Table 6:

NICE Guidelines: When Respirology Consultation is Appropriate

Diagnostic Uncertainty Suspected severe COPD Patient wants a second opinion Onset of cor pulmonale Assessment for oxygen therapy Bullous lung disease A rapid decline in FEV1 Assessment for pulmonary rehabilitation Assessment for lung volume reduction surgery Assessment for lung transplantation Onset of symptoms under 40years of age or a family history of alpha-1 antitrypsin deficiency Frequent infections Hemoptysis