In this episode of the Primary Care Knowledge Boost (PCKB) podcast, doctors Lisa and Sara talk to respiratory physiotherapist, Thomas James, about chronic obstructive pulmonary disease (COPD).
They begin by discussing what COPD is, when to suspect it, a standard work up and pitfalls and points of consideration about spirometry, before moving on to an overview of the management of COPD.
They also discuss changes in the way COPD exacerbations are managed in South Manchester and the role of Eosinophils in both acute and chronic management. Understanding the role of Pulmonary rehabilitation, prednisolone and exercise in management are particular highlights. The episode concludes by covering learning points.
Listen to the podcast episode at https://pckb.org/e/copd-in-general-practice/
Useful resources:
- NICE COPD in adults (last updated Sept 2023): https://www.nice.org.uk/guidance/QS10
- The Global Initiative for Chronic Obstructive Lung Disease (GOLD) Spirometry Guide: https://goldcopd.org/gold-spirometry-guide/
- Association for Respiratory Technology and Physiology (ARTP) advice on Spirometry Interpretation: https://www.artp.org.uk/en/spirometry
- Greater Manchester Medicines Management Group (GMMMG) COPD Management Plan Guideline (2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/11/COPD-Treatment-Guideline-Nov-2021-V7.1.pdf
- Greater Manchester Medicines Management Group (GMMMG) COPD Inhaler Guide (2021): https://gmmmg.nhs.uk/wp-content/uploads/2023/05/GMMMG-COPD-Inhaler-Guide-update-Mar-2023.pdf
- Greater Manchester CURE Project for Smoking Cessation: https://gmcancer.org.uk/programmes-of-work/treatment/the-cure-project/
- Greater Manchester Change, Grow, Live Services including Smoking Cessation: https://www.changegrowlive.org/
- Primary Care Respiratory Society MRC Breathlessness scale: https://www.pcrs-uk.org/mrc-dyspnoea-scale
- Our podcast with Dr Lesley Henson and Dr Caitriona MacDermott on Breathlessness in Palliative Care (May 2024): https://pckb.org/e/breathlessness-in-palliative-care/
