(精选)【COPD英文课件课件】Perspective of Respiratory Physicians教学课件.pptVIP

Perspective of Respiratory Physicians Ramesh Kaul, MD M. Surgery FCCP Speaker disclosure Presently Speaker for Astra Zeneca( Symbicort) Previous speaker for GlaxoSmithKline (Advair) Previous speaker for Boeringer Inghelheim (Spiriva , Atrovent) No funding was received from any Organization for this lecture at 36th Annual Western PSRC Seminar in Respiratory Care and Sleep Medicine.  Information presented mostly from reading Chest, GOLD and AJRCCM WHY A NEW NAME COPD Classical picture is no more seen of Pink Puffer of Emphysema Blue Bloater Of Chronic Bronchitis Early awareness by Providers of care Early Intervention Smoking Cessation Avoidance of Precipitating factors Epidemiology of COPD COPD is the 4th leading cause of death, and the 2nd leading cause of disability in the U.S. And yet, COPD is under-diagnosed and under-treated: About 24 million U.S. adults have evidence of impaired lung function 12 million people have been diagnosed with COPD 5.8 million COPD patients are untreated The COPD death rate among women is increasing REFERENCES GOLD 2008 and American Thoracic Society Socioeconomic factors in COPD Poverty Congested Living space Lack of Education Use of Biomass fuels, wood stoves Inner City population has more prevalence Stress of environment Lack of funds for treatment in exacerbations Malnourishment Pollution in COPD Second hand tobacco smoke Wood, leaves and coal burning Plastic and paper burning Welding Spraying of crops Unclean air ducts with dust Farming with exposure to animal excreta Exposure to moldy hay, and gases in silos. Spray painting Fireworks fumes. Animal fur, cat and dog dander Gas fumes, diesel fumes and the list goes on and on Definition of COPD COPD: Definition World Health Organization Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. The