1. 題目:Update of Weaning from Mechanical Ventilation – focus on Electrical Impedance
Tomography (EIT) monitoring
摘要:Electrical Impedance Tomography (EIT) has emerged as a non-invasive imaging modality for real-time lung monitoring during mechanical ventilation weaning. Unlike traditional methods, EIT captures dynamic changes in regional lung ventilation by measuring impedance variations through 16 thoracic electrodes, offering critical insights into pulmonary mechanics during the transition to spontaneous breathing. We synthesize current evidence on EIT's role in optimizing ventilator weaning protocols and reducing extubation failure rates.
2. 題目:The role of LABA/LAMA in COPD management: From Mild to Severe COPD
摘要:LABA/LAMA合併治療在COPD治療中扮演關鍵角色,無論是輕度還是重度病患,均能有效改善肺功能、減少急性惡化與提升生活品質。研究指出,LABA/LAMA相較單一藥物可帶來更佳控制,並在症狀持續或急性惡化風險高的患者中成為首選治療方案。
3. 題目:PRISm : A Precursor to COPD or a Distinct Entity? Latest Evidence and Clinical Outcomes
摘要:瞭解吸煙人群中慢性阻塞性肺疾病(Chronic obstructive pulmonary disease, COPD)和PRISm(Preserved ratio impaired spirometry, PRISm)的現況及肺功能異常與肺癌的相關性。對吸煙人士進行胸部低劑量CT(Low dose computed tomography, LDCT)檢查和肺通氣功能檢查,分析PRISm、COPD檢出率,並按照肺通氣功能類型分為正常組、PRISm組,和COPD組,研究三組的不同特點及與肺癌的相關性。吸煙人群中COPD檢出率高;LDCT診斷COPD的正確指數低;PRISm和肺功能異常是肺癌的危險因素,建議在吸煙人群篩查肺癌的同時進行肺通氣功能檢查篩查COPD和PRISm。
4. 題目:Optimal treatment strategy selection with maximal benefit outcomes in EGFRm+ NSCLC
摘要:在亞洲 EGFRm+ NSCLC 的治療中,面對多樣且複雜的共突變型態,選擇適當的起始治療策略至關重要。Afatinib 具備廣效 ErbB 抑制能力,能有效應對東亞族群常見的突變型態,並在多項真實世界研究中展現出優異且穩定的療效。特別是在採用 Afatinib 起始、後續接續 Osimertinib的治療策略下,患者總生存期可超過 50 個月以上,顯示接續治療策略對於延長存活與提升治療成效的關鍵角色。本場演講將聚焦於亞洲族群的治療特性以及如何透過最佳化接續治療策略,實現長期生存效益。
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