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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Surgical and Interventional Approaches in COPD.

Gerard J Criner1

  • 1Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania. gerard.criner@tuhs.temple.edu.

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|June 23, 2023
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Summary

Surgical and bronchoscopic interventions offer new hope for Chronic Obstructive Pulmonary Disease (COPD) patients experiencing persistent symptoms like dyspnea. These advanced treatments target lung abnormalities, complementing traditional therapies for improved outcomes.

Keywords:
BLVRCOPDLVRSchronic bronchitisemphysema

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Area of Science:

  • Pulmonology and Thoracic Surgery
  • Interventional Pulmonology

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) significantly impacts patients with symptoms such as dyspnea, cough, and sputum production.
  • Despite medical therapies, significant symptom burden, particularly dyspnea, persists in many COPD patients.
  • Structural lung abnormalities are key contributors to COPD symptoms and disease progression.

Approach:

  • Review of surgical and bronchoscopic interventional treatments for COPD.
  • Focus on therapies targeting airway and lung parenchyma abnormalities.
  • Emphasis on patient selection using imaging and physiological testing for optimal outcomes.

Key Points:

  • Surgical and bronchoscopic interventions have emerged over the past three decades.
  • These treatments complement traditional medical therapies for COPD.
  • Identifying specific structural abnormalities is crucial for selecting appropriate candidates.

Conclusions:

  • Bronchoscopic and surgical interventions show promise in improving outcomes for COPD patients.
  • Targeting structural lung issues can alleviate persistent symptoms like dyspnea.
  • Personalized patient selection is vital for the success of interventional COPD treatments.