2008 COPD guideline

Published by: Apollo Managed Care Consultants

Published: Feb. 1, 2008 - 69 Pages

Table of Contents

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

Abstract

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