ATS 2020 Advance Program

ATS 2020 • Philadelphia, PA 124 WEDNESDAY • MAY 20 CLINICAL YEAR IN REVIEW D1 CLINICAL YEAR IN REVIEW 4 8:45 a.m. - 10:45 a.m. Target Audience Providers including physicians, nurses, respiratory therapists, nurse practitioners, physician assistants; trainees including residents and fellows; clinical researchers Objectives At the conclusion of this session, the participant will be able to: • apply new clinical research knowledge to clinical practice; • learn new findings about key conditions in pulmonary, critical care and sleep; • have new strategies to manage the care of common conditions in pulmonary, critical care, and sleep. The annual Clinical Year in Review symposia provides concise summaries of the most impactful clinical research publications related to specific clinical topics. Speakers are asked to conduct a literature review of the prior year’s scientific publications and develop a written summary of the top 20 articles and highlight 5 of the most important and influential publications on their topic in written format and during their talks at the International Conference Clinical Year in Review sessions. Chairing: J.S. Lee, MD, Aurora, CO P.A. Kritek, MD, EdM, Seattle, WA J.L. Gomez, MS, MD, ATSF, New Haven, CT 8:45 COPD G.R. Washko, MD, Boston, MA 9:15 Respiratory Infections B.E. Jones, MD, MSc, Salt Lake City, UT 9:45 Pulmonary Hypertension A. Smith, MD, Philadelphia, PA 10:15 Mechanical Ventilation B.K. Patel, MD, Chicago, IL CLINICAL CLINICAL TOPICS IN PULMONARY MEDICINE D2 ETHICAL CHALLENGES IN CARING FOR PATIENTS WITH ADVANCED CARDIOPULMONARY DISEASE Assemblies on Clinical Problems; Critical Care 8:45 a.m. - 10:45 a.m. Target Audience Cardiologists, cardio-thoracic surgeons, critical care physicians, trainees, general medicine physicians, physician assistants, pulmonary physicians, registered nurses, respiratory therapists, and ancillary health care workers. Objectives At the conclusion of this session, the participant will be able to: • identify two ethical challenges with the rationing of medications and health care services; • describe two ethical challenges in caring for the patient on extracorporeal life support; • discuss two ethical dilemmas for patients when care is considered to be medically futile. Significant gains have been achieved in the care of patients with advanced heart and lung diseases; however, newer ethical dilemmas have emerged that present unique challenges for providers. This session will review the ethics surrounding several key topics in current clinical practice: health care rationing, with a focus on contemporary issues like medication shortages, ICU resources, and donor organs for transplant; the ethical considerations of extracorporeal life support technology; medical futility in end-of-life care; and the experience and ethics of physician-assisted suicide. It will also examine the effects of managing complex ethical dilemmas on the health care worker, and describe methods for incorporating ethics consultation services into the care of these patients.