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Research ArticleSymposium Papers

The Roles of Bronchodilators, Supplemental Oxygen, and Ventilatory Assistance in the Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease

Richard L Zuwallack
Respiratory Care September 2008, 53 (9) 1190-1195;
Richard L Zuwallack
Section of Pulmonary and Critical Care, St Francis Hospital and Medical Center, Hartford, Connecticut, and with the School of Medicine, University of Connecticut, Farmington, Connecticut.
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Abstract

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.

  • bronchodilators
  • oxygen
  • mechanical ventilation
  • pulmonary rehabilitation
  • chronic obstructive pulmonary disease
  • COPD
  • dyspnea
  • exercise capacity
  • quality of life
  • exercise training
  • exercise capacity
  • noninvasive ventilation

Footnotes

  • Correspondence: Richard L ZuWallack MD, Section of Pulmonary and Critical Care, St Francis Hospital and Medical Center, 114 Woodland Street, Hartford CT 06105. E-mail: rzuwalla{at}stfranciscare.org.
  • Dr ZuWallack presented a version of this paper at the 23rd Annual New Horizons Symposium at the 53rd International Respiratory Congress of the American Association for Respiratory Care, held December 1-4, 2007, in Orlando, Florida.

  • The author reports no conflicts of interest related to the content of this paper.

  • Copyright © 2008 by Daedalus Enterprises Inc.
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Respiratory Care: 53 (9)
Respiratory Care
Vol. 53, Issue 9
1 Sep 2008
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The Roles of Bronchodilators, Supplemental Oxygen, and Ventilatory Assistance in the Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease
Richard L Zuwallack
Respiratory Care Sep 2008, 53 (9) 1190-1195;

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The Roles of Bronchodilators, Supplemental Oxygen, and Ventilatory Assistance in the Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease
Richard L Zuwallack
Respiratory Care Sep 2008, 53 (9) 1190-1195;
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Keywords

  • bronchodilators
  • oxygen
  • mechanical ventilation
  • pulmonary rehabilitation
  • chronic obstructive pulmonary disease
  • COPD
  • dyspnea
  • exercise capacity
  • quality of life
  • exercise training
  • noninvasive ventilation

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