A non-smoking patient with severe heterogeneous emphysema has completed pulmonary rehabilitation. FEV1 is 22% predicted, CT shows hyperinflation and

Question

A non-smoking patient with severe heterogeneous emphysema has completed pulmonary rehabilitation. FEV1 is 22% predicted, CT shows hyperinflation and 6-minute walk distance is 240 m. What is the appropriate palliative-respiratory position?

Accepted Answer

Refer for specialist lung-volume-reduction assessment despite advanced disease

Answer

Exclude lung-volume reduction because FEV1 is below 50%

Answer

Require FEV1 above 50% before discussing intervention

Answer

Offer symptom drugs only because palliative referral precludes procedures

Answer

Class endobronchial valves as experimental outside research

LVRS and Palliative Care Compatibility — SCE Palliative Medicine MCQ

A non-smoking patient with severe heterogeneous emphysema has completed pulmonary rehabilitation. FEV1 is 22% predicted, CT shows hyperinflation and 6-minute walk distance is 240 m. What is the appropriate palliative-respiratory position?