Critical Issues

Short-term O2 Prescriptions Lead to Inappropriate Long-term Use Dr Aaron Holley describes why oxygen prescriptions at hospital discharge are a far more pernicious cause of wasted resources.
Experts And Viewpoints, April 15, 2021
The Revenge of the 'Late COVID Adopters' The urgency of COVID complications has led to a rush to find treatment strategies as quickly as possible. But, as your grandmother said, sometimes haste makes waste.
Experts And Viewpoints, March 23, 2021
Treating COVID Fatigue and Dyspnea -- Deep Breaths, Plenty of Rest Dr Aaron Holley discusses how to treat two of the most commonly reported post-COVID symptoms, chronic fatigue and dyspnea.
Experts And Viewpoints, February 19, 2021
Giant Leap for Cardiopulmonary Exercise Testing Interpretation Dr Aaron Holley reviews the new cardiopulmonary exercise testing reference equations recently published in CHEST.
Experts And Viewpoints, February 18, 2021
Are Patients With COPD More Vulnerable to COVID-19? Dr Aaron Holley reviews a recently released a report on COVID-19 and COPD and whether therapies should be altered.
Experts And Viewpoints, January 28, 2021
Stop Prescribing Nocturnal Oxygen to Patients With COPD Dr Aaron Holley reviews the results of the INOX study and how they reinforce the non-benefit of prescribing nocturnal oxygen therapy.
Experts And Viewpoints, November 06, 2020
Pharmacologic Therapy for COPD: GOLD or ATS Guidelines? Dr Aaron Holley explains the evidence that backs up the new ATS guideline for COPD management and how it contradicts the GOLD recommendations.
Experts And Viewpoints, October 08, 2020
Does Asthma Lead to Worse COVID-19 Outcomes? It seems intuitive that people with asthma are more likely to be infected with COVID-19 and have more severe disease. But is it true? Aaron Holley takes a look.
Experts And Viewpoints, September 18, 2020
'Not Where We Need to Be' for Treating Severe Asthma Among all forms of asthma, severe T2L asthma accounts for the lion's share of medical expenditures, yet effective diagnostic and treatment approaches remain elusive.
Experts And Viewpoints, July 21, 2020
Should Steroids Be Used to Treat ARDS? Are steroids safe or even helpful for patients with ARDS? It's complicated.
Experts And Viewpoints, July 01, 2020
Open Lung Approach or ARDSNet PEEP? We still haven't seen a definitive comparison of the open lung approach vs ARDSNet protocols, Aaron Holley argues.
Experts And Viewpoints, June 09, 2020
COVID-19: Be Wary of Those Racing to Fill the Therapeutic Void Dr Aaron Holley warns against following 'false prophets' as we confront treatment decisions for patients with COVID-19.
Experts And Viewpoints, May 07, 2020
Oxygen Targets in COVID-19 With ARDS: What's Optimal? Dr Holley discusses what we know about oxygen targets for critically ill patients without COVID-19 and what guidelines are saying now in the midst of the pandemic.
Experts And Viewpoints, April 17, 2020
Exposing the Role of Psychosocial Stress on Asthma Aaron Holley, MD, calls for more attention to the role of behavioral health in the clinical practice of asthma.
Experts And Viewpoints, February 28, 2020
RBC Transfusion and Cardiac Surgery: Be Strict and Restrict? Should packed RBC transfusions be given liberally to patients undergoing cardiac surgery? Or should they be restricted to a low hemoglobin threshold?
Experts And Viewpoints, February 07, 2019
In COPD, Carbon Dioxide Is Often Overlooked Dr Holley explains why more attention needs to be paid to carbon dioxide levels in patients with COPD and hypoxia.
Experts And Viewpoints, January 06, 2020
Pay Attention to New Obesity Hypoventilation Syndrome Guidelines Dr Aaron Holley reviews the highlights and lowlights of the American Thoracic Society's recently published guidelines.
Experts And Viewpoints, October 01, 2019
Making a 'Working Diagnosis' of Idiopathic Pulmonary Fibrosis With expensive but effective therapies now available to treat IPF, making an accurate diagnosis is more important than ever.
Experts And Viewpoints, August 15, 2019
The Caveat to Inhaled Corticosteroids for Asthma Treating asthma is straightforward--or is it? Dr Holley presents a caveat to the 'early and often' treatment approach.
Experts And Viewpoints, July 26, 2019
COPD: 5 Must-Know Updates What recommendations have changed in treating patients with COPD? Dr Holley reviews five key updates and the latest research.
Experts And Viewpoints, July 24, 2019

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