Um tema prevalente e ainda não abordado aqui! Fred, Pedro, Rapha e João discutem quatro clinicagens de DPOC exacerbado. Ficou com alguma dúvida ou quer fazer uma crítica ou sugestão? Fala com a gente no Twitter ou Instagram em @tadeclinicagem ou através do e-mail [email protected] 

MINUTAGEM 
2:35 primeira clinicagem: antibiótico na exacerbação 
15:04 segunda clinicagem: oxigenioterapia 
28:15 terceira clinicagem: VNI 
38:10 quarta clinicagem: ventilação invasiva 
48:45 Salves 

REFERÊNCIAS: 
1. Global Strategy for the Diagnosis,  Management, and Prevention of Chronic Obstructive Pulmonary Disease: 2020 Report 2. ROCHWERG, Bram et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. European Respiratory Journal, v. 50, n. 2, 2017 3. BROCHARD, Laurent et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. New England Journal of Medicine, v. 333, n. 13, p. 817-822, 1995 4. OSADNIK, Christian R. et al. Non‐invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, n. 7, 2017. 5. Oxygen for relief of dyspnoae in people with chronic obstructive pulmonary disease who would not qualify for home oxygen. Thorax 2015. Uronis HE Ekstrom MP 6. Diretrizes do Programa Pulmão Paulsitano de Oxigenoterapia Domiciliar Prolongada. Secretaria Municipal da Saúde. 2010 7. LONG-TERM OXYGEN TREATMENT TRIAL RESEARCH GROUP. A randomized trial of long-term oxygen for COPD with moderate desaturation. New England Journal of Medicine, v. 375, n. 17, p. 1617-1627, 2016. 8. EKSTRÖM, Magnus et al. Oxygen for breathlessness in patients with chronic obstructive pulmonary disease who do not qualify for home oxygen therapy. Cochrane Database of Systematic Reviews, n. 11, 2016. 9. ALISON, Jennifer A. et al. Oxygen compared to air during exercise training in COPD with exercise-induced desaturation. European Respiratory Journal, v. 53, n. 5, p. 1802429, 2019. 10. AUSTIN, Michael A. et al. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: randomised controlled trial. Bmj, v. 341, p. c5462, 2010. 11. Uptodate Long-term supplemental oxygen therapy. Authors:Brian L Tiep, MDRick Carter, PhD, MBA. Maio 2020