Acute Exacerbations of Chronic Obstructive Pulmonary Disease in the Emergency Department

被引:21
作者
Brulotte, Cory A. [1 ]
Lang, Eddy S. [1 ,2 ]
机构
[1] Alberta Hlth Serv Calgary Zone, Foothills Med Ctr, Dept Emergency Med, Calgary, AB T2N 2T9, Canada
[2] Univ Calgary, Unit 1633, Calgary, AB T2N 1M7, Canada
关键词
Chronic obstructive pulmonary disease; COPD; Exacerbation; ACUTE RESPIRATORY-FAILURE; RANDOMIZED CONTROLLED-TRIAL; LUNG-FUNCTION DECLINE; NONINVASIVE VENTILATION; MECHANICAL VENTILATION; ANTICHOLINERGIC BRONCHODILATOR; AIRWAY HYPERRESPONSIVENESS; DYNAMIC HYPERINFLATION; PRESSURE VENTILATION; CHRONIC-BRONCHITIS;
D O I
10.1016/j.emc.2011.10.005
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Chronic obstructive pulmonary disease (COPD) is a significant cause of morbidity and mortality worldwide. Acute exacerbations of COPD (AECOPDs) are a common presentation to emergency departments and are an important cause of respiratory failure. This article discusses the disease process and diagnosis of COPD and AECOPD. A further in-depth discussion is undertaken of evidence-based treatments, palliation, and disposition of patients who present to emergency departments with AECOPD.
引用
收藏
页码:223 / +
页数:26
相关论文
共 138 条
[1]   Difficulty breathing: Agreement of paramedic and emergency physician diagnoses [J].
Ackerman, Robert ;
Waldron, Rachel L. .
PREHOSPITAL EMERGENCY CARE, 2006, 10 (01) :77-80
[2]   Inhaled Corticosteroids vs Placebo for Preventing COPD Exacerbations A Systematic Review and Metaregression of Randomized Controlled Trials [J].
Agarwal, Ritesh ;
Aggarwal, Ashutosh N. ;
Gupta, Dheeraj ;
Jindal, Surinder K. .
CHEST, 2010, 137 (02) :318-325
[3]   Heliox in the treatment of chronic obstructive pulmonary disease [J].
Andrews, R ;
Lynch, M .
EMERGENCY MEDICINE JOURNAL, 2004, 21 (06) :670-675
[4]  
[Anonymous], GLOB STRAT DIAGN MAN
[5]  
[Anonymous], J EMERG MED
[6]  
[Anonymous], 2008, World health statistics 2008, P30
[7]  
[Anonymous], COCHRANE DATABASE SY
[8]  
[Anonymous], 2006, COCHRANE DATABASE SY
[9]  
[Anonymous], COCHRANE DATABASE SY
[10]  
[Anonymous], EMERGENCY MED SERVIC