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Respiratory Exchange Podcast

Respiratory Exchange

A Cleveland Clinic podcast exploring timely and timeless clinical and leadership topics in the disciplines of pulmonary medicine, critical care medicine, infectious disease and related areas.
Hosted by Raed Dweik, MD, MBA, Chief of the Integrated Hospital Care Institute.
 
Marina Freiberg, MD

Featured Episode

Managing Respiratory Distress in Pregnancy in the Emergency Department

This podcast delivers a high-impact, practical discussion on managing critically ill pregnant patients -- an area often outside the daily comfort zone of many pulmonary and critical care physicians. From recognizing subtle red flags like mild hypertension and tachypnea to navigating the complexities of airway management in the third trimester, this episode dives into scenarios you may face in emergent situations. The discussion covers the physiologic pitfalls of intubation, aspiration risks, and the value of upright airway positioning, backed by simulation-based training insights. You'll also gain a grounded perspective on the judicious use of point-of-care ultrasound in obstetric emergencies and when to defer to specialists. This episode reinforces core principles and equips you with knowledge to recognize danger early and collaborate effectively under pressure.

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All Respiratory Exchange Episodes

All Respiratory Exchange Episodes

September 29, 2025

American Thoracic Society: Belong, Contribute, Thrive! Talking with ATS President, Dr. Raed Dweik

What makes the ATS the go-to home for clinicians, researchers and educators in pulmonary health? In this inspiring episode, the new ATS president lays out a bold vision to strengthen the society's impact from elevating the quality and timeliness of clinical guidelines to expanding opportunities for every member to engage, grow, and lead. Whether you're a junior investigator or a seasoned clinician, tune in to discover why ATS is more than just a conference it's a community where your work, voice, and passion truly matter.

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August 13, 2025

Interstitial Lung Abnormalities (ILAs)

What if subtle CT findings you're used to skimming over could actually predict increased mortality and signal the earliest stages of fibrotic lung disease? In this episode, we dive into how interstitial lung abnormalities-once considered incidental and insignificant-are now being redefined, reclassified and closely scrutinized in light of new evidence and evolving guidelines from ATS and Fleischner. Join us as we explore the diagnostic gray zones, progression risks, radiologic pitfalls and whether AI might soon help us see clearly through the fog.

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July 9, 2025

Building a POCUS Powerhouse: Point-of-Care Ultrasound Workflow, Training and Innovation in Pulmonary Critical Care

Discover how Cleveland Clinic transformed a single ultrasound machine into a cutting-edge, hospital-wide Point-of-Care Ultrasonography (POCUS) program that now performs thousands of cardiac, lung, and vascular ultrasounds annually. In this episode, Drs. Ajit Moghekar and Siddharth Dugar detail their journey from early adoption to national leadership in POCUS, including its critical role during the COVID-19 pandemic and its integration into Epic and PACS for real-time clinical decision-making. Learn how they've overcome barriers in training, quality assurance and workflow optimization to standardize and scale across regional ICUs. The discussion also explores advanced applications like TEE during cardiac arrest, novel diagnostics in ARDS and sepsis phenotyping, and how AI and wearable ultrasound tech are set to revolutionize critical care. If you're invested in elevating bedside care with innovative imaging, this is the podcast for you.

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May 20, 2025

Relieving the Chronic Cough Burden: From Expert Evaluation to Emerging Therapies

Chronic cough is an often-misunderstood condition that places a significant quality of life burden on patients and their loved ones. For providers, this complex condition requires more than just symptom management-it calls for expert, patient-centered evaluation. In this podcast, Dr. Rachel Taliercio and Dr. Michael Ghobrial discuss how early referral to a specialized chronic cough clinic can reduce unnecessary testing, avoid treatment delays and uncover treatable causes that are often missed. They review how thoughtful history-taking and using guideline-based diagnostics can improve outcomes. They assess promising new medication trials, and how innovations like AI-powered cough monitoring and Behavioral Cough Suppression Therapy are transforming chronic cough care.

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