Editorials |

A Video Says More Than A Thousand Words FREE TO VIEW

Armin Ernst, MD, FCCP; Gaëtane Michaud, MD, FCCP
Author and Funding Information

Correspondence to: Armin Ernst, MD, FCCP, Beth Israel Deaconess Medical Center/Harvard Medical School, PCCM, Interventional Pulmonology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215; e-mail: aernst@bidmc.harvard.edu

Affiliations: Drs. Ernst and Michaud are affiliated with the Department of Interventional Pulmonology, Beth Israel Deaconess Medical Center.

Financial/nonfinancial disclosures: The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).

© 2009 American College of Chest Physicians

Chest. 2009;136(6):1447-1448. doi:10.1378/chest.09-1920
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Published online

This issue of CHEST marks another exciting milestone in the continuous development and improvement of the journal. After many months of preparation and work, we are proud to present in this issue of CHEST (see page 1678) the first video installment of a new series named “Procedure Videos Online.”1

Much of the practice of chest medicine is procedure based and multifaceted, as chest physicians provide a wide range of medical services including endoscopy, critical care interventions, and the technical components of sleep medicine, among many others. The last 10 years have seen the development and introduction of many new interventions for clinical use by the pulmonologist. Traditionally, most journals have relied on the written word to describe the performance of many interventions; but, as we all know, when it comes to hands-on training, a picture (or a video) can say more than a thousand words, and seeing an intervention actually performed by an expert is generally perceived as much more instructive than reading a description can ever be.

With this series, we will publish the videos online together with a written companion piece appearing in print in the corresponding issue of the journal. The manuscript will serve as a written summary and contain some additional background information and select references for the interested reader as it relates to the video piece.

The videos themselves are professionally produced and edited, and generally will cover a particular topic in a fairly structured fashion, including footage on clinical background, setup, procedure details, postprocedure patient care, and potential complications. Even though a professional production company is involved, the video content is completely controlled by the responsible expert and the CHEST editorial staff. We intend to cover procedures that are fairly commonly performed, as well as procedures that are new or rarely performed by the chest physician. This will guarantee that we can offer an interesting and broad variety of videos to our readership. The videos will be archived on www.chestjournal.org and will be formatted to play in the most common browser types for PC and Mac. The companion manuscript can also be conveniently accessed there.

While there are some differences in how a procedure may be performed, generally, the key components are the same. In this regard, while we do not want to claim that the presented modus in a particular video is the only way of performing the intervention portrayed, it will be the preferred approach of the expert responsible for the particular piece. This will provide a great opportunity to create discussions and academic exchange of opinions on best practices, which, in itself, is a unique opportunity.

In this issue, we present the case of a whole-lung lavage performed for pulmonary alveolar proteinosis. It is a procedure used in the treatment of a rare pulmonary disease, and most pulmonologists have never performed a lavage for this purpose, nor have many of their colleagues ever seen one performed. This video presents an excellent opportunity for the chest physician to gain a better understanding and hopefully will foster a clearer picture of how this intervention will fit into patient management.

Even though we are glad to report that we have identified a significant number and variety of procedures that will be featured in this series in the near future, we are inviting any suggestions that readers may have regarding procedures that should be shown in this series as well as suggestions on how this new and exciting offering by CHEST can be continuously improved, so that we can serve your (the reader's) needs as best as we possibly can. Please contact Dr. Ernst directly with any project suggestions you may have (aernst@bidmc.harvard.edu). As we gain more experience with this medium, we hope to publish videos every 3 to 4 months starting in the near future.


Michaud G, Reddy C, Ernst A. Whole lung lavage for pulmonary alveolar proteinosis. Chest. 2009;136:1678-1681. [PubMed] [CrossRef]




Michaud G, Reddy C, Ernst A. Whole lung lavage for pulmonary alveolar proteinosis. Chest. 2009;136:1678-1681. [PubMed] [CrossRef]
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