The Curbsiders Internal Medicine Podcast

#378 Acute Exacerbations of COPD (AECOPD)

Jan 23, 2023

01:16:10

Creator website

Episode guests

Jim O'Brien

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Highlights

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Prevention and education about COPD, including smoking cessation and proper inhaler use, are crucial to limit exacerbations and promote healthier habits.

When admitting a patient with severe COPD exacerbation, consider the possibility of pneumonia and evaluate risk factors to guide antibiotic choice.

The optimal dosing of systemic steroids in hospitalized COPD patients is still debated, with individual patient characteristics and risks needing consideration for decision-making.

Deep dives

Prevention and Education are Key

One of the main takeaways is the importance of prevention and education when it comes to COPD. This includes discussions about smoking cessation and proper inhaler use. The goal is to try to limit the risk for exacerbations and promote healthier habits.

COPD - Is CPAP a Good Treatment?

03:49

How Do You Use PAP Therapy in the Outpatient Setting?

02:32

A Case Study of a Patient With a Low Bar Process

01:06

Introduction

2min

Med Mastery - The Clinical Skills Academy

2min

What Do You Think About Chronic Bronchitis?

3min

COPD - Are You a Pink Puffer?

2min

COPD - Is That a COPD Exacerbation?

2min

COPD - What Are the Most Important Initial Indications Early On?

5min

A Case Study of a Patient With a Low Bar Process

1min

Is There a SIADH in This Patient?

5min

The Work of Breathing and the on Physical Exam

5min

10.

What Are the Common Pathophysiology of COPD Exacerbations?

3min

11.

Is There a Pathophysiology to COPD Exacerbation?

3min

12.

Inhaled Budessinide in a Hospitalized Patient With COPD

3min

13.

COPD - Is There a Difference Between Low-Dose and IV Steroid?

4min

14.

COPD Exacerbation - Is There a Risk of Colonization?

3min

15.

Vaccines for Pediatric Pseudomonasis

3min

16.

The Mainstay of Treatment for Pneumococcal Pneumonia

4min

17.

How Do You Use PAP Therapy in the Outpatient Setting?

3min

18.

COPD - Is CPAP a Good Treatment?

4min

19.

CPAP or BIPAP?

4min

20.

COPD Exacerbations - Is There a Benefit After Hospitalization?

3min

21.

COPD - Is Early Follow-Up a Good Option?

4min

22.

The Lifelong Learning Mentality

5min

23.

The Curbsiders Podcast - Knowledge Food for Your Brainhole

4min

Pro Tips & Practical Insights from Dr. Jim O’Brien

Are acute COPD exacerbations taking the wind out of YOUR sails? Join us as we navigate the stormy waters that can be AECOPD with our guest expert, Dr. Jim O’Brien from National Jewish Health Center.

Claim free CME for this episode at curbsiders.vcuhealth.org!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
What is a COPD
Case from Kashlak - Natalie Harrison
Knee jerk reaction: Determining level of illness & disposition
Initial work-up considerations
What’s in your differential?
The second-order assessment - shuffling the differential, honing in on the patient
AECOPD: Triggers & Pathophysiology
Treatment Pearls I: Steroids
Treatment Pearls II: Antibiotics
Treatment Pearls III: Bronchodilators
Treatment Pearls IV: Oxygen Therapy
Preparing for discharge
Take home points
Lightning Round! Getting to know Dr. O’Brien & Picks of the Week*
Outro

Credits

Writer & Producer: Cyrus Askin MD
Show Notes, Infographic & Cover Art: Cyrus Askin MD
Hosts: Meredith Trubitt MD, Monee Amin MD & Cyrus Askin MD
Reviewer: Sai Achi, MD MBA
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Jim O’Brien MD

Sponsor: Medmastery

Go to www.medmastery.com/curbsiders to claim a 15% discount off an annual Medmastery Pro
Subscription.

Full Transcript available HERE

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The Curbsiders Internal Medicine Podcast

#378 Acute Exacerbations of COPD (AECOPD)

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Prevention and Education are Key

Consider Pneumonia and Risk Factors for Infection

Steroid Dosing in Hospitalized Patients

Monitoring and Considerations with Non-Invasive Ventilation

Post-Discharge Management and Follow-up

COPD - Is CPAP a Good Treatment?

How Do You Use PAP Therapy in the Outpatient Setting?

A Case Study of a Patient With a Low Bar Process

Get the Snipd
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highlights

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The Curbsiders Internal Medicine Podcast

#378 Acute Exacerbations of COPD (AECOPD)

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Prevention and Education are Key

Consider Pneumonia and Risk Factors for Infection

Steroid Dosing in Hospitalized Patients

Monitoring and Considerations with Non-Invasive Ventilation

Post-Discharge Management and Follow-up

COPD - Is CPAP a Good Treatment?

How Do You Use PAP Therapy in the Outpatient Setting?

A Case Study of a Patient With a Low Bar Process

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