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Chronic Obstructive Pulmonary Disease: Inpatient Management.
Brian J Harte1, David Wesorick2, Andrew Odden3
1Department of Hospital Medicine, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine of Case Western University, 2000 Harvard Road, Warrensville Heights, Cleveland, OH 44122, USA.
Hospital Medicine Clinics
|April 15, 2020
Summary
Managing acute exacerbations of chronic obstructive pulmonary disease (COPD) involves key therapies like steroids, antibiotics, and oxygen. Early noninvasive ventilation and adjuvant care, including smoking cessation, improve patient outcomes for this common condition.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Acute exacerbations of chronic obstructive pulmonary disease (COPD) are frequent and lead to significant illness.
- Care for acute COPD exacerbations varies considerably despite existing guidelines.
Purpose of the Study:
- To outline the recommended management strategies for patients experiencing acute exacerbations of COPD.
- To highlight key therapeutic components and adjuvant care for acute COPD exacerbations.
Main Methods:
- Review of current literature and established guidelines for COPD exacerbation management.
- Identification of core acute treatment components and supportive care measures.
Main Results:
- Standard acute therapy includes oral steroids, antibiotics, nebulized medications, oxygen, and early consideration of noninvasive ventilation.
- Essential adjuvant care encompasses venous thromboembolism prophylaxis, immunizations, smoking cessation counseling, and pulmonary rehabilitation referral.
Conclusions:
- Standardized management of acute COPD exacerbations is crucial to reduce morbidity.
- A comprehensive approach integrating acute therapies with adjuvant care improves patient outcomes.
Keywords:
Acute exacerbation of COPDChronic obstructive pulmonary diseaseGlobal Initiative for COPD guidelinesInpatient managementMore Related Videos
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