American College of Chest Physicians Offers New Guidelines on Antithrombosis for VTE

By Dr Deepu

The American College of Chest Physicians has issued new guidelines on antithrombotic therapy for venous thromboembolism (VTE), including guidance on use of non-vitamin K antagonist oral anticoagulants.

Among the recently changed or added recommendations, published in Chest:

• For patients without cancer who have deep vein thrombosis (DVT) of the leg or pulmonary embolism (PE), the guidelines suggest using dabigatran, rivaroxaban, apixaban, or edoxaban instead of vitamin K antagonists for the first 3 months' treatment and beyond.
• Patients with unprovoked proximal DVT or PE who are stopping anticoagulation should receive aspirin to reduce the risk for recurrent VTE, assuming aspirin is not contraindicated.
• For patients who have acute DVT of the leg, compression stockings are not recommended to prevent post-thrombotic syndrome (PTS). However, for patients with PTS symptoms, "a trial of graduated compression stockings is often justified."
• Patients with low-risk PE may be treated at home or receive an early discharge.

Links:

Guidelines in Chest (Free)

ACCP news release (Free)

New ATS Guideline Site

By Dr Deepu

New ATS Guidelines.

The ATS has launched a one spot location for all its guidelines. Here you can find the latest ATS guidelines.Please use the guideline central to get all the guidelines.

Titles Include:

• Severe Asthma
• EIB
• Pulmonary Fibrosis
• Sleep Apnea
• PH of Sickle Cell
• Critical Care Series
• and Many More

Click Here to Preview the ATS Pocket Guides

CRITICAL CARE Guidelines

       By Dr Deepu

An ATS Policy Statement: Managing conscientious objections in the ICU (2015)

American College of Chest Physicians/La Societe de Reanimation de Langue Francaise Statement on Competence in Critical Care Ultrasonography (April 2009)

An ATS Clinical Practice Guideline: ICU-acquired weakness (2014)

An Official ATS/AACN/ACCP/ESICM/SCCM Statement: Responding to requests for potentially inappropriate therapies in the ICU (2015)

An Official ATS/AACN/ACCP/SCCM Statement: The Choosing Wisely Top 5 List in Critical Care Medicine (2014)

An Official Multi-Society Statement: The Role of Clinical Research Results in the Practice of Critical Care Medicine (2012)

BTS Guideline on non-invasive ventilation in acute respiratory failure BTS Guidelines 2002

Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement (October 2014)

Evidence-based Colloid Use in the Critically Ill: American Thoracic Society Consensus Statement (2004)

Executive Summary: Management of the Critically Ill Patient with Severe Acute Pancreatitis (2004)

ICU Telemedicine (2011)

International Consensus Conferences in Intensive Care Medicine: Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure (2001) Being revised.

NICE Guideline:Non-invasive ventilation in Motor Neuron Disease july 2010

NIV in COPD: management of acute type 2 respiratory failure concise guideline Non-invasive ventilation in chronic obstructive pulmonary disorder: management of acute type 2 respiratory failure concise guideline October 2008

Prevention and Management for Acute Renal Failure in an ICU Patient (2010)

The Use of Non-Invasive Ventilation in the management of patients with COPD admitted to hospital with acute type II respiratory failureThe Use of Non-Invasive Ventilation in the management of patients with chronic obstructive pulmonary disease admitted to hospital with acute type II respiratory failure. The full guideline is a joint BTS/RCP London/Intensive Care Society document 2008

Understanding Costs and Cost-Effectiveness in Critical Care: Report from the Second ATS Workshop on Outcomes Research (2002)

Weaning from mechanical ventilation ERS / ATS / ESICM / SCCM / SRLF Statement of the Sixth International Consensus Conference on Intensive Care Medicine 2007

Lung Transplantation and Surgery Guidelines

By Dr Deepu

• Official ATS/ERS/ISHLT Clinical Practice Guidelines: Diagnosis and management of bronchiolitis obliterans syndrome (2014)
  • Online Supplement 1
  • Online Supplement 2
• International Guidelines for the Selection of Lung Transplant Candidates (1998)

Lung Cancer & Oncologic Disorders Guidelines

By Dr Deepu

• An ATS/ACCP Policy Statement: Components necessary for lung cancer screening (2014)
• An Official ATS/ACCP Statement: The Choosing Wisely Top 5 List in Adult Pulmonary Medicine (2014)
• An Official ATS/ERS Statement: The Role of the Pulmonologist in Lung Cancer (2013)
• International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society International Multidisciplinary Classification of Lung Adenocarcinoma (2011)
• An Official ATS Research Statement Noninfectious Lung Injury After Hematopoietic Stem Cell Transplantation Idiopathic Pneumonia Syndrome (2011)
• Insurance Status and Disparities in Lung Cancer Practices and Outcomes (2010)
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Pediatrics Lung Diseases and Development Guidelines

By Dr Deepu

• Official ATS Technical Standards: Flexible airway endoscopy in children (2015)
• An Official American Thoracic Society Clinical Practice Guideline: Classification, Evaluation, and Management of Childhood Interstitial Lung Disease in Infancy (2013)
• An Official ATS Workshop Report: Optimal Lung Function Tests for Monitoring Cystic Fibrosis, Bronchopulmonary Dysplasia, and Recurrent Wheezing in Children Less Than 6 Years of Age (2013)
• An Official ATS Clinical Policy Statement: Congenital Central Hypoventilation Syndrome - Genetic Basis, Diagnosis, and Management (2010)
• An Official American Thoracic Society/European Respiratory Society Statement: Pulmonary Function Testing in Preschool Children (2007)
• An Official ATS Workshop Report: Issues in Screening for Asthma in Children (2007)
• ATS Consensus Statement: Research Opportunities and Challenges in Pediatric Pulmonology (2005)
• ATS/ERS Statement: Raised Volume Forced Expirations in Infants - Guidelines for Current Practice (2005)
• Mechanisms and Limits of Induced Postnatal Lung Growth (2004)
• Respiratory Care of the Patient with Duchenne Muscular Dystrophy: ATS Consensus Statement (2004)
• Statement on the Care of the Child with Chronic Lung Disease of Infancy and Childhood (2003)
• Care of the Child with a Chronic Tracheostomy (2000)
• The Raised Volume Rapid Thoracoabdominal Compression Technique (2000)
• Flexible Endoscopy of the Pediatric Airway (1992) Being revised.

Tuberculosis, Pneumonia, and Other Pulmonary Infection Guidelines

By Dr Deepu

• An Official American Thoracic Society Workshop Report Emerging Issues and Current Controversies in HIV Associated Pulmonary Diseases (2011)
• Treatment of Fungal Infections in Adult Pulmonary, Critical Care, and Sleep Medicine (2011)
• An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases (2007) Being Revised.
• An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases - Online Supplement (2007)
• Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults (2007) Being revised.
• An Official ATS Statement: Hepatotoxicity of Antituberculosis Therapy (2006)
• Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia (2005) Being revised.
• An Official ATS Workshop Summary: Recent Advances and Future Directions in Pneumocystis Pneumonia (PCP) (2006)
• ATS/CDC/IDSA Statement: Treatment of Tuberculosis (2003) Being revised.
• Update: Fatal and Severe Liver Injuries Associated With Rifampin and Pyrazinamide for Latent Tuberculosis Infection, and Revisions in American Thoracic Society/ CDC Recommendations-United States, 2001 (2001)
• Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection (2000) Being revised.

Pulmonary Function Testing Guidelines

By Dr Deepu

• Official ATS/ERS Technical Standards: Field walking tests in chronic respiratory disease (2014)
• An Official ATS/ERS Systematic Review: Measurement properties of field walking tests in chronic respiratory disease (2014)
  • Online supplement
• Standardisation of lung function testing: the authors’ replies to readers’ comments
• ATS/ERS Task Force Standardisation of Lung Function Testing: General considerations for lung function testing (2005)
• ATS/ERS Task Force Standardisation of Lung Function Testing: Interpretative strategies for lung function tests (2005)
• ATS/ERS Task Force Standardisation of Lung Function Testing: Standardisation of the measurement of lung volumes (2005)
• ATS/ERS Task Force Standardisation of Lung Function Testing: Standardisation of the single-breath determination of carbon monoxide uptake in the lung (2005)
• ATS/ERS Task Force Standardisation of Lung Function Testing: Standardisation of spirometry (2005)
• ATS/ACCP Statement on Cardiopulmonary Exercise Testing (2003)
• ATS Statement: Guidelines for the Six-Minute Walk Test (2002) Being revised.
• Guidelines for Methacholine and Exercise Challenge Testing-1999 (2000)
• ATS/ERS Statement on Respiratory Muscle Testing (2002)

Sleep Medicine guidelines

By Dr Deepu

• • An Official ATS Clinical Practice Guidelines: Sleep Apnea, Sleepiness, and Driving Risk (2013)
  • An Official ATS Statement: CPAP Adherence Tracking Systems (2013)
  • An Official ATS/ACCP/AASM/ERS Workshop report Research Priorities in Ambulatory Management of Adults with Obstructive Sleep Apnea (2011)
  • An Official ATS Statement: Position Statement on ATS Activities for the Promotion of Respiratory and Sleep/Wake Health and the Care of the Critically Ill in the United States (2009)
  • Curriculum and Competency Assessment Tools for Sleep Disorders in Pulmonary Fellowship Training Programs (2005)
  • Executive Summary on the Systematic Review and Practice Parameters for Portable Monitoring in the Investigation of Suspected Sleep Apnea in Adults (2004)
  • Statement on Health Outcomes Research in Sleep Apnea (1998)

Pulmonary Vascular Disease Guidelines

By Dr Deepu

• Official ATS/ERS Technical Standards: Field walking tests in chronic respiratory disease (2014)
• An Official ATS/ERS Systematic Review: Measurement properties of field walking tests in chronic respiratory disease (2014)
  • Online supplement
• An Official ATS/ACCP Statement: The Choosing Wisely Top 5 List in Adult Pulmonary Medicine (2014)
• An Official American Thoracic Society Clinical Practice Guideline: Diagnosis, Risk Stratification, and Management of Pulmonary Hypertension of Sickle Cell Disease (2014)
  • Online supplement
• An Official American Thoracic Society Statement: Pulmonary Hypertension Phenotypes (2014)
• An Official American Thoracic Society/Society of Thoracic Radiology Clinical Practice Guideline: Evaluation of Suspected Pulmonary Embolism In Pregnancy (2011)