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Once the diagnosis of COPD has been confirmed by spirometry, the goals of the initial assessment of COPD to guide therapy are to determine: 1) the severity of airflow limitation (GOLD spirometric grades); 2) the nature and magnitude of current symptoms; 3) the previous history of moderate and severe exacerbations (the best estimate of the risk ...
11 Αυγ 2024 · Objectives: Identify the appropriate indications for lung volume reduction surgery in patients with severe emphysema, particularly those with upper lobe predominance and low exercise capacity. Implement median sternotomy and video-assisted thoracoscopic surgery approaches for lung volume reduction surgery to optimize patient outcomes.
The 2023 GOLD COPD report includes an updated exacerbation definition, new material on assessment and bronchitis, and new therapy recommendations.
18 Μαρ 2024 · Arguably the most buzzed about advancement in the COPD treatment landscape is the emergence of new biologic therapies, says Dr. Meilan Han, a professor of medicine in the Division of Pulmonary...
DIAGNOSIS : COPD should be considered in any patient who has dyspnea, chronic cough or sputum production, and /or a history of exposure to risk factors for the disease (see Table). Spirometry is required to make the diagnosis in this clinical context: 23; the presence of a post-bronchodilator FEV: 1 /FVC < 0.70 confirms the presence of ...
Article Highlights. •. Chronic obstructive pulmonary disease (COPD) is a treatable condition. Most patients have mild disease that requires little other than smoking cessation, immunizations, and as-needed short-acting bronchodilator therapy.
Even when the COPD condition is being followed and managed by a different provider, it is important to include the diagnosis in the final assessment. For example: “Chronic emphysematous bronchitis followed and managed by pulmonologist, Dr. Jane Smith.”
