Actualités concernant la prise en charge de la BPCO : ce que le réanimateur doit savoir.

Authors

  • Jade Mahé Pneumologie, CHU de Bordeaux
  • Alexandra Beurton Service de Médecine Intensive - Réanimation, Groupe Hospitalier Universitaire APHP, Sorbonne Université
  • Maéva Zysman Service de pneumologie générale et de ventilation, CHU de Bordeaux

DOI:

https://doi.org/10.37051/mir-34-002075

Keywords:

COPD, pulmonary rehabilitation, interventional bronchoscopy, NIV

Abstract

The management of COPD (Chronic Obstructive Pulmonary Disease) patients is based on pharmacological treatments (inhaled bronchodilators +/- inhaled corticosteroids) and on non-pharmacological therapeutics such as pulmonary rehabilitation program, vaccines, smoking cessation. In case of chronic respiratory failure, long-term oxygen therapy and non-invasive ventilation are appropriate. Endoscopic lung volume reduction (one-way endobronchial valves) is indicated for patients with severe dyspnea secondary to significant thoracic distension (Total Lung Capacity TLC>100% and Residual volume RV>175%) and in the absence of exacerbations despite appropriate medications. Finally, trials are on-going concerning several biologics for patients with frequent exacerbations despite well-conducted treatment.  

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Published

2025-03-11

How to Cite

Mahé, J., Beurton, A., & Zysman, M. (2025). Actualités concernant la prise en charge de la BPCO : ce que le réanimateur doit savoir. Médecine Intensive Réanimation, 34(1). https://doi.org/10.37051/mir-34-002075

Issue

Vol. 34 No. 1 (2025)

Section

Update

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