEST: A Candid Fireside Discussion on Whiteness, Inequity, and a Path Forward

This episode examines why COVID-19 has impacted the African-American community and other communities of color so intensely. Panelists discuss the history of racism in medicine, with particular attention to racism within chest medicine, and how that history established the reality seen today with the pandemic. They also talk about whiteness and the continued support of systemic racism within medicine and how to move forward with systemic change. (Originally recorded June 25, 2020)

Moderators: Demondes Haynes, MD, FCCP, and Nneka O. Sederstrom, PhD, MA, FCCP

Panelists: James Williams, MD; Eduardo Medina, MD, MPH; and John Biewen

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Bronchoscopy and Tracheostomy During COVID-19: Take-home Messages From the Expert Panel Reports

In conjunction with interventional pulmonology societies, CHEST has developed and published two expert panel reports outlining strategies for performing bronchoscopy and tracheostomy during COVID-19 pandemic. In this episode, experts address questions regarding indications, the role of preprocedure testing, optimal timing, location and techniques for minimizing the risk of infection to health care workers. (Originally recorded June 18, 2020)

Moderator: Septimiu D. Murgu, MD, FCCP

Panelists: Raed H. Alalawi, MD, FCCP; Luis F. Angel, MD, FCCP; A. Christine Argento, MD, FCCP; and Carla R. Lamb, MD, FCCP

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Virchow’s Triad and the Perfect Storm: VTE in Patients With COVID-19

Ryan Maves, MD, FCCP, interviews Lisa K. Moores, MD, FCCP, and other authors of the “Prevention, diagnosis and treatment of venous thromboembolism in patients with COVID-19: CHEST Guideline and Expert Panel Report.” (Originally recorded June 11, 2020)

Moderator: Ryan Maves, MD, FCCP

Panelists: Lisa Baumann Kreuziger, MD; David Jimenez, MD, PhD; Lisa K. Moores, MD, FCCP; and Tobias Tritschler, MD

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

ICU/Hospital Discharge: Where Do the Patients Go?

Moderator De De Gardner, DrPH, RRT, FCCP, and a panel of interprofessional, interdisciplinary health-care providers discuss their discharge criteria or processes within health-care facilities, and from health-care facilities to long-term care facilities, for patients identified as COVID-19-positive. (Originally recorded June 4, 2020)

Moderator: De De Gardner, DrPH, RRT, FCCP

Panelists: Anne Mathews, MD; Andro Herrera-Mendoza, DBA, RRT-NPS; and Adrienne Hickey, BS, RRT-ACCS

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

Personal COVID-19 Experiences

Casey Cable, MD, MSc, and Steven Simpson, MD, FCCP, interview physicians on the front lines of the COVID-19 epidemic in New York and New Jersey, who share their stories and challenges. (Originally recorded May 21, 2020)

Moderators: Casey Cable, MD, MSc, and Steven Q. Simpson, MD, FCCP

Panelists: Doreen Addrizzo-Harris, MD, FCCP; Neha S. Dangayach, MD; Harpreet Grewal, MD; and Mangala Narasimhan, DO, FCCP

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.

COVID-19: Is It Viral Sepsis or Something More?

Experts in critical care medicine and infectious diseases have a pro/con discussion on whether COVID-19 is viral sepsis or something more or different. (Originally recorded May 7, 2020)

Moderators: Casey Cable, MD, MSc, and Christopher Carroll, MD, FCCP

Panelists: Timothy Buchman, PhD, MD, FCCP, and Michael Klompas, MD, MPH

For more tools to help in the fight against COVID-19, visit CHEST’s COVID-19 Resource Center at chestnet.org/COVID19.