ERSRespiratory Medicine2023New Guideline
ERS/ATS Clinical Practice Guideline: Severe COPD Management 2023
Published by European Respiratory Society · 72 pages · Class I–II
PaO₂ ≤55LTOT threshold
pCO₂ ≥45NIV indication
Class ITriple Therapy
Summary
Free previewJoint ERS/ATS guidance on severe and very severe COPD (GOLD III–IV). Includes recommendations on long-term oxygen therapy thresholds, non-invasive ventilation at home, lung volume reduction interventions, and palliative care integration. Triple inhaled therapy (LABA/LAMA/ICS) preferred for frequent exacerbators.
COPDGOLD III-IVNIVLTOTTriple therapyExacerbation
Key Recommendations
Evidence Grading & Drug Doses
What's New vs Previous Version
Implementation & Clinical Pearls
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