Program Overview

Click on any day of the congress to view more details about the program and what each track has to offer, session descriptions and learning objectives.

Track 1: Recent Developments in the Clinical Practice and Science of Sleep Disorders

Description

At CHEST Congress Thailand, the Sleep track will include more than eleven hours of content on the current diagnostics and treatment of sleep disordered breathing of all forms, as well as brief updates on non-respiratory sleep disorders.    This session will provide a state-of-the-art update on common disorders of the airway.  Renowned experts will appraise recent research findings and review current practice guidelines, enabling practicing clinicians to integrate the most up to date evidence in caring for their patients.

Learning Objectives

By the end of the course participants will be able to:

  • Explain new developments in the diagnosis, complications and management options of sleep-disordered breathing.
  • Describe new developments in the diagnosis and treatment of non-respiratory sleep disorders.

 

Track 2: The Use of Basic Bronchoscopy in the Management of Various Pulmonary Conditions

Description

The program will consist of Case-Based discussions of safe and effective use of bronchoscopy, endobronchial biopsies, and airway bleeding management using audience response with expert panel discussion.  There will also be hands-on practice of basic bronchoscopy skills including airway anatomy and management of airway bleeding.

Learning Objectives

By the end of the course participants will be able to:

  • Define safe and effective uses for bronchoscopy
  • Define the appropriate use of bronchoscopy in endobronchial biopsy
  • Define the appropriate use of bronchoscopy with airway bleeding

 

Track 3: Recent Developments in the Clinical Practice and Science of Pulmonary Infections

Description

This course will be a pulmonary literature review on three key pulmonary infections topics important to the pulmonary clinician. This will provide an update on the key articles published in the literature over the last year. Experts in each field will present a specific topic.

Learning Objectives

By the end of the course participants will be able to:

  • Review data from key articles published in the last year about tuberculosis, pneumonia, and bronchiectasis.
  • Suggest how these articles should impact patient care.
  • Ensure that current Guidelines in these areas are kept in focus as the new articles are discussed.
  • Apply new clinical research knowledge and study findings in tuberculosis to clinical practice.
  • Describe new strategies for managing latent tuberculosis infection and active tuberculosis.

 

Track 4: Recent Developments in the Clinical Practice and Science of Pulmonary Malignancy

Description

This post graduate course in thoracic malignancies will focus on the appropriate staging of lung cancer.  Surgical outcomes will be described.  The tools used to distinguish benign from malignant pulmonary nodules will be discussed.  An understanding of what makes a patient an appropriate candidate for lung cancer surgery will be undertaken.

Learning Objectives

By the end of the course participants will be able to:

  • Understand the importance of appropriately staging patients with lung cancer and how it relates to treatment options and prognosis.
  • Describe who is eligible for lung cancer resection and the factors associated with good outcomes.
  • Explain the tools utilized to predict the presence of cancer in undiagnosed pulmonary nodules.
  • Understand which physiologic parameters put patients at high risk for a poor outcome from lung cancer surgery

 

Track 5: Recent Developments in the Clinical Practice and Science of Airway Diseases

Description

This session will provide a state-of-the-art update on common disorders of the airway.  Renowned experts will appraise recent research findings and review current practice guidelines, enabling practicing clinicians to integrate the most up to date evidence in caring for their patients.

Learning Objectives

  • Recognize the current burden and realities of COPD.
  • Comprehend recent changes to COPD clinical practice guidelines with view to optimizing management and reducing symptom burden and preventing
  • Utilize effective interventions and strategies, pharmacologic and non-pharmacologic, to improve the care for patients suffering from COPD.
  • Describe recent advances in our understanding of asthma.
  • Identify factors contributing to poor control of asthma.
  • Discuss a systematic approach to phenotyping asthma, and applying traditional & advanced therapies.

 

Plenary Session

Lung Cancer 2009-2019: A Decade of Progress, by Peter Mazzone, MD., FCCP

Description

The past decade has seen an incredible amount of progress towards minimizing the global burden of lung cancer. This session will highlight ground breaking research in prevention, diagnosis, staging, and treatment, published in the last decade, that has altered the way we practice, and speculate on the impact of ongoing research for the future of lung cancer care.

Track 1: Sleep Disorders

The Current State of Sleep Apnea – Prevalence and Outcomes

  • Describe the prevalence of sleep apnea in multiple populations and co-morbid disease states.
  • Summarize the important outcomes that are associated with sleep apnea.

 

The Current State of Sleep Apnea – Diagnosis and Treatment

  • Describe the currently accepted guidelines and advances in the diagnosis of sleep apnea.
  • Compare the currently available treatment options for the treatment of sleep apnea.

 

PAP Modalities

  • Describe the indications for the individual PAP modalities.
  • Compare how the various PAP modalities function differently.

 

Non-PAP Therapies for Sleep Apnea

  • List the available non-PAP treatment options for sleep apnea.
  • Summarize the indications for and relative efficacies of alternative treatment options for sleep apnea.

 

Obesity Hypoventilation Syndrome

  • Describe the pathophysiology of obesity hypoventilation syndrome.
  • Discuss treatment strategies for obesity hypoventilation syndrome.

 

Sleep Diagnostic Dilemmas and PSG Puzzlers

In this session, we will use an audience response system to work determine the correct diagnosis of sleep disorders and correctly work through challenging polysomnographic images.

  • Analyze a difficult case using both clinical history and polysomnographic findings to develop a differential diagnosis and diagnostic and therapeutic plan.

 

Case-Based Interactive ARS on CPAP Downloads

In this session, we will use cased based learning using an audience response system to go through the basics of using device downloads in the care of our sleep apnea patients.

  • Analyze the download from a positive airway pressure machine to better understand a patient’s response to therapy and what other therapeutic options should be considered.

 

Track 2: Interventional Pulmonary Disorders

Bronchoscopic Lung Biopsy; Standard Biopsy vs. Cryobiopsy; Case-Based Discussion

After attending this session, participants will be able to:

  • Identify the clinical scenarios for conventional bronchoscopic lung biopsy versus bronchoscopic cryobiopsy in diffuse interstitial lung diseases.

 

Lung and Pleural Ultrasound

After attending this session, participants will be able to:

  • Identify the various ultrasound images of the lung and pleura in normal and pathologic clinical scenarios.

 

Management of Airway Strictures Secondary to Tuberculosis

After attending this session, participants will be able to:

  • Define the various management strategies for tuberculous airway strictures.

 

Management of Malignant Pleural Effusions; Case-Based Discussion

After attending this session, participants will be able to:

  • Define the various management strategies for symptomatic malignant pleural effusion.

 

Track 3: Pulmonary Infections

Update on Pneumonia

After attending this session, participants will be able to:

  • Review the most updated and relevant literature regarding epidemiology and diagnosis related to community acquired pneumonia.

 

Tropical Pulmonary Infections: Fungal Infections

After this session, participants will be able to:

  • Recall the most relevant parasitic respiratory infections.
  • Recite the standard of care treatment for these infections.

 

Tropical Pulmonary Infections:  Parasites and Malaria

At the conclusion of this session, participants will be able to:

  • Discuss the most clinically relevant parasitic infections that affect the lungs.
  • Review recent updates in the treatment of malaria.

 

Tropical Pulmonary Infections: Zoonoses and Meliodosis

At the conclusion of this session, participants will be able to:

  • Discuss the most clinically relevant zoonoses affect the lungs.
  • Recall the clinical presentation, diagnostic techniques, and best treatment for meliodosis.

 

Case-Based Discussion in Tuberculosis (TB) and Non-Tuberculous Mycobacterial (NTM) Pulmonary Disease

At the conclusion of this session, the participants will be able to:

  • Integrate the clinical, microbiology and radiologic findings for the optimal diagnosis and management of TB infections in special settings.
  • Apply the best practices for optimal diagnosis and management of patients with NTM pulmonary diseases.

 

Case-Based Discussion Respiratory Infections in HIV+ and Other Immunocompromised Hosts

Participants in this session should expect:

  • Through case presentations, review the common presentations of respiratory illness in patients with HIV or other immunocompromised hosts.
  • Share knowledge regarding best practices of respiratory infections in immunocompromised hosts.

 

Track 4: Pulmonary Malignancy

EBUS and Other Methods to Stage Lung Cancer

  • Understand the techniques used to stage the mediastinum in patients with newly diagnosed lung cancer with a special focus on EBUS.

 

Surgery for Lung Cancer: Indications and Outcomes

  • Review which patients are eligible for surgery, what surgical techniques are utilized, and what is the mortality and quality of life after surgery.

 

Treatment of Stage 3 Lung Cancer

  • Define the current treatment paradigm for treating patients with locally advanced (stage 3) lung cancer.

 

Targeted and Immunotherapy for Stage 4 Lung Cancer

  • Explain the shifting management options for patients with advanced lung cancer using targeted and immunotherapy.
  • Review which tests should be ordered from bronchoscopy to assess eligibility for targeted therapy.

 

When Should Adjuvant Chemotherapy Be Offered After Lung Cancer Surgery

  • Review the data for when patients should be offered chemotherapy after lung cancer surgery.
  • If eligible, in what timeframe should therapy be offered and which patients should not receive therapy secondary to postoperative complications.

 

Case-Based Interactive Tumor Board

  • A multidisciplinary panel will be assembled with the objective of reviewing cases with the experts to provide advice on management decisions.

 

Case-Based Interactive ARS on Difficult Lung Cases from Thailand

  • Cases from the region will be reviewed with the idea of delving into local issues that declare themselves in the management of lung cancer.

 

Track 5: Airway Diseases

Non-Pharmacologic Therapies in COPD

  • Appreciate the value of non-pharmacologic therapies in caring for individuals affected by COPD.
  • Highlight the foundational role of Pulmonary Rehabilitation in the comprehensive management of COPD.
  • Share meaningful [and achievable] benefits of optimizing both pharmacologic and non-pharmacologic therapies in COPD.

 

Surgical Therapies in COPD

  • To understand the role of surgical management options, including lung transplantation evaluation and candidacy, in patients with advanced COPD.

 

High/Low T2 Asthma

  • Appreciate the key differences between T2 high and T2 low asthma
  • Using clinical characteristics and biomarkers, identify specific asthma phenotypes.
  • Formulate a targeted treatment plan for patients with asthma based on their ‘treatable traits’.

 

Occupational Asthma

  • Discuss the role of occupational exposures in asthma.
  • Describe approach to evaluation of patients with suspected work-place associated asthma.
  • Create a comprehensive management plan for patients with occupational asthma.

 

Asthma and Pregnancy

  • Discuss the impact of uncontrolled asthma on maternal-fetal health.
  • Recognize the complex issues associated with management of asthma in pregnancy.

 

Case-based discussion on Difficult Asthma: focus on comorbidities, triggers, adherence

  • Using a case-based interactive format, this session will illustrate a systematic and multi-disciplinary approach to management of ‘difficult to treat’ asthma. Discussion will focus on common challenges when caring for such patients including recognition of asthma masqueraders, issues of non-adherence, role of environmental triggers and contribution from comorbidities.

 

Case-Based Interactive ARS on Pulmonary Physiology, Pulmonary Function Testing, HAST, Supplemental O2, 6MWT, MCT

  • This session will utilize interactive case-based discussions to demonstrate the practical utility of clinical physiologic testing in the assessment and management of individuals with respiratory symptoms and disease.

 

How to Submit an Abstract by Peter J. Mazzone, MD

Introduction to the CHEST® Journal

This session will cover a brief history of the journal CHEST, including the future vision and goals for the publication, an overview of how to submit articles, and tips on what might be key in evaluating a manuscript for publication. A question and answer period will allow attendees to ask questions of the new CHEST Editor in Chief.

Plenary Session

Tobacco Control in Thailand: A Bridge NOT Too Far

This inspiring session will demonstrate how a chest physician can approach the difficult task of tobacco control in a country that previously paid little attention to the issue.

 

 

Track 1: Sleep Disorders

Improving PAP Adherence

  • Describe common barriers to patient utilization of home positive airway pressure therapy.
  • Describe the effect of mask choice and pressure modality on patient utilization of home positive airway pressure therapy.

 

Treatment of Central and Complex Sleep Apnea

  • Explain how the pathophysiology of central sleep apnea can help identify appropriate therapeutic measures.
  • Describe different advanced positive airway pressure modes that are used to treat central and complex sleep disordered breathing.

 

Pulmonary Hypertension and Sleep Apnea

  • Describe the pathophysiology explaining the association between pulmonary arterial hypertension and sleep-disordered breathing.
  • Discuss treatment options for pulmonary hypertension in the context of sleep apnea.

 

Treatment of Residual Sleepiness in OSA

  • Describe the frequency of persistent sleepiness after successful treatment for sleep apnea.
  • List several mechanisms which could explain the presence of persistent sleepiness after treatment for sleep disordered breathing.
  • Describe treatment options for the symptom of persistent sleepiness after treatment for OSA.

 

Narcolepsy and Hypersomnia

  • List and describe the hypersomnia syndromes, including narcolepsy and idiopathic hypersomnia.
  • Explain the diagnostic evaluation and treatment options for patients with primary hypersomnias.

 

Mild Sleep Apnea – To Treat or Not to Treat?

This session will consist of several case presentations of patients with mild sleep-disordered breathing; after each case, the moderator will facilitate a panel discussion regarding treatment options and recommended management for each case.

  • Describe the repercussions of milder forms of sleep-disordered breathing.
  • Explain the potential benefits (and risks) of treating mild OSA, and apply this knowledge to clinical cases of mild OSA.

 

Sleep MCQs – Straight from SEEK!

This session will cover a number of board-review type sleep questions, allowing the audience to participate via audience response system, followed by an in-depth discussion of each question by a faculty expert.

  • Use knowledge of normal sleep, common sleep pathologies, and frequently-used sleep treatments to answer common questions (and address common misconceptions) about sleep.

 

Track 2: Interventional Pulmonary Disorders

Ultrasound Evaluation of Cardiac Function

After attending this session, participants will be able to:

  • Identify normal and abnormal ultrasound imaging of the heart; as seen by a pulmonary physician.

 

Ultrasound for Shock and Respiratory Failure; Case-Based Discussion

After attending this session, participants will be able to:

  • Identify the ultrasonographic findings in shock and respiratory failure.

 

Management of Pleural Infection with Small-bored Chest Tube; Case-Based and Hands-on Session

After attending this session, participants will be able to:

  • Describe management strategies for pleural infections and placement of small-bored chest tubes.

 

Palliative Interventional Bronchoscopy; Case-Based Presentation with Audience Response

After attending this session, participants will be able to:

  • Describe various endobronchial therapies for malignant airway obstruction .

 

Track 3: Pulmonary Infections

TB-HIV: US Perspective

At the conclusion of this session, the participants will be able to:

  • Gain knowledge about the current state of active and latent TB in the US.
  • Develop an improved understanding of new diagnostics for rapid detection of drug resistant tuberculosis in resource-limited settings.

 

TB-HIV Thailand/Asian Perspective

At the conclusion of this session, the participants will be able to:

  • Gain knowledge about the current state of active and latent TB in Asia.
  • Develop an improved understanding of new diagnostics for rapid detection of drug resistant tuberculosis in resource-limited settings.

 

Hot Topics In Respiratory Infections – Antimicrobial Resistance and Microbiome

At the conclusion of this session, participants will:

  • List the important determinants of antimicrobial resistance.
  • List the important factors that create the microbiome and how this influences the therapeutic approach to respiratory infections.

 

Hot Topics In Respiratory Infections – Rapid Diagnostic Testing

At the conclusion of this session, the participants will be able to:

  • Gain knowledge about the current state of global multidrug-resistant tuberculosis control.
  • Develop an improved understanding of new diagnostics for rapid detection of drug resistant tuberculosis in resource-limited settings.

 

Hot Topics in Respiratory Infections – Antimicrobial Stewardship

After attending this session, participants will be able to:

  • Review the use and application of antimicrobial stewardship program goals and newly developed antiobiotics for patients with respiratory infections.

 

Case-Based Discussions Pneumonia

  • Utilizing case-based scenarios will serve to better review clinical relevant decisions regarding community acquired pneumonia and hospital/ventilator associated pneumonia.

 

Pick on the Faculty: How to Approach this Case?

This session will utilize recent local cases to demonstrate:

  • The overall approach to respiratory infections.
  • The unique aspects to consider in the Asian population.

 

Track 4: Pulmonary Malignancy

Tumors of the Mediastinum

  • Describe the common tumors found in the mediastinum with emphasis on their treatment and outcomes.

 

Stereotactic Body Radiotherapy for Lung Cancer

  • Understand what stereotactic body radiotherapy is and when it should be considered in high risk operative patients with lung cancer.

 

Screening for Lung Cancer and Smoking Cessation in Asia

  • Describe the current evidence for incorporating smoking cessation into our practice and a brief overview of the literature on screening for lung cancer with Low dose CT.

 

Lung Cancer Year in Review

  • Review the most highly published papers in the lung cancer field over the previous year.

 

Complications of Lung Cancer Treatment

  • Understand the complications of lung cancer treatment including postoperative, chemotherapy, radiotherapy and immunotherapy induced complications and their treatment.

 

Track 5: Airway Diseases

Clinical Characteristics to Differentiate Asthma, COPD, ACO

  • Describe pathophysiologic and clinical similarities and differences between asthma and COPD.

 

Therapeutic Options for Asthma, COPD, ACO

  • Incorporate evidence to delineate therapeutic similarities and differences between asthma, COPD and ACO in clinical scenarios.

 

Asthma Year in Review

  • Review findings from, and strengths/limitations of recent significant publications in asthma.
  • Discuss how these findings may impact daily clinical practice when caring for patients with asthma.

 

COPD Year in Review

  • Appreciate findings recently published in the medical literature enhancing our understanding of COPD.
  • Recognize the advances and limitations of recent research studies in COPD.
  • Appropriately integrate recent research findings into the current clinical management of individuals affected by COPD.

 

Bronchiectasis Year in Review

  • Review findings from recent significant publications in bronchiectasis and their impact on clinical practice.

 

Problem-Based Discussion on Advanced COPD (Includes Pharmacotherapy, Management of Co-morbidities and Dyspnea, Pulmonary Rehab, Lung Transplantation and Palliative Care)

  • This session will utilize interactive case-based discussion to address various components proven effective in the clinical management of patient suffering from Advanced COPD.

 

Case-based discussion on Difficult Asthma: Focus on Advanced Therapies

  • This is a case-based interactive session focusing on recent advances in management of severe asthma. Different case scenarios will be utilized to discuss a practical approach to phenotyping severe asthma utilizing clinical characteristics and available biomarkers. Faculty will discuss a systematic approach to application of advanced therapies, including biologics and bronchial thermoplasty.