Chronic Obstructive Pulmonary Disease (COPD)

Published by: Apollo Managed Care, Inc.

Published: Jan. 1, 2013 - 72 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
Oxygen therapy during exercise training in chronic obstructive pulmonary disease (COPD)
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

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.

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