Chronic obstructive pulmonary disease in geriatric critical care.
COPD is a progressive disorder that is punctuated in its later stages with acute exacerbations that present a risk for respiratory failure. COPD has a disproportionate impact on older patients. In the ICU, therapy is directed toward unloading fatigued respiratory muscles, treating airway infection, and prescribing bronchodilatory drugs. Most patients survive hospitalization in the ICU for an episode of respiratory failure. The severity of the underlying lung disease, however, underlies the poor outcomes of patients in terms of postdischarge survival and quality of life.
Heffner
John E
JE
Pulmonary Divison, 812 CSB, Medical University of South Carolina, 96 Jonathan Lucas Street, P.O. Box 250623, Charleston, SC 29425, USA. heffnerj@musc.edu
Highland
Kristin B
KB
D000368:Aged; D003422:Critical Care; D006299:Health Services for the Aged; D006801:Humans; D007362:Intensive Care Units; D011175:Positive-Pressure Respiration; D011379:Prognosis; D029424:Pulmonary Disease, Chronic Obstructive / Q000188:drug therapy / Q000453:epidemiology / Q000401:mortality; D013727:Terminal Care