Lung Volume Reduction Surgery

Sonett, Joshua R.; Krasna, Mark J.

doi:10.1007/978-1-59259-121-3_9

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…This encompasses endobronchial placement of valves (EBV-LVR) or minimally invasive keyhole surgery, such as robot-assisted LVR surgery (RATS-LVRS) or video-assisted LVRS (VATS-LVRS). Surgical LVR is an effective, established treatment for selected patients with severe emphysema and has been shown to provide improvements in health status and lung function outcomes [50][51][52].…”

Section: Lung Volume Reduction Proceduresmentioning

confidence: 99%

Caring for patients with advanced COPD: beyond the inhalers…

Murray,

Mulryan,

Ní Chléirigh

et al. 2023

Breathe

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COPD affects millions of people worldwide. Patients with advanced COPD have a high symptom burden. Breathlessness, cough and fatigue are frequent daily symptoms. Guidelines often focus on pharmacological treatment, especially inhaler therapy, but other approaches in combination with medications offer symptomatic benefit.In this review, we take a multidisciplinary approach with contributions from pulmonary physicians, cardiothoracic surgeons and a physiotherapist. The following areas are addressed: oxygen therapy and noninvasive ventilation (NIV), dyspnoea management, surgical and bronchoscopic options, lung transplantation and palliative care. Oxygen therapy prescribed within guidelines improves mortality in patients with COPD. NIV guidelines offer only low-certainty instruction on the use of this therapy on the basis of the limited available evidence. Dyspnoea management can take place through pulmonary rehabilitation. Specific criteria aid decisions on referral for lung volume reduction treatments through surgical or bronchoscopic approaches. Lung transplantation requires precise disease severity assessment to determine which patients have the most urgent need for lung transplantation and are likely to have the longest survival. The palliative approach runs in parallel with these other treatments, focusing on symptoms and aiming to improve the quality of life of patients and their families facing the problems associated with life-threatening illness. In combination with appropriate medication and an individual approach to symptom management, patients' experiences can be optimised.Educational aimsTo understand the multidisciplinary approach to management of patients with advanced COPD.To recognise the parallel approaches to oxygen, NIV and dyspnoea management with consideration of more interventional options with lung volume reduction therapy or lung transplantation.To understand the high level of symptomatology present in advanced COPD and the relevance of palliative care alongside optimal medical management.

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Section: Lung Volume Reduction Proceduresmentioning

confidence: 99%