Rumblings: The CHEST 2025 Podcast (Sunday Preview)

This podcast episode focuses on expert perspectives on point-of-care ultrasound (POCUS) evaluation of venous congestion, including the venous excess ultrasound (VExUS) exam approach, as a practical bedside tool in different populations of patients who are critically ill. Two leading experts in this area, Abhilash Koratala, MD, and Eduardo Argaiz, MD, PhD, discuss the underlying physiology of venous congestion, key components of the exam, and real-world strategies for incorporating venous Doppler exam into clinical practice. Presented by the Ultrasound and Chest Imaging Section of the CHEST Thoracic Oncology and Chest Procedures Network. Moderators: Matthew Barraza, MD, MS Taro Minami, MD, FCCP Madelyn Renzetti, MD, MHS-MedEd

This podcast offers an important discussion on the guidelines for addressing OSA in pregnancy. Hosted by Women in CHEST Medicine (WiCM) Interest Group member and guideline panelist Carolyn D’Ambrosio, MD, MS, FCCP, this episode explores why pregnancy represents a unique and often underrecognized risk period for sleep-disordered breathing and how OSA can impact both short- and long-term health outcomes for pregnant patients and their babies. Joined by expert guest, WiCM member-at-large, and guideline panelist Ghada Bourjeily, MD, this conversation highlights new, multidisciplinary guideline recommendations designed to help clinicians better screen, diagnose, and manage OSA in pregnant patients. Listeners will gain practical insights for implementing these recommendations in real-world clinical settings, navigating challenges unique to pregnancy, and improving patient counseling and care pathways. The goal of this episode is to raise awareness, support evidence-informed decision-making, and, ultimately, advance equitable pregnancy-related health outcomes. Read the guideline: https://journal.chestnet.org/article/S0012-3692(26)06181-7/abstract

In Pakistan, children living with cystic fibrosis (CF) deal not only with a serious disease but also with the added complications of delayed diagnosis, limited access to therapies, and gaps in care. However, CF care is now improving in Pakistan thanks to increasing quality of life and the hard work of clinicians. In this podcast, leading CF experts from different regions of Pakistan highlight six national priorities that have the potential to transform the future of CF care, helping children with CF not only survive, but thrive. Presented by the Bronchiectasis Section of the CHEST Airways Disorders Network. Originally recorded: June 10, 2026 Moderator:Nauman A. Chaudary, MBBS, FCCP Speakers:Muhammad Fareeduddin, MBBSNadia Salman, MBBSIqbal Bano, MBBS

Despite triple inhaled therapy, many patients with COPD continue to experience frequent and severe exacerbations, leading to hospitalizations, symptom burden, and higher mortality risk. In this expert-led discussion, Diego J. Maselli, MD, FCCP, and Stephanie Christenson, MD, talk about personalized treatment approaches and the role of biologics in advanced COPD care.

In this podcast, Nicholas Villalobos, MD, interviews Hatem Soliman Aboumarie, MD, from Harefield Hospital, the Royal Brompton and Harefield Hospitals, London. They discuss cardiovascular ICU principles and updates in bedside cardiac ultrasound from the 2025 Cardiac Ultrasound in Cardiovascular Emergency and Critical Care consensus statement by the European Association of Cardiovascular Imaging, the Acute CardioVascular Care Association of the European Society of Cardiology, and the European Association of Cardiothoracic Anaesthesia and Intensive Care. This discussion involves updates in spectral Doppler, strain imaging, and applications of artificial intelligence.