Manejo ambulatorio de la EPOC: informe de una Reunión de Consenso / Ambulatory management of chronic obstructive pulmonary disease COPD: a consensus report
Rev. méd. Chile
;
127(2): 229-34, feb. 1999. tab
Article
in Spanish
| LILACS
| ID: lil-243784
RESUMO
Based on the Consensus of the Chilean Respiratory Society, this article summarizes the main topics of the ambulatory management of patients with COPD. The Consensus proposes operative definitions in order to prevent the most frequent conceptual errors, specially those related to the confusion between patients with chronic bronchitis without chronic obstruction and those with COPD. Among the diagnostic criteria, the consensus emphasizes the importance of demonstrating irreversible airway obstruction through spirometry, as well as strategies to the differential diagnosis between COPD and asthma. The Consensus summarizes the therapeutic interventions used in the ambulatory setting, including smoking cessation, bronchodilators, corticosteroids, antibiotics, vaccination, oxygen therapy, respiratory rehabilitation and environmental management. The Consensus emphasizes the importance of patient education in order to involve them in their own management. Some criteria for referral of patients are given and the role of exceptional therapeutical interventions, such as non invasive mechanical ventilation and lung reduction surgery are mentioned. The Consensus states that a significative improvement of the quality of life can be achieved with a proper combination of therapeutic interventions:
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Index:
LILACS (Americas)
Main subject:
Ambulatory Care
/
Lung Diseases, Obstructive
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
1999
Type:
Article
Affiliation country:
Chile
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