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Irish Thoracic Society Podcast Productions

Irish Thoracic Society Podcast Productions

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 Breath work A Respiratory Medicine podcast for busy respiratory nerds who want to keep up-to-date with the constantly evolving world of the lung. Every month we speak with respiratory experts on their areas of special interest. Our goal is to provide YOU with interactive and easy to listen to clinical updates. We will cover presentation, clinical reasoning, diagnostics and treatments but also new and exciting changes coming down the line. Delivered at a time convenient to you in 20-30 minute episodes. Inspire Meet your Respiratory Medicine heroes and hear how they got to where they are today. There are now more people than ever working in the respiratory medicine sphere. In this podcast we speak to Physicians, scientists, nurses, physiologists and more. We learn about their career paths to date, how they have achieved such success and advice for others hoping to follow suit. Some of these discussions are profession specific, but much of the advice is applicable to anyone trying to progress in their career. Social Media Website: https://irishthoracicsociety.com/ X/Twitter: irishthoracicS LinkedIn: Irish Thoracic Society Instagram: Irishthoracicsociety Hygiène et vie saine Maladie et pathologies physiques Science
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    • Inspire Part 2: Professor Luke Clancy: Clearing the Air - Evidence-Based Tobacco Control

      Inspire Part 2: Professor Luke Clancy: Clearing the Air - Evidence-Based Tobacco Control
      Jan 12 2026
      This episode features an evidence-based dialogue with Professor Luke Clancy on contemporary tobacco control. The discussion critically analyses tobacco's disease burden, cessation knowledge gaps in respiratory medicine, industry evolution toward novel nicotine products, adolescent neurodevelopmental risks of nicotine addiction, and missed opportunities in tobacco control during COVID-19. Listen to learn: The key health impacts of tobacco every respiratory MDT member must know. How the tobacco industry is using tech, AI, and synthetic nicotine to addict a new generation. Why framing e-cigarettes as "95% safer" was a public health disaster. The sobering lesson COVID-19 taught us about our priorities in tobacco control. Professor Clancy's one key message for making a difference in Ireland and beyond. Guest: Professor Luke Clancy, Director General of the TobaccoFree Research Institute Ireland, and a leading figure in Irish public health policy. Hosts: Margaret Higgins & Sandra Green Chapters: 00:00 - 01:32 | Introduction & Rapid-Fire Round 01:32 - 07:09 | Framing the harms of tobacco use 07:09 - 15:10 | The Formidable Tobacco Industry: Evolution & Tactics 15:10 - 20:31 | The Problem of Nicotine Addiction: E-Cigarettes & Harm Framing 20:31 - 25:07 | The COVID-19 Wake-Up Call & Missed Opportunities 25:07 - 27:02 | Conclusion & One Key Message Show Notes: ESPAD (European School Survey Project on Alcohol and Other Drugs): The long-running study tracking substance use in Irish and European youth. HSE Smoking Cessation Service: Praised by Clancy for doing "a great job, better than in many countries." TobaccoFree Research Institute Ireland (TFRI): Professor Clancy's institute. Irish Thoracic Society: Supporters of the Breathwork podcast. This episode is sponsored by AstraZeneca with no involvement in the input or content discussed. Produced with the support of the Irish Thoracic Society. For more, or to get involved, please use the links in the podcast description.
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      27 min
    • Breathwork: Demystifying Cardiopulmonary Exercise Testing (CPET) with Ciarán Heatley

      Breathwork: Demystifying Cardiopulmonary Exercise Testing (CPET) with Ciarán Heatley
      Dec 29 2025
      Join hosts Dr Margaret Higgins and Dr Marissa O’Callaghan as they sit down with respiratory physiology expert Ciarán Heatley to explore the science and clinical value of Cardiopulmonary Exercise Testing (CPET). Moving beyond static resting tests, this episode highlights how CPET provides dynamic, real-time insight into integrated cardiopulmonary, metabolic, and muscular responses to exercise. Ciarán, who leads the Respiratory Physiology Laboratory at Mater University Hospital Dublin, draws on over a decade of experience to explain what CPET truly measures and how it is applied in modern respiratory and cardiovascular care. The discussion covers CPET’s role in diagnosing unexplained dyspnoea, preoperative risk stratification, transplant assessment, pulmonary hypertension management, and personalised rehabilitation planning. Key Topics Covered 1. What CPET Really Measures CPET is more than a stress test—it evaluates ventilatory, cardiovascular, metabolic, and muscular responses during exercise. Core parameters discussed include VO₂ max, metabolic threshold (VT1), and respiratory compensation point (VT2), with emphasis on the distinction between aerobic capacity and functional capacity. 2. Clinical Applications CPET is valuable for: Investigating unexplained breathlessness Preoperative risk assessment for major surgery Heart and lung transplant evaluation Monitoring treatment response in pulmonary arterial hypertension Assessing pregnancy risk in congenital disease Individualised pulmonary rehabilitation planning 3. What the Test Involves A full CPET takes approximately 90 minutes, including setup, an 8–12 minute exercise phase, and interpretation. Bike ergometry is preferred clinically. Equipment includes ECG, spirometry, a metabolic mask, and continuous blood pressure monitoring. Safety protocols require two physiologists and one doctor present. 4. Interpreting CPET Data The episode breaks down: VT1 and VT2 identification Ventilatory efficiency (V̇E/V̇CO₂) Detection of V/Q mismatch and pulmonary hypertensionChronotropic incompetence and heart rate reserveVentilatory limitation vs maximum voluntary ventilationThe impact of obesity on interpretation 5. Referral Considerations Good referrals clearly state the clinical question, relevant comorbidities, and medications (especially beta-blockers). Contraindications include acute illness, recent MI, severe cognitive or mobility impairment, and significant claustrophobia. 6. CPET in Ireland CPET remains underutilised compared to the NHS, largely due to resource, training, and education gaps. However, there is growing recognition of respiratory physiology’s role within Irish healthcare. Educational Chapters 00:00 Introduction & disclaimer 03:28 What is CPET? 05:54 CPET procedure 09:32 Data interpretation 18:14 Clinical indications 22:51 Practical referrals 25:20 CPET in Ireland 29:32 Closing thoughts Further Learning ARTP CPET Course ERS Clinical Exercise Testing Course Cambridge CPET Course ATS/ACCP CPET Guidelines Wasserman’s Principles of Exercise Testing and Interpretation Guest: Ciarán Heatley, Chief II Respiratory Physiologist, Mater University Hospital Dublin Hosts: Dr Margaret Higgins & Dr Marissa O’Callaghan Disclaimer: Sponsored by AstraZeneca. Sponsor had no input into content. Always follow local clinical guidance.
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      30 min
    • Inspire — Professor Luke Clancy: From innovations in clinical care to national policy

      Inspire — Professor Luke Clancy: From innovations in clinical care to national policy
      Dec 15 2025
      Professor Luke Clancy, Director General of the Tobacco Free Research Institute Ireland and Professor at Technological University Dublin, describes how clinical observation, focused research and coalition‑building translated into major public‑health wins — the 1990 Dublin smoky‑coal ban and Ireland’s 2004 Public Health (Tobacco) Act. He reflects on the science behind excess winter mortality and air pollution, clinical innovations (bronchoscopy, COPD outreach, lung‑cancer MDTs), tobacco control advocacy, implementation lessons and leadership advice for clinicians to influence policy. Chapters 00:00 — Introduction & guest bio 01:12 — Why clinicians should turn observation into research 01:41 — Early training, influences and clinical work 04:38 — Dublin smog: excess winter mortality & particle debate 08:01 — Publishing the evidence & getting external support 08:58 — Politics & the path to the Smoky Coal ban 11:09 — Why national rollout took decades 15:36 — Tobacco control: forming ASH & building strategy 20:04 — Coalition building, unions & the 2004 Public Health (Tobacco) Act 23:21 — International influence & lessons 24:42 — Clinical innovations: bronchoscopy, COPD, lung cancer services 27:30 — Leadership lessons for clinician‑advocates 28:46 — Wrap up & next episode preview 28:56 — End Show notes • Kelly, I., Clancy, L. et al., 1984. Mortality in a general hospital and urban air pollution. ResearchGate. [online] (Accessed 14 December 2025) • Tobacco Free Research Institute Ireland (TFRI) https://www.tri.ie/ • Action on Smoking and Health (ASH) Ireland https://ash.ie/ • Framework Convention on Tobacco Control https://fctc.who.int/convention
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      28 min
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