2007, Número S2
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Neumol Cir Torax 2007; 66 (S2)
Intervenciones convenientes
Broncodilatadores
Corticosteroides (CE)
Combinación de CEI y β2 AP
Idioma: Español
Referencias bibliográficas: 68
Paginas: 32-38
Archivo PDF: 70.33 Kb.
FRAGMENTO
Mejorar síntomas respiratorios y calidad de vida relacionada a la salud.
Esta revisión ha cambiado el término de convencionales por la de convenientes. La razón fundamental es que, si bien es cierto, estas intervenciones por convención se consideran parte esencial del tratamiento, ahora debido a que las evidencias actuales indican que su uso es ya no sólo por convencimiento sino también por conveniencia, por tanto les llamaremos convenientes para los pacientes con EPOC. Dentro de este rubro de intervenciones se encuentran los broncodilatadores y los esteroides. Su administración tiene como beneficios convenientes mejorar los síntomas, calidad de vida, disminuir el número de exacerbaciones y hospitalizaciones. Más recientemente se ha propuesto que estos dos tipos de medicamentos podrían impactar además en la sobrevida. Desde nuestra perspectiva la prescripción de estas intervenciones debe hacerse a través de un abordaje progresivo, basados en la sintomatología del paciente (principalmente disnea) y en el grado de obstrucción de la vía aérea.
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