Latest Clinical & Research News
Specialty: Pulmonary & Thoracic Surgery
Once the final chest drain is removed after cardiothoracic surgery, it is common practice to obtain a chest X-ray to evaluate for air or fluid that may have accumulated in the process of drain removal. However, the results of a retrospective study at Brigham and Women’s Hospital suggest routine imaging isn’t necessary.
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Brigham researchers conducted a prospective trial in which Black and Latinx adults with asthma, whose mortality rates from asthma are twice as high as those of white individuals, were asked to use an inhaled glucocorticoid whenever they used a quick reliever. They reported improvements on every outcome measure studied.
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COVIDprotocols.org, the world’s first and most comprehensive searchable website for step-by-step COVID-19 clinical guidelines, has its roots at the Brigham. Managing editor Edy Yong Kim, MD, PhD, of the Division of Pulmonary Care and Critical Care Medicine, provides a behind-the-scenes look at this valuable resource.
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Numerous approaches to diaphragm plication procedures have been reported, with no consensus on the ideal technique. Surgeons at Brigham and Women’s Hospital have developed a radial diaphragm plication technique that makes use of thoracoscopic instruments to increase lung volume with long-term benefits.
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Previous studies of GERD have relied on multichannel intraluminal impedance and pH testing, which has substantial limitations including the need to count reflux episodes. Now, researchers at Brigham and Women’s Hospital have linked more advanced impedance metrics to the prognosis of patients with IPF.
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There is growing evidence that rheumatoid arthritis (RA) originates in mucosal surfaces and several respiratory tract diseases are associated with RA. Now, researchers have demonstrated that the timing of respiratory tract disease significantly affects the strength of each disease’s association with RA.
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Tracy J. Doyle, MD, Jeffrey A. Sparks, MD, MMSc, and colleagues identified a high prevalence of undiagnosed preclinical parenchymal lung disease in a rheumatoid arthritis cohort, with important clinical implications.
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A study conducted by Daniel Dolan, MD, MPH, Scott J. Swanson, MD, of the Division of Thoracic Surgery, and colleagues determined that even at the Brigham’s high-volume center, low individual esophagectomy volume was associated with a higher perioperative complication rate.
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Researchers at the Brigham, including Matthew M. Rochefort, MD, and Aaron R. Dezube, MD, of the Division of Thoracic and Cardiac Surgery, and colleagues retrospectively studied a large series of patients undergoing lung resection to determine the incidence of severe prolonged air leaks and its risk factors.
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Using prospectively collected registry data, researchers at Brigham and Women’s Hospital linked increased severity of sinonasal symptoms in patients with aspirin-exacerbated respiratory disease to both worse patient-reported asthma control and worse objectively measured lung function.
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