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Asthma: ICU Management and protocols
GINA advises using short-acting beta2 agonists (SABAs) for children aged six to eleven and as-needed ICS/formoterol for adults to treat patients with mild intermittent asthma as needed. 4 However, the Focused Updates panel did not address this matter and continued to support the use of SABA as required. The whole alveolar surface of the lungs is coated with pulmonary surfactant, a special blend of lipids and proteins that are only found in surfactants. Surfactant is present in upper airway secretions and reaches terminal conducting airways in addition to the alveolar compartment.
About the Speaker
Dr. Karthik Sood
Specialist Pulmonologist, NMC speciality hospital al nahda ,DUBAI, UAE.
“Yes! We can end TB! World Tuberculosis Day “
Tuberculosis is a leading cause of death worldwide, with an estimated 1.5 million deaths in 2020, and is particularly prevalent in low- and middle-income countries. The DOTS (Directly Observed Treatment, Short-Course) regimen is the recommended treatment for tuberculosis (TB) by the World Health Organization (WHO). It is a six-month course of four first-line drugs: Isoniazid, Rifampicin, Ethambutol, and Pyrazinamide. The DOTS regimen is also cost-effective and feasible to implement in resource-limited settings, making it a critical component of global efforts to end TB.
Practical Approach to COPD
The practical approach to COPD involves a combination of lifestyle modifications, medication, and pulmonary rehabilitation to manage symptoms and prevent exacerbations. In addition to smoking cessation, regular exercise, a healthy diet, and adequate sleep can also improve COPD symptoms and overall health. Medications for COPD include bronchodilators, corticosteroids, and phosphodiesterase inhibitors. These medications help to improve lung function, reduce inflammation, and prevent exacerbations. Pulmonary rehabilitation is a structured program that combines exercise, breathing techniques, and education to improve COPD symptoms and quality of life. Oxygen therapy may be necessary for some COPD patients with low oxygen levels. Oxygen therapy can improve exercise tolerance and reduce the risk of exacerbations.
Apporach to ILD
Interstitial lung disease (ILD) is a broad term used to describe a group of chronic lung conditions. An accurate diagnosis of ILD requires a thorough medical history, physical examination, and imaging tests. High-resolution computed tomography (HRCT) scans provide detailed images of the lungs and help to identify specific patterns of lung disease. The treatment of ILD depends on the underlying cause and can include medications, oxygen therapy, and lifestyle changes. In some cases, surgical interventions such as lung transplantation may be required.
Approach to Chronic lung disease
An obstructed airflow from the lungs is one of the symptoms of chronic obstructive pulmonary disease (COPD). Wheezing, coughing, mucus production, and breathing difficulty are some of the symptoms. Typically, it is caused by long-term exposure to irritating gasses or particulates, most often cigarette smoke. A variety of diseases can be contracted by people with COPD, including heart disease and lung cancer.
Cystic lung disease: Its Management
Due to the growing number of diseases linked to this presentation, multiple cystic lung disease represents a heterogeneous collection of rare conditions that can make diagnosis difficult. Chest high-resolution computed tomography is useful in defining the distribution and anatomical characteristics of lung cysts as well as any concomitant abnormalities. The majority of these disorders can be confidently and accurately diagnosed without the need for an open lung biopsy when imaging appearance, clinical characteristics, and extrapulmonary symptoms are combined, when present.