Clinical challenges beyond guidelines

Grand round
Chairs: C. Brightling (Leicester (Leicestershire), United Kingdom), N. Roche (Paris, France), C. Gotera Rivera (Madrid, Spain)
Aims: To describe controversial aspects of the current guidelines for non-invasive respiratory support, asthma, management of solitary pulmonary nodules and imaging of pulmonary hypertension; to discuss data underpinning non-adherence and alternative approaches to ongoing recommendations; to propose evidence-based substitute management recommendations for clinicians; to identify areas of concern and to highlight the need for further research.

Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: joint ESA/ESICM guideline L. Piquilloud (Lausanne, Switzerland)
Deconstructing the GINA staircase: the new house of asthma P. O'Byrne (Hamilton (ON), Canada)
Self-oriented interpretation of guidelines for management of solitary pulmonary nodules. ACR, ACCP, BTS and Fleischner: a “pot pourri” that may miss occult cancer? S. Elia (Roma (RM), Italy)
Imaging of pulmonary hypertension in adults: a position paper from the Fleischner Society D. Kiely (Sheffield (South Yorkshire), United Kingdom)