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Advanced emphysema — SCE Respiratory MCQ

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HardCOPDAdvanced emphysemaSCE Respiratory

A patient with severe upper-lobe-predominant emphysema has low exercise capacity despite rehabilitation. FEV1 and gas transfer are above the extreme high-risk thresholds. Which intervention has the strongest evidence in a carefully selected surgical candidate?

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Correct answer: D — Lung-volume-reduction surgery after specialist MDT assessment

Lung-volume-reduction surgery can improve outcomes in carefully selected patients with upper-lobe-predominant emphysema and low post-rehabilitation exercise capacity. Selection requires a specialist emphysema MDT because very low FEV1 or gas transfer and unfavourable distribution increase harm.

Reference: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/