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Home non-invasive ventilation for COPD: an interview with Dr Holger Woehrle

What is home non-invasive ventilation (NIV) and when was NIV developed?

Essentially, home NIV was developed in the 60s and 70s when there was also an unmet need for patients suffering from post-polio syndrome. There was a polio epidemic in Europe and there were many patients who needed intubation and prolonged mechanical ventilation, to be able to survive. The problem with that was that there was not enough capacity to take care of all the patients, so technologies were developed to treat them with prolonged ventilation and that’s where I think intubation really started.

Although there was also some earlier home mechanical ventilation (HMV) treatment, it was not really the mechanical ventilation as we know it today. There was the iron lung, which was used before modern ventilation was developed.

The real rise in HMV started in 1980/1981, when continuous positive airway pressure treatment of obstructed sleep apnea was invented. That drove a whole industry in terms of positive airway pressure and mask technology which could not only be used for treating obstructive sleep apnea but also for managing patients on HMV. That was really the main game changer for HMV.

What is COPD and what are the stages of it?

I'm trying to find out as much information as possible about COPD b/c my father has it. He's been living with emphazema for a while. He just quit smoking for the most, he's only smoked 2 cigs in 2 days, so i'm proud of him. But what are the final stages


Hello. COPD patients have many options now days, but quitting smoking is very crucial. Congrats to your dad for kicking the habit (do encaurage him to quit completely). Your dad should be under a care of a pulmonary doctor. Therapeutic options include


COPD is Chronic Obstructive Pulmonary (Lung) Disease. There are 4 stages of it. It is the stage when patient have shortness of breath and he need more ventilatory support for it. I would like to suggest here to do the meditation rather smoking cigs. Emphysema


Hello. COPD patients have many options now days, but quitting smoking is very crucial. Congrats to your dad for kicking the habit (do encaurage him to quit completely). Your dad should be under a care of a pulmonary doctor. Therapeutic options include

What foods should people with COPD and heart disease avoid completely?

Someone in my family has COPD and heart disease, which may include enlarged heart and definetely arrhythmia. I add no salt to food and make sure canned goods, such as sausages are rinsed. This goes for ham and many other salty foods.

Still,


Eat a varied diet. Eat fruits and vegetables, dairy products, cereal and grains, and meats.
Avoid foods that are difficult to chew.
Use less salt. Too much salt can cause you to retain fluids, which may interfere with your breathing.


anything thats fat like mostly restorants. U should maybe visite kraftcanada.com They hav a great selection of foods that are really healthy. Becarfull


Eat a varied diet. Eat fruits and vegetables, dairy products, cereal and grains, and meats.
Avoid foods that are difficult to chew.
Use less salt. Too much salt can cause you to retain fluids, which may interfere with your breathing.