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Chronic Obstructive Pulmonary Disease (COPD) (2013 Update) Product Image

Chronic Obstructive Pulmonary Disease (COPD) (2013 Update)

  • Published: January 2013
  • Region: Global
  • 72 Pages
  • Apollo Managed Care, Inc.

Chronic obstructive pulmonary disease (COPD): clinical guideline for the evaluation and management of COPD and obstructive sleep apnea. Evidence-based criteria for screening, tests, and treatments including lung transplantation, smoking cessation programs, durable medical equipment and oxygen are described. Authoritative references and resources with web links.

Introduction

Screening

Pulmonary function tests (description, indications):
- Blood gases,
- Diffusion capacity, Lung compliance;
- Exhaled Nitrous Oxide - Lung volumes,
-Metacholine challenge,
- Pulse Oximetry, Overnight home-based oximetry
- Spirometry; Transtelephonic spirometry
- Vital capacity,
- Cardiopulmonary exercise testing
- Exhaled nitric acid testing for pulmonary disorders
- References/resources for pulmonary function tests

Fiberoptic bronchoscopy
Fluorescence bronchoscopy/endoscopy
Total body plethysmography
Pilocarpine iontophoresis sweat test, quantitative
‘Virtual' lung scans or Electron-beam computed tomography
Obstructive Sleep Apnea (OSA)

Sleep disorder studies/Polysomnography
- Sleep disorder studies/Polysomnography
- Actigraphy testing
- Multiple sleep latency test (MSLT)

Obstructive Sleep Apnea (OSA) Therapies

- CPAP for obstructive sleep apnea
- Noninvasive positive-pressure ventilation (NPPV)/Bilevel Positive Airway Pressure (BiPAP)
- Sleep Apnea, Noninvasive Positive Pressure Ventilation (NPPV)/Bi-PAP, C-PAP – References/resources
- Palatal implants for obstructive sleep apnea (OSA)
- Osteotomy (Maxillary, Mandibular) for sleep apnea
- Uvulopalatopharyngoplasty (UPPP) and palatopharyngoplasty (PPP)

Laser Assisted Uvulopharyngoplasty (LAUP)
Radiofrequency volumetric tissue reduction (RFVTR) Uvulopharyngoplasty
Weight reduction for OSA

COPD - Therapies
Cryotherapy for malignant endobronchial obstruction
Electrophrenic Pacemaker/Diaphragmatic/Phrenic Nerve Stimulator
Inhaled nitric oxide (INO)
Lung volume reduction surgery (LVRS)

Noninvasive Positive-Pressure Ventilation (NPPV)
Phrenic nerve pacing/Diaphragm pacing/Phrenic nerve stimulator
Pneumonia: Admission criteria; Duration and necessity of IV antibiotics; LOS

Respiratory Therapy Services/Physiotherapy (New 6-05)
- Postural Drainage Procedures and Pulmonary Exercises

Pulmonary Rehabilitation (PR)
- Outpatient Pulmonary Rehabilitation (PR)
- Pulmonary Rehabilitation – reference/resource list

Smoking Cessation Benefits/Coverage
Pulmonary/lung transplants - coverage
Notes

Pulmonary/Respiratory DMS/DME
- Airway Clearance/High Frequency Chest Wall Oscillation Devices
- Mechanical in-exsufflation/in-exsufflator devices
- Intrapulmonary Percussive Ventilator (IPV), Medicare NCD
- Nebulizers
- Oxygen coverage guidelines, outpatient
- Portable oxygen guideline
- Oxygen for travel
- Prescribing oxygen therapy; references
- Peak expiratory flow meters
- Postural drainage boards/Standers, Boards and Tilt Tables
- Respiratory Assist Devices
- Suction pumps
- Vaporizers

References/Resources
American Association of Respiratory Care: Clinical Practice Guideline – links
Reference/resource list by topic
Web resources - links
Pulmonary Notes

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