Management of interstitial lung diseases: A consensus statement of the Indian Chest Society (ICS) and National College of Chest Physicians (NCCP)

Singh, Sheetu; Sharma, Bharat Bhushan; Bairwa, Mohan; Gothi, Dipti; Desai, Unnati; Joshi, Jyotsna M; Talwar, Deepak; Singh, Abhijeet; Dhar, Raja; Sharma, Ambika; Ahluwalia, Bineet; Mangal, Daya Krishan; Jain, Nirmal; Pilania, Khushboo; Hadda, Vijay; Koul, Parvaiz A; Luhadia, Shanti Kumar; Swarnkar, Rajesh; Gaur, Shailender Nath; Ghoshal, Aloke Gopal; Nene, Amita; Jindal, Ankur; Jankharia, Bhavin; Chetambath, Ravindran; Choudhary, Dhruv; Behera, Digambar; Christopher, Devasahayam Jesudas; Khilnani, Gopi C; Samaria, Jai Kumar; Singh, Harpreet; Gupta, K. B.; Pilania, Manju; Gupta, Manohar Lal; Misra, Narayan; Singh, Nishtha; Gupta, Prahlad; Chhajed, Prashant N.; Kumar, Raj; Chawla, Rajesh; Jenaw, Rajendra K; Chawla, Rakesh K.; Guleria, Randeep; Agarwal, Ritesh; Narsimhan, R; Katiyar, Sandeep; Mehta, Sanjeev N.; Dhooria, Sahajal; Chowdhury, Sushmita Roy; Jindal, Surinder K.; Katiyar, Subodh K; Chaudhri, Sudhir; Gupta, Neeraj; Singh, Sunita; Kant, Surya; Udwadia, Zarir; Singh, Virendra; Raghu, Ganesh

doi:10.4103/lungindia.lungindia_275_20

Cited by 10 publications

(5 citation statements)

References 138 publications

(144 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although always patient-specific, resting hypoxemia may be defined as a pulse oximetry reading of <90% in patients with ILD. 51 Oxygen therapy in IPF patients prior to AE-ILD has been observed to be independently associated with mortality (Hazard ratio 1.88; 95% CI 1.15, 3.09, p = 0.01), suggestive of possible harm, although the authors were unclear to its ramifications. 52 Restrictive perioperative fluid management strategies may reduce postoperative AE-ILD in IPF.…”

Section: Intraoperative Considerations In the Care Of Ipf Patientsmentioning

confidence: 97%

Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review

Carr¹,

Yan²,

Chavez-Duarte³

et al. 2022

IJGM

View full text Add to dashboard Cite

Purpose The idiopathic interstitial pneumonias (IIP) constitute a large cohort of the over 200 subtypes of interstitial lung disease (ILD). Idiopathic pulmonary fibrosis (IPF) is the most widely studied, arguably the most severe etiology of ILD and the most common IIP diagnosis. The objective of this narrative review is to outline the current evidence on optimal perioperative management of IPF. PubMed, Embase and Web of Science were analyzed for appropriate peer-reviewed references by utilizing key word search (“interstitial lung disease” OR “idiopathic pulmonary fibrosis” OR “idiopathic interstitial pneumonitis” OR “ILD” OR “IPF” AND “surgery” OR “anesthesia” OR “perioperative”) within the past thirty years (1990-current). Non-English language references were excluded. A total of 205 references were curated by the authors. Eighty-seven consensus statements, clinical trials, retrospective cohort studies or case series met criteria and were incorporated into the findings of this narrative review. Conclusion After review, we conclude that complications, dominated by postoperative pulmonary complications, pose a significant barrier to safe perioperative care of patients with IPF. Ensuring that the preoperative IPF patient has been medically optimized is important for minimizing this risk. Initial assessment of the ARISCAT score, pulmonary function studies and cardiopulmonary exercise testing may identify IPF patients at particularly high perioperative pulmonary risk. Identifying IPF patients with 6–12-month declines in D LCO of >15%, V 02max <8.3 mL/kg/min, <80% predicted value FVC, a 50-meter reduction in the 6MWT or preoperative home oxygen use may be helpful in preoperative risk stratification. Medically optimizing treatable co-morbidities should be a priority in preoperative assessment. Regional or neuraxial anesthesia should be considered an optimal technique for the avoidance of general anesthesia related complications when indicated. Acute exacerbation and postoperative pneumonia have been identified as important postsurgical complications in both thoracic and nonthoracic surgical populations.

show abstract

Section: Intraoperative Considerations In the Care Of Ipf Patientsmentioning

confidence: 97%

Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review

Carr¹,

Yan²,

Chavez-Duarte³

et al. 2022

IJGM

View full text Add to dashboard Cite

show abstract

“…The management of ILD often follows a series of evaluation steps and treatment pathways ( Figure 6 ) ( 99 , 115 ). Efforts should be made to provide symptom relief, which could involve various strategies, such as pulmonary rehabilitation (PR) and psychological support, to alleviate symptoms and improve the overall wellbeing of the patient.…”

Section: Interstitial Lung Disease Managementmentioning

confidence: 99%

Interstitial lung disease: a review of classification, etiology, epidemiology, clinical diagnosis, pharmacological and non-pharmacological treatment

Althobiani,

Russell,

Jacob

et al. 2024

Front. Med.

View full text Add to dashboard Cite

Interstitial lung diseases (ILDs) refer to a heterogeneous and complex group of conditions characterized by inflammation, fibrosis, or both, in the interstitium of the lungs. This results in impaired gas exchange, leading to a worsening of respiratory symptoms and a decline in lung function. While the etiology of some ILDs is unclear, most cases can be traced back to factors such as genetic predispositions, environmental exposures (including allergens, toxins, and air pollution), underlying autoimmune diseases, or the use of certain medications. There has been an increase in research and evidence aimed at identifying etiology, understanding epidemiology, improving clinical diagnosis, and developing both pharmacological and non-pharmacological treatments. This review provides a comprehensive overview of the current state of knowledge in the field of interstitial lung diseases.

show abstract

“…We reviewed relevant recommendations related to the 24 clinical/diagnostic scenarios previously published by radiology and specialty societies, including: the Canadian Association of Radiologists, 9 the American College of Radiology, [10][11][12][13][14][15][16][17][18][19] the American Thoracic Society and Infectious Diseases Society of America, 20 the CHEST Expert Panel, [21][22][23] the Emergency Medicine Association of Turkey/Turkish Thoracic Society, 24 the European Respiratory Society, 25 the Fleischner Society, 26,27 the French Language Pulmonology Society, 28 the German S3 guideline, 29 the Indian Chest Society National College of Chest Physicians, 30 the Indian Society of Anesthaesiologists, 31 the Italian intersociety consensus, 32,33 the Korean guideline, 34 the National Institute for Health and Clinical Excellence, 35 the Polish recommendations for lung ultrasound in internal medicine, 36 the S2K guideline, 37 the combined guideline by the Société Française de Médecine d'Urgence, the Société de Réanimation de Langue Française and the French Group for Pediatric Intensive Care and Emergencies, 38 the Spanish Society of Medical Oncology, 39 and the Royal College of Radiologists. 40 Recommendations are presented in 3 tables: Non-specific chest pain, long-term care, and hospital-based scenarios (Table 2), Upper respiratory tract infections, asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and chronic cough scenarios (Table 3), Pneumothorax, pleural effusion, hemoptysis, chronic dyspnea, interstitial lung disease, lung nodule, mediastinal lesion, mediastinal lymphadenopathy, and elevated diaphragm scenarios (...…”

Section: Recommendations Additional Details Of the Included Guideline...mentioning

confidence: 99%

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Hamel,

Avard,

Belanger

et al. 2023

Can Assoc Radiol J

View full text Add to dashboard Cite

The Canadian Association of Radiologists (CAR) Thoracic Expert Panel consists of radiologists, respirologists, emergency and family physicians, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 24 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 30 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 48 recommendation statements across the 24 scenarios. This guideline presents the methods of development and the referral recommendations for screening/asymptomatic individuals, non-specific chest pain, hospital admission for non-thoracic conditions, long-term care admission, routine pre-operative imaging, post-interventional chest procedure, upper respiratory tract infection, acute exacerbation of asthma, acute exacerbation of chronic obstructive pulmonary disease, suspect pneumonia, pneumonia follow-up, immunosuppressed patient with respiratory symptoms/febrile neutropenia, chronic cough, suspected pneumothorax (non-traumatic), clinically suspected pleural effusion, hemoptysis, chronic dyspnea of non-cardiovascular origin, suspected interstitial lung disease, incidental lung nodule, suspected mediastinal lesion, suspected mediastinal lymphadenopathy, and elevated diaphragm on chest radiograph.

show abstract

Management of interstitial lung diseases: A consensus statement of the Indian Chest Society (ICS) and National College of Chest Physicians (NCCP)

Cited by 10 publications

References 138 publications

Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review

Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review

Interstitial lung disease: a review of classification, etiology, epidemiology, clinical diagnosis, pharmacological and non-pharmacological treatment

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Contact Info

Product

Resources

About