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Chapter-17 Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

BOOK TITLE: The Protocol Book for Intensive Care

Author
1. Kumar Niranjan
2. Gupta Sumit Sen
ISBN
9789352703050
DOI
10.5005/jp/books/14144_18
Edition
5/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Al Bahar Ophthalmology Centre, PO Box 25027, Safat 13115, Kuwait, E-mail: nirkumar@hotmail.com, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India
2. Sri Aurobindo Seva Kendra and AMRI Hospital, Salt Lake, Kolkata, India, Fortis Hospital, Anandapur, Kolkata, India, AMRI Hospital, Kolkata, West Bengal, India
Chapter keywords
Chronic obstructive pulmonary disease, COPD, respiratory tract infection, COPD exacerbation, noninvasive ventilation, subsequent management

Abstract

An exacerbation of chronic obstructive pulmonary disease (COPD) is defined as an event in the natural course of the disease characterized by a change in the patient’s baseline dyspnea, cough and/or sputum that is beyond normal day-to-day variations. This chapter will go on to state the diagnosis and differential diagnosis of exacerbations of COPD, it then briefly gives the antibiotics given to patients for exacerbations of COPD. Noninvasive ventilation (NIV) in severe AECOPD is accepted as a standard of care. To put it into perspective, when applied appropriately it is three times more effective than streptokinase in acute ST elevation myocardial infarction (STEMI). Indications and relative contraindications are also discussed in this chapter. A detailed discussion on subsequent management has been also provided in this chapter.

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