Missouri physician starts petition calling for governor to implement mask mandate

Missouri physician starts petition calling for governor to implement mask mandate

Michah Luderer, MD, PhD, internal medicine resident at St. Louis based-Barnes Jewish Hospital recently started a petition urging Gov. Mike Parson to issue a statewide mask mandate, reports local CBS affiliate KMOV. "We're... read more

Antibody levels decline after 2 months, CDC finds

Antibody levels decline after 2 months, CDC finds

COVID-19 antibody levels declined within two months in 156 front-line healthcare workers involved in a CDC study published Nov. 27. Researchers collected blood samples from 3,248 front-line healthcare professionals between... read more

Surgery guidance updated for hospitals struggling with capacity constraints

Surgery guidance updated for hospitals struggling with capacity constraints

Four healthcare groups again updated their guidance for hospitals to maintain essential surgeries during the COVID-19 pandemic. The American Hospital Association, American College of Surgeons, American Society of Anesthesiologists... read more

Epidemiology of Invasive Pulmonary Aspergillosis Among COVID-19 Intubated Patients

Epidemiology of Invasive Pulmonary Aspergillosis Among COVID-19 Intubated Patients

We found a high incidence of CAPA among critically ill COVID-19 patients and that its occurrence seems to change the natural history of disease. A total of 108 patients were enrolled. Prospective, multicentre study... read more

Prior Routine Use of NSAIDs and Important Outcomes in Hospitalised COVID-19 Patients

Prior Routine Use of NSAIDs and Important Outcomes in Hospitalised COVID-19 Patients

Coronavirus disease 2019 (COVID-19) infection causes acute lung injury, resulting from aggressive inflammation initiated by viral replication. There has been much speculation about the potential role of non-steroidal inflammatory... read more

Increased Dead Space Ventilation and Refractory Hypercapnia in Patients with COVID-19

Increased Dead Space Ventilation and Refractory Hypercapnia in Patients with COVID-19

We speculate that thromboinflammation with pulmonary microvasculature occlusion leads to a sudden increase in dead space and shunt resulting in severe hypercapnia and hypoxemia in coronavirus disease 2019 patients. Early... read more

Utility of RV Remodeling Over Risk Stratification in COVID-19

Utility of RV Remodeling Over Risk Stratification in COVID-19

This study contributes to the growing body of literature illustrating the adverse prognostic implications of RV dilation and dysfunction in the setting of severe COVID-19. Mechanistic explanations for RV failure in this population... read more

Will COVID-19 Vaccines Save Lives? Current Trials Aren’t Designed To Tell Us

The world has bet the farm on vaccines as the solution to the pandemic, but the trials are not focused on answering the questions many might assume they are. As phase III trials of covid-19 vaccines reach their target... read more

Effect of Tocilizumab vs. Standard Care on Clinical Worsening in Patients Hospitalized With COVID-19 Pneumonia

Effect of Tocilizumab vs. Standard Care on Clinical Worsening in Patients Hospitalized With COVID-19 Pneumonia

The administration of tocilizumab in patients with COVID-19 pneumonia and a Pao2/Fio2 ratio between 200 and 300 mm Hg did not reduce the risk of clinical worsening. Further blinded, placebo-controlled randomized clinical... read more

Critical Care Beds Are No Use Without Enough Specialist Staff

Critical Care Beds Are No Use Without Enough Specialist Staff

In 2020 there have been announcements of the expansion of critical care capacity across the NHS, while at the same time headlines have detailed stories of hospitals running out of critical care beds. And this week dire warnings... read more

Lung Histopathology in COVID-19 as Compared to SARS and H1N1 Influenza

Lung Histopathology in COVID-19 as Compared to SARS and H1N1 Influenza

Diffuse alveolar damage (DAD) was reported in 88% of patients with COVID-19. This is similar to both H1N1 (90%) and SARS (98%). Pulmonary microthrombi was reported in 57% of patients with COVID-19. This was similar to... read more

Panel Provides a Look at the Fast-changing Science of COVID-19 Diagnosis, Therapy, and Prevention

Panel Provides a Look at the Fast-changing Science of COVID-19 Diagnosis, Therapy, and Prevention

As the pace of research related to COVID-19 continues at an unprecedented rate, clinicians on the front line of the pandemic are challenged to keep up with a deluge of information to ensure they are bringing best practices... read more

Implantation of Impella CP Left Ventricular Assist Device Under the Guidance of 3D Intracardiac Echocardiography

Implantation of Impella CP Left Ventricular Assist Device Under the Guidance of 3D Intracardiac Echocardiography

Three-dimensional intracardiac echocardiography is a feasible option to guide implantation of the Impella CP for left ventricular mechanical support and should be carefully considered in cases where other imaging modalities... read more

Some Signs of Recovery From Severe COVID-19 Lung Damage

Some Signs of Recovery From Severe COVID-19 Lung Damage

In two early studies, researchers said some patients showed signs of healing just weeks after leaving the hospital. Lingering shortness of breath and diminished stamina have dogged many COVID patients whose lungs were... read more

Dr. Fauci Headlines COVID-19-focused Opening Session at CHEST 2020

Dr. Fauci Headlines COVID-19-focused Opening Session at CHEST 2020

The COVID-19 pandemic upended the practices and lives of CHEST members—and changed CHEST 2020 into a virtual meeting—so it's fitting that this year's Opening Session focused on the defining global event of the year. Anthony... read more

Ultrasound Teleguidance to Reduce Healthcare Worker Exposure to COVID-19

Ultrasound Teleguidance to Reduce Healthcare Worker Exposure to COVID-19

The recent expansion of telemedicine during the coronavirus disease 2019 (COVID-19) pandemic is likely to continue based on the Food and Drug Administration's new guidelines supporting remote monitoring technologies as a... read more

Balancing Intervention and Inaction During the COVID-19 Pandemic

Balancing Intervention and Inaction During the COVID-19 Pandemic

More than 38 million people worldwide have been infected with the severe acute respiratory syndrome (SARS) coronavirus 2, creating intense pressure on clinicians to offer state-of-the-art, life-saving treatment to patients. The... read more