Dyspnea 2016 summary


Capture d’écran 2015-04-05 à 11.55.13 Dyspnea is defined as “a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity". It is the most prominent complaint of patients with chronic respiratory diseases. It is highly prevalent, affecting up to 50% of the patients admitted to tertiary care hospitals and up to 25% of ambulatory patients. Its mere presence has a negative prognostic value, irrespective of the severity of underlying physiological alterations. Most importantly, beyond the physical suffering that it represents, dyspnea causes emotional distress and is a source of long standing psychological traumatism. As such, dyspnea is a major determinant of the altered quality of life that characterizes chronic respiratory insufficiency, whatever its origin. Indeed, dyspnea is the common denominator of all respiratory diseases and of many cardiovascular and neuromuscular disorders, not to mention widespread conditions like obesity or physical deconditioning. In many instances, addressing dyspnea from a symptomatic point of view is the only therapeutic option, when it persists in spite of optimized treatments of its pathophysiological determinants or when such treatments lack. Furthering dyspnea research and disseminating its result is therefore a crucial clinical issue

Capture d’écran 2015-04-05 à 11.55.13 This has been the aim of the "Dyspnea" symposia that have been held in 2005 (San Diego, CA), 2009 (San Diego, CA), and 2013 (University of New England, Biddeford, ME), in the distant wake of the 1965 "Breathlessness" Birmingham meeting. The 2016 Dyspnea symposium took place in Serris, France, 30 minutes away from downtown Paris (June 16-17, 2016). It focused on the psychological impact of dyspnea, emphasized the clinical importance of managing refractory dyspnea -on the verge of becoming "chronic breathlessness syndrome-, and has opened windows on possible new approaches to interfere with the brain processing of respiratory sensations.

Capture d’écran 2015-04-05 à 11.55.13 Four conferences were proposed during "Dyspnea 2016". In each case, a renowned guest speaker gave a 30 minutes talk that then was be the object of discussion with the audience (10 minutes). 

Two of the Dyspnea 2016 invited conferences considered dyspnea from a "human right" angle, as follows
1) Asphyxiation torture and its psychological consequences : the dark side of respiratory psychophysiologyby Metin Basoglu (Istanbul Center for Behavior Research and Therapy, Istambul, Turkey), with Robert B. Banzett (Harvard Medical School, Boston MA, USA) as the facilitator. 
2) The management of clinical refractory dyspnea as a human right, by David Currow (Flinders University, Adelaide, South Australia), with Thomas Similowski (Université Paris 6, France) as the facilitator.

The other two invited conferences were intended as an introduction to neurophysiological advances possibly relevant to dyspnea management in the future. The topics of these conferences were
1)
The neurophysiological basis of hypnosis, by Marie-Elisabeth Faymonville (Centre Hospitalier Universitaire de Liege, Belgium), with Capucine Morélot-Panzini (Université Paris 6, France) as the facilitator.
2)
Bodily self-consciousness and its manipulations, by Olaf Blanke (University of Geneva, Switzerland) with Dan Adler (Hôpital Cantonal Universitaire, Geneva, Switzerland) as the facilitator.

Capture d’écran 2015-04-05 à 11.55.13 In addition, like all previous editions of the Dyspnea symposia, Dyspnea 2016 provided a forum to researchers and clinicians involved in dyspnea field. 
Each participant had the opportunity to present or see the latest work on this topic and discuss with the world’s leading experts in dyspnea. Research studies have been proposed during both oral & poster presentation sessions. This format encourages discussion amongst speakers, chairmen and audience. All participantshad a lot of time to catch-up with colleagues and exchange ideas with the rest of the dyspnea community, not only during official sessions but also during meals and coffee breaks.

Capture d’écran 2015-04-05 à 11.55.13 Dyspnea 2016 has been a success. The ball is now in the court of Dennis Jensen, for our next reunion in Montreal, just two years from now. 

Warm regards to all ! 

Capucine Morélot-Panzini and Thomas Similowski, on behalf of the organizing and the scientific committees.

-© Dyspnea2016inParis