Resultados de Búsqueda
It is recommended to consider the diagnosis of chronic obstructive pulmonary disease (COPD) as a cause of breathlessness or cough. The diagnosis is suspected on the basis of symptoms and signs and is ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Suspect a diagnosis of COPD in people over 35 who have a risk factor (generally smoking or a history of smoking) and who present with 1 or more of the following symptoms: exertional breathlessness, chronic cough, regular sputum production, frequent winter 'bronchitis', wheeze.
ver más ... 2018Bronchoscopic thermal steam ablation is not recommended for emphysema of the upper lobe. Therefore, the procedure should only be used in the context of the investigation.
NICE
National Institute for Health and Clinical Excellence (NICE)
Further research should evaluate safety and efficacy in the short and long term and include details of patient selection. NICE may update the guidance on publication of further evidence.
ver más ... 2018It is recommended to be aware that an acute exacerbation of chronic obstructive pulmonary disease (COPD) is a sustained worsening of symptoms from a person's stable state. A range of factors ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Consider an antibiotic for people with an acute exacerbation of COPD, but only after taking into account: the severity of symptoms, particularly sputum colour changes and increases in volume or thickness beyond the person's normal day-to-day variation, whether they may need to go into hospital for treatment (see the NICE guideline on COPD in over 16s), previous exacerbation and hospital admission history, and the risk of developing complications, previous sputum culture and susceptibility ...
ver más ... 2018Current evidence on the safety and efficacy of bronchial thermoplasty for severe asthma is adequate to support the use of this procedure provided that standard arrangements are in place for clinical ...
NICE
National Institute for Health and Clinical Excellence (NICE)
The procedure should only be done by a multidisciplinary team in specialist centres with on-site access to intensive care. It should only be done by clinicians with training in the procedure and experience in managing severe asthma. Clinicians should enter details of all patients who have the procedure onto the UK Severe Asthma Registr. Further research should report details of patient selection and long‑term safety and efficacy outcomes.
ver más ... 2018Lesinurad is not recommended within its marketing authorisation, that is, with a xanthine oxidase inhibitor for treating hyperuricaemia in adults with gout whose serum uric acid is above the target ...
NICE
National Institute for Health and Clinical Excellence (NICE)
This recommendation is not intended to affect treatment with lesinurad that was started in the NHS before this guidance was published. People having treatment outside this recommendation may continue without change to the funding arrangements in place for them before this guidance was published, until they and their NHS clinician consider it appropriate to stop. Drug treatments for gout include 2 xanthine oxidase inhibitors, allopurinol or, if that is not tolerated, febuxostat. Evidence from 2 ...
ver más ... 2018