TY - JOUR T1 - The Roles of Bronchodilators, Supplemental Oxygen, and Ventilatory Assistance in the Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease JF - Respiratory Care SP - 1190 LP - 1195 VL - 53 IS - 9 AU - Richard L Zuwallack Y1 - 2008/09/01 UR - http://rc.rcjournal.com/content/53/9/1190.abstract N2 - In patients with chronic obstructive pulmonary disease, pulmonary rehabilitation significantly improves dyspnea, exercise capacity, quality of life, and health-resource utilization. These benefits result from a combination of education (especially in the promotion of collaborative self-management strategies and physical activity), exercise training, and psychosocial support. Exercise training increases exercise capacity and reduces dyspnea. Positive outcomes from exercise training may be enhanced by 3 interventions that permit the patient to exercise train at a higher intensity: bronchodilators, supplemental oxygen (even for the nonhypoxemic patient), and noninvasive ventilatory support. ER -