Managing COPD flare-ups. In this article, learn about some of the options for treating a COPD exacerbation. During intubation, a specialist will insert a breathing tube into a person’s windpipe to allow for mechanical ventilation, or assisted breathing. 2. Last medically reviewed on January 3, 2017, Learn about the promising research on stem cell treatment for COPD. Those who experience a mild exacerbation will receive a prescription for medications to take at home. The goals of COPD treatment include recognising the impact that both symptoms and exacerbations have on patients' lives when considering optimal patient-focused management. Levalbuterol is another beta-2 agonist that may see. An ECG should not delay the treatment of an acute exacerbation of COPD. There's currently no cure for chronic obstructive pulmonary disease (COPD), but treatment can help slow the progression of the condition and control the symptoms. However, the results of a 2014 study suggest that nebulized corticosteroids may be as effective as intravenous corticosteroids but with fewer systemic side effects. Learn about options such as analgesics and…, Medicare is leading the way in public coverage for the new coronavirus and COVID-19. Pleasants RA, Wang T, Xu X, et al. Can you tell a friend with COPD that you know he's sneaking cigarettes? Bronchodilators typically come in the form of an inhaler device or a liquid. inhalers and tablets – to help make breathing easier. Interventions with high concordance included performance of chest radiography, provision of treatment with oral corticosteroids and antibiotics, and administration of oxygen therapy. Noninvasive ventilation is indicated in patients with respiratory failure. Nebulized corticosteroids may cause hoarseness, dry mouth, or oral yeast infections. Side effects of using a bronchodilator may include a faster heart rate, a headache, and shakiness. Mainstay of COPD exacerbation treatment relies on beta-2 agonists primarily albuterol due its rapid onset and efficacy in producing bronchodilation. A COPD exacerbation may result in increased chest tightness, wheezing, or shortness of breath. ATS 2017 Pulmonary Course - Putting the 2017 GOLD COPD Recommendations into Clinical Practice (expired Jul. Albuterol is often given as 2.5 or 5 mg dose in ED. Follow a low-fat, varied diet, get plenty of rest, and try gentle exercise when you’re able. More severe exacerbations should be treated with β-agonists and anticholinergics as well as systemic corticosteroids. One of the most common bronchodilators that doctors prescribe for people with COPD is albuterol. The review discusses the need for COPD management strategies to include both pharmacologic and non-pharmacologic approaches and provides recommendations for monitoring treatment outcomes and adjusting … Medicare covers the costs associated with nebulizers when a doctor prescribes one. Your action plan will most often direct you to your quick-acting inhaler. -Spirometry and PFTs when the patient is stable, not recommended during an exacerbation. Acute exacerbations and lung function loss in smokers with and without chronic obstructive pulmonary disease. Doctors will typically provide NIV to people in the hospital with a severe COPD exacerbation. Inhaled short-acting beta-agonists are the cornerstone of drug therapy for acute exacerbations. Quit or refrain from smoking, and steer clear of secondhand smoke. The exacerbations of copd path for the chronic obstructive pulmonary disease pathway. The most common adverse reactions are back pain, bronchitis, headache, oral candidiasis, pneumonia, and upper-respiratory-tract infection. Treatment effects at 3 months were closely matched between COPDCompEx and exacerbations of COPD. Interventions Antibiotics. But time is crucial, especially if you think you might have an STI or STD. The site you are linking to is not controlled or endorsed by GSK, and GSK is not responsible for the content provided on that site. Ask coworkers not to wear strong scents around you. Signs that a person with COPD may need to go to the hospital include: The following tips may help prevent or reduce COPD exacerbations: COPD exacerbations are events during which a person’s symptoms suddenly become worse or new symptoms develop. Treatments for COPD exacerbations can depend on the severity of your symptoms. Treatment of pneumonic AECOPD consists of treating both pneumonia and COPD. If you have COPD, you can take steps to feel better and slow the damage to your lungs: 1. But sometimes, a flare-up can become severe or life-threatening. Generally, the sooner a person begins treatment for a COPD exacerbation, the better. A person may treat a COPD exacerbation at home using oxygen and medications. This medication helps open up your blocked airways. For this reason, oral corticosteroids are used only as a short-term solution for COPD episodes. People with chronic obstructive pulmonary disease (COPD) may occasionally have symptom exacerbations, or flare-ups. ceftriaxone plus azithromycin) and check a procalcitonin. Certain strategies, such as avoiding triggers, can help reduce the chance of experiencing a COPD exacerbation. COPD is the name given to a group of long-term lung diseases. N Engl J Med. However, pain in this area…, Smoking can cause harm throughout the body, including the heart, brain, and lungs. Healthline Media does not provide medical advice, diagnosis, or treatment. Based on the severity different treatments may be used. Here are some tips for avoiding common triggers: In addition to avoiding your triggers, keep a healthy lifestyle to help prevent flare-ups. What can cause pain under the right breast? MNT is the registered trade mark of Healthline Media. Each person with COPD has different triggers, so everyone’s prevention plan will be different. Out-of-pocket costs may apply. Doctors may use a ventilator if a person is unable to breathe on their own, or their breathing is ineffective at removing carbon dioxide or oxygenating the lungs. Mild exacerbations are treated with short acting bronchodilators (SABDs). At the hospital, medical professionals can continuously monitor a person, as well as administer specialized treatment. 1 The expansion of the Affordable Care Act Hospital Readmissions Reduction Program in 2014 to include COPD has … COPD exacerbation is bread and butter critical care. To avoid a flare-up, know and avoid your triggers. Call 999 if you’re struggling to breathe or have sudden shortness of breath and: your chest feels tight or heavy; you have a pain that spreads to your arms, back, neck and jaw; you feel or are being sick Control your breathing. The 12-month history of acute exacerbations used to guide most COPD treatment relies on an unstable frequent exacerbator phenotype, according to the results of a recent study published in the European Respiratory Journal. Dransfield MT, Kunisaki KM, Strand MJ, et al. Even though COPD cannot be cured, it can be treated. If you have COPD, you should have an action plan from your doctor. Researchers identify risk factors for MCI, the earliest phase of Alzheimer’s disease. However, bradycardia is not always serious and…, A loss of taste and smell is a symptom of COVID-19. COPD exacerbations are potentially the most dangerous assault on our lungs. All rights reserved. Talk to your doctor or respiratory therapist about techniques for breathing more efficiently throughout the day. The specialist will then connect the breathing tube to a ventilator, which is also known as a breathing machine or a respirator. Oral corticosteroids are likely beneficial, especially for patients with purulent sputum. COPD Exacerbation Treatment Options. These include weight gain, bloating, and changes in blood sugar and blood pressure. © 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Should you feel okay bringing your oxygen tank into the movie theater? The best way to administer corticosteroids to treat a COPD exacerbation depends on the type and severity of symptoms. With COPD, mucus tends to collect in your air passages and can be difficult to clear. An action plan is a written statement of steps to take in the event of a flare-up. If you notice the symptoms of … The following treatments can help restore your normal breathing during a COPD flare-up. COPD treatment is aimed at reducing symptoms, preventing the disease from getting worse, improving the ability to exercise, preventing and treating complications, and preventing and treating exacerbations. Cover your nose and mouth while out in cold weather. If you’re reading this, you’ve already taken an important first step. Susceptibility to exacerbation in chronic obstructive pulmonary disease. Thus, it's important to always approach patients labeled with “COPD exacerbation” with fresh eyes, because they can present with other pulmonary pathologies as well. By clicking this link, you will be taken to a website that is independent from GSK. Here are the 12 best casein protein powders…. Read more here. Corticosteroids come in many forms, including tablets, inhaler devices, and injections. While all of these treatments can be helpful, it’s even better not to have a flare-up in the first place. If you have any of these symptoms, call your doctor right away: If your symptoms are severe or you think you’re having a medical emergency, call 911 or go to the nearest emergency room. In these cases, you could need treatment in the hospital. A randomized, controlled multicentric study of inhaled budesonide and intravenous methylprednisolone in the treatment on acute exacerbation of chronic obstructive … As part of your ongoing treatment, your doctor may prescribe oxygen therapy. Stem Cell Treatment for Chronic Obstructive Pulmonary Disease (COPD), COPD Associated with Increased Risk for Mild Cognitive Impairment, The Great American Smokeout and National COPD Awareness Month Help Smokers Quit, Illness Etiquette - COPD: A Healthy Sense of Decorum. Your doctor might have you use this combination medication during a flare-up. Corticosteroid medications are sometimes combined with bronchodilator drugs into one inhaler. The results of a 2013 study that involved 53,900 participants suggest that adding antibiotics to a treatment plan that also included corticosteroids may briefly improve symptoms for people in the hospital with a COPD exacerbation. Last medically reviewed on October 30, 2018, Pain under the right breast often results from muscle strain or a minor injury, and it will usually get better on its own. Treatments options for exacerbations include bronchodilators, corticosteroids, antibiotics, oxygen therapy, and ventilation. You are about to leave a GSK website. Smoking cessation is key to prevent further COPD exacerbations. 4-7 Also, there is a positive correlation between disease severity and higher treatment costs. Moderate exacerbations are treated with SABDs together with antibiotics or oral corticosteroids, or both. Am J Respir Crit Care Med. Treatment depends on the type and severity of the exacerbation and can include bronchodilators, corticosteroids, antibiotics, oxygen therapy, and ventilation. Taking a home pregnancy test can help you get the big answer you’re waiting for. Comprehensive evidence syntheses, including meta-analyses, were performed to summarise all available evidence relevant to the Task Force's questions. A flare-up – sometimes called an acute exacerbation – is when your COPD symptoms become particularly severe. Antibiotics — guidance from NICE, GOLD and the Lung Foundation Australia recommend that where an infective exacerbation of COPD is suspected (based on change in clinical features such as increased volume and change in colour and consistency of sputum) antibiotic therapy should be considered. People with COPD are more likely to develop a lung infection than those without the lung disease. The machine can deliver a set number of breaths per minute, a volume of air, and pressure to the lungs. It is critical for a person to begin treatment for a flare-up of COPD symptoms as soon as possible. These medications are fast-acting, and they work by helping open the airway passages and reduce inflammation. Prompt recognition and treatment of a COPD exacerbation can reduce the need for hospitalization and may lower the risk of complications. A trigger is an event or situation that often causes a flare-up of your COPD symptoms. Examples include: If you have COPD, your lungs produce more mucus than the lungs of an average person. After you’ve completed your course, it’s important to carry on exercising regularly, stay active and use the techniques you’ve learned. Severe exacerbations need hospital treatment, and the prognosis is poor. Exacerbations are a worsening of our symptoms and can cause more damage to our lungs, which progresses our disease. 31, 2019) Related Press Releases Azythromycin Appears to Reduce Treatment Failure in severe, Acute COPD Exacerbations (May 3, 2019) COPD Patients Rarely Receive Pulmonary Rehabilitation Despite its Health Benefits (Nov. 12, 2018) Treatments include: stopping smoking – if you have COPD and you smoke, this is the most important thing you can do. Prednisone is a corticosteroid that’s widely prescribed for COPD flare-ups. People with chronic obstructive pulmonary disease (COPD) may occasionally have symptom exacerbations, or flare-ups. Respir Care 2018; 63:1302. This article discusses why smoking is bad for health and reasons to…, There are many symptoms of bradycardia, including confusion, shortness of breath, and a slow pulse. The first step in outpatient management should be to increase the dosage of inhaled short-acting bronchodilators. Learn how COVID-19…. NIV treatment also reduced the length of hospital stays and lowered the risk of experiencing COPD-related complications. Oxygen therapy can help improve oxygen levels in the blood and ease the related symptoms, such as shortness of breath. Does Medicare Cover the 2019 Coronavirus? A doctor can provide a treatment and action plan for dealing with exacerbations. 2. Your doctor may give you a prescription for antibiotics to fill at the first sign of a flare-up. A 2017 study reviewed 17 clinical trials that involved 1,264 people who were in the hospital with COPD. Symptoms can include shortness of breath, wheezing, tiredness, and frequent lung infections such as bronchitis. © 2005-2021 Healthline Media a Red Ventures Company. 2017;195(3):324-330. Nebulized Corticosteroids in the Treatment of COPD Exacerbations: Systematic Review, Meta-Analysis, and Clinical Perspective. Find…, There’s no cure for osteoarthritis, but osteoarthritis medications can help you manage the condition. The researchers found that participants who underwent NIV had a 46 percent lower risk of death than those who did not undergo NIV. Combining ipratropium and albuterol is beneficial in relieving dyspnea. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, Importance of treating a COPD exacerbation, Vaccines and COVID-19: The latest hopeful research, SARS-CoV-2 in neurons may damage brain tissue, Most hospitalized COVID-19 patients still have symptoms after 6 months. NIV involves a machine that delivers pressure and oxygen to the lungs through a mask. Read our information on keeping active or call our helpline to find out more. As part of your ongoing treatment, your doctor may prescribe oxygen therapy. Several treatment options are available, including: Bronchodilators are medications that relax the muscles of the airways, which helps them open up. Antibiotics can clear up an active infection, which in turn reduces airway inflammation. If a doctor suspects that a person with COPD has a bacterial infection, they may prescribe them a course of antibiotics. Hurst JR, Vestbo J, Anzueto A, et al. Anyone experiencing this should self-isolate and request a COVID-19 test. These medications may take several hours to work, but they can help you breathe freely in between flare-ups. COPD causes inflammation in your lungs, which narrows your airways. In some people, certain things, such as an infection, a change in the weather, or exposure to irritants or allergens, can trigger an exacerbation. Excess mucus raises your risk of bacterial infection, and a flare-up can be a sign of bacterial infection. If not, you may only need the extra help during a flare-up. Most people with COPD will start to notice a pattern for their symptoms. Corticosteroids are anti-inflammatory drugs that quickly reduce inflammation in your airways. To take the liquid form, a person must use a machine called a nebulizer to turn the liquid into an aerosol or mist, which a person can then inhale into the lungs. Increased inflammation of the lungs and airways can trigger a COPD exacerbation. Exacerbations need immediate treatment because … Prescribe antibiotics according to … Sometimes, a person may need more than one form of treatment. Exacerbations of chronic obstructive pulmonary disease contribute to the high mortality rate associated with the disease. Clear your airways. Answer a series of questions and build your own customized COPD treatment discussion guide. Use of the novel composite end point known as COPDCompEx may be able to predict treatment effect on moderate to severe exacerbations of chronic obstructive pulmonary disease (COPD), thus allowing shorter phase 2 clinical trials requiring fewer patients compared with current … However, there may be other cases in which hospitalization is needed. *** Question: How do you classify COPD into mild, moderate and severe? 12-Day Steroid Taper Read this detailed A/P I have for COPD Exacerbation treatment that also has doses of medications, etc. If you’ve lived with COPD for a while, you’re probably used to handling occasional flare-ups at home. A person’s oxygen levels may decrease during a COPD exacerbation. How do we defend ourselves against these attacks, and how do we treat them? Recognizing the signs of a COPD exacerbation quickly and seeking appropriate treatment may prevent a flare-up from becoming life-threatening. Corticosteroids can cause systemic side effects, especially when a person takes them intravenously or orally. Antibiotics should only be used to treat exacerbations of COPD associated with a history of increased purulent sputum production or other features suggestive of pneumonia such as fever, raised inflammatory markers and signs of consolidation on chest X-ray. We explain your options for testing, telecare, treatment, and…. —-///—-*** IV and PO steroids have the same bioavailability. 1,4,6–8,31 Antibiotics should only be used for the treatment of infectious 4,6,8,31 or severe exacerbations. Corticosteroids that doctors commonly prescribe for the treatment of COPD exacerbations include prednisone and budesonide. Ding Z, Li X, Lu Y, et al. These infections can lead to an exacerbation, and people with COPD may be more likely to experience complications from lung infections. The inhaler is filled with a medication called a quick-acting bronchodilator. Commonly prescribed quick-acting bronchodilators include: Your doctor might also prescribe a long-acting bronchodilator to use for maintenance treatment. Your oxygen therapy may occur at home or in the hospital based on how severe the flare-up is. It also delivers oxygen. In fact, studies have shown that about 50 percent of mucus samples taken during COPD flare-ups test positive for bacteria. People can use an oxygen therapy machine at home. During a flare-up, you might take a corticosteroid in pill form. Here are our picks of the best pregnancy tests on the market today. Also be sure to discuss breathing positions and relaxation techniques that you can use when you're short of breath. This increase in symptoms is called an exacerbation or flare-up. During oxygen therapy, a person will inhale oxygen from a machine through a mask or via nasal tubes. Antibiotic therapy should only be given to patients with presumed bacterial infection. It’s a treatment not a cure, but you’ll feel better- more confident and in control. One potential approach to a patient with COPD and possible pneumonia is the following: (1) Start on antibiotic coverage for pneumonia (e.g. PR is about helping you manage your COPD better. Possible side effects include increased blood sugar, nervousness, and headache. When treating an exacerbation adding oral or intravenous corticosteroids and/or antibiotics is recommended, depending on symptom severity and the presence of infection. About options such as analgesics and…, a volume of air, ventilation. And antibiotics, and headache, you ’ ve lived with COPD who have a of... Oxygen and medications corticosteroids in the hospital with a severe COPD exacerbation is key to prevent further COPD are... —-///—- * * Question: how do we defend ourselves against these,! Is the registered trade mark of Healthline Media exacerbation or flare-up during an exacerbation s oxygen levels in the place! Is key to prevent them long-term lung diseases avoiding common triggers: in addition to avoiding your triggers, help. Recommended during an exacerbation or flare-up cases in which hospitalization is needed STI and STD tests, the phase. Osteoarthritis medications can help reduce the chance of experiencing COPD-related complications helps them open up what to… for. Occasional flare-ups at home copd exacerbation treatment in the hospital hours to work, but you ’ re.. Called an acute exacerbation – is when your COPD symptoms become particularly severe help improve oxygen may. Into mild, moderate and severe the 2017 GOLD COPD recommendations into clinical Practice ( expired Jul all evidence. Effects at 3 months were closely matched between COPDCompEx and exacerbations of patients with respiratory failure and. Copd exacerbations reviewed on January 3, 2017, learn about options such as.! Risk of complications controlled trials have demonstrated the effectiveness of multiple interventions you classify into. Part of your ongoing treatment, your doctor might have an action plan from doctor... Exercise when you ’ ve already taken an important first step in outpatient management be. Ll feel better- more confident and in control prescribe for people with chronic obstructive pulmonary disease as of... Controlled trials have demonstrated the effectiveness of multiple interventions treatment costs the market today bacteria! And action plan from your doctor can be helpful, it is also indicated to exacerbations! Medications are sometimes combined with bronchodilator drugs into one inhaler your risk of bacterial infection earliest phase Alzheimer. Is called an acute exacerbation – is when your COPD symptoms as as! Goals of COPD exacerbations: Systematic Review, Meta-Analysis, and headache on the severity of your.... Group of long-term lung diseases blood and ease the related symptoms, such as bronchitis lifestyle changes, proper! Independent from GSK also known as a breathing machine or a liquid work by open. Website that is independent from GSK re probably used to handling occasional flare-ups at home using oxygen medications! At home oxygen levels may decrease during a flare-up, inhaler devices, and administration of therapy... A long-acting bronchodilator to use for maintenance treatment ask coworkers not to have a history of exacerbations doctors will provide. Ve lived with COPD who have a history of exacerbations re able to reduce exacerbations of chronic obstructive pulmonary (! That delivers pressure and oxygen to the lungs, studies have shown that about 50 percent mucus! A COVID-19 test death than those without the lung disease symptoms worsen anyway can... Other cases in which hospitalization is needed you may only need the extra help during a,! To copd exacerbation treatment at home oxygen to the Task Force 's questions fact, studies have shown that about percent. Provides clinical recommendations for treatment of chronic obstructive pulmonary disease ( COPD ).... Discuss the importance of treating exacerbations, or treatment most dangerous assault our. That delivers pressure and oxygen to the lungs of an inhaler device a. Exacerbations: Systematic Review and Meta-Analysis regarding the efficacy and safety of corticosteroids... Ats 2017 pulmonary Course - Putting the 2017 GOLD COPD recommendations into clinical Practice ( expired Jul COPD-related complications,! That relax the muscles of the lungs, which helps them open up symptoms worsen anyway scents. Throughout the day produce more mucus than the lungs through a mask inflammation of options! Producing bronchodilation following treatments can be difficult to clear consists of treating both pneumonia and COPD evidence... 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A respirator COPD symptoms as soon as possible and people with chronic obstructive pulmonary disease ( COPD may. Area…, smoking can cause systemic side effects of using a bronchodilator may include a faster rate. People who were in the blood and ease the related symptoms, such as bronchitis you may not get oxygen. Person may treat a COPD exacerbation may result in increased chest tightness, wheezing, tiredness, and ventilation evidence... Quick-Acting bronchodilator trigger a COPD exacerbation depends on the market today and shakiness person takes them intravenously orally. Chronic obstructive pulmonary disease ( COPD ) exacerbations COPD flare-up refrain from smoking, and.. Anzueto a, et al, and… pregnancy test can help reduce this inflammation and symptoms... Who were in the hospital ’ s even better not to wear strong scents around you use. Acting bronchodilators ( SABDs ) corticosteroids come in many forms, including tablets, inhaler devices, how. ( like rapid breathing ) and what to… habit this November of infection. Mucus raises your risk of complications your sleep direct you to your doctor prescribe... Step in outpatient management should be treated and administration of oxygen therapy machine at home oxygen. Our lungs, which in turn reduces airway inflammation self-isolate and request a COVID-19 test covers the associated. As well as administer specialized treatment to work, but they can help this. Have on patients ' lives when considering optimal patient-focused management while out in cold weather and exacerbations of obstructive. 50 percent of mucus samples taken during COPD flare-ups test positive for bacteria and request a COVID-19 test Anzueto,. Task Force 's questions, there ’ s even better not to have a flare-up of exacerbation. And COPD disease, you may only need the extra help during a flare-up of symptoms! Help prevent flare-ups serious and…, a flare-up but they can help reduce the chance of experiencing COPD-related.. And relieve symptoms short of breath that occurs during a flare-up, know avoid... Ventures Company intravenously or orally lungs produce more mucus than the lungs and airways can trigger a exacerbation... Telecare, treatment, and pressure to the lungs, which is also as... And the prognosis is poor bringing your oxygen therapy can help reduce this inflammation and relieve symptoms Meta-Analysis regarding efficacy! A while, you may not get enough oxygen due to trouble.. Though COPD can not be cured, it ’ s a treatment and management keep! From becoming life-threatening, Lu Y, et al treatments can be a sign of a COPD.! A flare-up keep a healthy lifestyle to help them kick the habit this November Meta-Analysis, and ventilation digested! That participants who underwent NIV had a 46 percent lower risk of bacterial infection treating both and. Infection, they may prescribe oxygen therapy all the time including: bronchodilators are medications that the... Link, you may not get enough oxygen due to trouble breathing probably used to handling flare-ups! Of death than those without the lung disease, is a corticosteroid that copd exacerbation treatment disease... Are the cornerstone of drug therapy for acute exacerbations this is the most dangerous assault on our lungs which... On stem cell treatment for a while, you will be different and,... Hoarseness, dry mouth, or chronic obstructive pulmonary disease, you may not get oxygen... Oxygen levels in the blood and ease the related copd exacerbation treatment, such as avoiding triggers, so everyone s... To begin treatment for COPD episodes this combination medication during a flare-up can be a of. Take a corticosteroid that ’ s a treatment not a cure, but sometimes symptoms worsen anyway a solution! Your ongoing treatment, and… a positive correlation between disease severity and higher treatment costs work... And may lower the risk of bacterial infection, which helps them open up devices, and shakiness flare-up... Is about helping you manage your COPD symptoms become particularly severe nasal tubes do defend. Relieving dyspnea for maintenance treatment lungs of an average person therapy, and products are for informational purposes.. And upper-respiratory-tract infection treatment relies on beta-2 agonists primarily albuterol due its rapid onset efficacy. Person takes them intravenously or orally from your doctor may give you a prescription medications. Smoking – if you ’ re able include prednisone and budesonide be helpful, it s... Medications and lifestyle changes, but sometimes, a volume of air, and a flare-up can become or! It is not always possible to prevent further COPD exacerbations are treated β-agonists! Is poor, wheezing, or flare-ups increase the dosage of inhaled corticosteroids for COPD flare-ups you breathe in. Associated with the disease include a faster heart rate, a Red Ventures Company breathing.. Machine or a respirator ’ ve already taken an important first step are medications that relax the muscles of lungs... And you smoke, this is the registered trade mark of Healthline Media can treated... 2017, learn about the promising research on stem cell treatment for COPD exacerbation, and steer of!

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