Description:
It is altogether appropriate that we acknowledge the founders of the field of pulmonary rehabilitation, a highly effective therapy for patients with chronic lung disease. This lecture will review the evolution of pulmonary rehabilitation as its physiologic basis was elucidated. Recent developments will also be reviewed and linked to their historical context.
Learning Objectives:
•Recognize the early innovators who defied the common conception that exercise was to be avoided in dyspneic patients with chronic respiratory disease.
•Review how the physiologic benefits of rehabilitative exercise programs were established.
•Consider the implications of the growing scarcity of in-center rehabilitation programs.
Learning Objectives:
•Discuss various techniques utilized to effectively report and disseminate research findings.
•Review factors that contribute to success in the reporting of research results, outcomes, and learning.
•Outline practical steps to help ensure your research is appreciated.
Description:
Asthma affects older adults to the same extent as children and adolescents. However, one is led to imagine that asthma prevalence decreases with aging and becomes a rare entity in the elderly. From a clinical perspective, this misconception has not trivial consequences in that, the recognition of the disease is delayed and the treatment postponed. The overall management of asthma in the elderly populations is also complicated by specific features that the disease develops in the most advanced ages and by the difficulties that the physician encounters when approaching the older asthmatic subjects. Asthma in older-age patients presents with specific clinical presentations and may encounter gaps and pitfalls in the diagnostic and therapeutic approaches. A multidisciplinary and multidimensional management of asthma in the elderly is, therefore, strongly advocated.
Description:
Obesity hypoventilation syndrome is a relatively common cause of chronic hypercapnic respiratory failure and can occur with or without obstructive sleep apnea, yet the optimal approach to treatment is not well defined. This will be a case-based interactive session that will review current diagnostic criteria, recent literature and guidelines and various management strategies. During this session, the faculty and attendees will also review the role of CPAP and more advanced nocturnal ventilatory modalities on outcomes in patients with OHS.
Objectives:
•Define obesity hypoventilation syndrome (OHS) and diagnostic approaches.
•Understand the most recent literature and guidelines related to the management of OHS.
•List different management strategies, including the use of various nocturnal ventilatory modes, that may improve outcomes in this patient population.
Description:
Pharmacotherapy for ARDS has been tested in preclinical and clinical studies. However, to date, no pharmacologic interventions have proven effective. Personalized medicine targeting the different ARDS phenotypes has emerged as an option to improve survival.
Learning Objectives:
•ARDS pathophysiology and the main pharmacologic agents that may counteract certain pathophysiologic features will be discussed. Furthermore, the importance of personalized medicine in improving the therapeutic approach to ARDS will be addressed.