CHRONIC OBSTRUCTIVE PULMONARY DISEASE NON INVASIVE VENTILATION צום יום כיפור

Health effects of intermittent fasting: hormesis or harm Health effects of intermittent fasting: hormesis or harm? A systematic review. Review article Horne BD, et al. Am J Clin Nutr. 2015. Clinical research studies of fasting with robust designs and high levels of clinical evidence are sparse in the literature. Whereas the few randomized controlled trials and observational clinical outcomes studies support the existence of a health benefit from fasting.

COPD Definition Clinical presentation Remote organ effects (heart, kidney) Nutritional profile Non invasive mode of ventilation conclusion

Definition A disease state characterized by the presence of airflow obstruction due to chronic bronchitis or emphysema; the airflow obstruction is generally progressive, may be accompanied by airflow hyperactivity, and may be viewed as partially reversible. Includes emphysema and chronic bronchitis

Prevalence COPD occurs in 4-6% of males, and 1-3% of adult females The 4th most common cause of death in the United States 14.2 million people in U.S. have COPD Highest mortality rate is in men

COPD

Goals for NIV Improve Ventilation Stabilize/Improve pH Improve Oxygenation Improve Ventilation Stabilize/Improve pH Reduce Work of Breathing

Oxygen

CPAP – Continuous Positive Airway Pressure

High Flow