Comments on “Comparative yield of transbronchial cryo-nodal biopsy, transbronchial intra-nodal forceps biopsy, and transbronchial needle aspiration for mediastinal lesions at a tertiary care center in India (COLD-FORCEPS study)”

Dear Editor, The recent study by Madan et al. provides valuable information on the utility of intranodal cryobiopsy or forceps to endobronchial ultrasound - transbronchial needle aspiration during sampling of mediastinal lymph nodes..

Comments on "Comparison of immediate withdrawal and stepwise reduction in duration of non-invasive ventilation in chronic obstructive pulmonary disease patients presenting with acute hypercapnic respiratory failure"

Dear Editor,  The recent study published by Purohit et al. provides new evidence on the safety of immediate withdrawal of non-invasive ventilation (NIV) in chronic obstructive pulmonary disease (COPD) patients admitted with acute hypercapnic respiratory failure (AHRF) after recovery..

Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease Overlap Syndrome - Double Trouble

COPD- OSA overlap syndrome has been defined in the recent past as a syndrome of these two co-existing illnesses. Whether the overlap is synergistic is unknown, however it has been proven to have increased risk of complications like pulmonary artery hypertension. Mechanisms for each worsening the other have been postulated, putting a potential scare for the prognosis. An attempt to understand and recognize this syndrome will be the basis of defining treatment options for the same. The difficulties in defining and treating this syndrome have also been highlighted in this review

An Uncommon yet Treatable Cause of Hypoglycemia

Hypoglycemia is a life-threatening condition, especially if recurrent. Most common causes include patients with diabetes due to medications, nephropathy with oral hypoglycemic drugs, faulty dietary habits and other endocrine causes. In a patient presenting with recurrent hypoglycemia with central hypothyroidism, Sheehan syndrome must be suspected as diagnosis can prevent disastrous complication

Evaluation of anaphylaxis: A simplified approach

Anaphylaxis has been defined as a serious allergic reaction that can even amount to death. However, the approach to the patient remains grossly individualized. Treatment aims at rapid intervention to prevent mortality. This review gives a detailed yet simplified approach to anaphylaxis, its diagnosis, and management