2007, Suplement 2

2007; 66 (S2)

Consenso Mexicano de EPOC


Coordinadores

Dra. Alejandra Ramírez Venegas
INER
Editora Huésped

Dr. Raúl H. Sansores M.
Hospital Medica Sur
INER
Editor Huésped
 

Introduction
Sansores, Raúl H; Ramírez-Venegas, Alejandra



 

Methodology




 

Definition of COPD (Chronic obstructive pulmonary disease)




 

Epidemiological panorama and current economic impact

International epidemiology
National Epidemiology
Overlife
COPD socioeconomic impact




 

Pathogenesis

The origin of obstruction




 

Diagnosis and classification of COPD

Main indicators in order to consider COPD
Complementary studies in patients suffering from COPD
Following and monitoring of patients suffering from COPD
Multisystemic evaluation and diagnosis of COPD




 

Management of the patient with stable COPD – Terapeutical approach




 

Elementary interventions

Motivating the patient to make give up smoking
Non-pharmacological treatment
Pharmacological treatment
Oxygenotherapy




 

Convenient interventions

Bronchodilatators
Corticosteroids (CS)
Combination of ICS and β2 AP




 

Recommendable interventions

Pulmonary rehabilitation
Program of vaccination




 

Optional interventions

Mucolytics/antioxidants
Oral immunotherapy
Vitamins
Alimentary complements
Anxiolytics and/or antidepressives




 

Interventions that deserve personal and familiar discussions

Bullectomy
Volume reduction surgery
Pulmonary transplantation
Other alternatives in invasive procedures
Considerations in other kind of surgeries in COPD




 

COPD management through according to its seriousness




 

Management of the patient with unstable COPD. Slight, moderate and serious exacerbation

Definition of AE of COPD (Acute exacerbation of chronic obstructive pulmonary disease)
Causes of AE of COPD
Diagnosis of AE of COPD
Symptoms of AE of C




 

Infectious exacerbation in COPD

Etiology of the infectious exacerbations
Regional etiology (Mexico)
The role of bacterial resistance in the treatment of exacerbations
Selection of antibiotics




 

Consensus Authors




 

Premises