Resource Center Title

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COPD Advanced Patient Management: Post-Acute Care
Resource Center:
Activity Three


Activity Title

Airway Secretion and Clearance in COPD
Jens Geiseler, MD


Program Goals

The purpose of this educational activity is to enable participants to identify secretion retention as one of the main problems in patients with advanced COPD. A principle focus will be to recognize the importance of secretion retention as a cause of: increased load of respiratory work; deterioration including infection; failure of NIV; and increased mortality in COPD patients. Physicians, home care providers and other healthcare professionals will learn that airway clearance techniques consist of techniques for secretion mobilisation as well as for mucus expectoration. Additional emphasis will be placed on different technical and pharmacological possibilities for both aspects of secretion management and the physiologic rationale for each of the therapies. Finally the participants will be able to initiate the most appropriate secretion management therapy for each of their patients.

Target Audience

This activity is intended for medical professionals who have a clinical interest in the management of COPD patients as seen by the following medical specialists: Pneumologists, Respirologists, Respiratory Physiotherapists, Respiratory Therapists (Hospital, Home), Thoracic Surgeons, Home Healthcare Providers, Critical Care Medicine Specialists, Internal Medicine Specialists, Primary Care Physicians (General and Family Practitioners), Advanced Practice Nurses, Nurse Practitioners, Physician Assistants, Managed Care Medical Directors, and other Practitioners and Payers.

Learning Objectives

After completion of this activity, participants will be able to:

  1. Explain the two principal aspects of secretion management: secretion mobilization and secretion expectoration.
  2. Describe the rationale for secretion management in COPD.
  3. Discuss technical and pharmacological aspects of secretion management with respect to the patient´s individual secretion problems.



Gerard J. Criner, MD, FACP, FACCP
Professor and Chair
Department of Thoracic Medicine and Surgery
Lewis Katz School of Medicine at Temple University
Philadelphia, PA

Prof. Dr. med. Michael Dreher
Department of Cardiology, Pneumology, Angiology and Intensive Care
University Hospital Aachen


Carolyn M. D'Ambrosio, MD, MSc.
Director, Harvard-Brigham and Women's Hospital
Pulmonary and Critical Care Fellowship
Faculty, Harvard Medical School
Boston, MA

Jens Geiseler, MD
Chief physician - Clinic for pneumology, ventilatory and sleep medicine
Klinikum Vest, Centre Paracelsus-Klinik Marl

Pr. Jean-Louis Pepin
Hopital Nord Albert Michallon Quai Michallon
Grenoble, France

Richard ZuWallack, MD
Associate Chief, Pulmonary and Critical Care
St. Francis Hospital, Hartford, CT
Professor of Medicine, University of Connecticut

Educational Activity Agenda

 Airway Secretion and Clearance in COPD

  • Front Matter and Registration (3 minutes)
  • Faculty Introduction, Presentations and Roundtable Discussions (48 minutes)
  • Post Test, Evaluation, and Credit Application (10 minutes)

Release and Expiration Dates

Enduring Archive Release Date: August 31, 2018
Enduring Archive Expiration Date: August 31, 2019

Disclosure of Conflicts of Interests

Global Education Group requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

Faculty Disclosures

The faculty reported the following financial relationship or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Gerard J. Criner, MD

  • Nothing to disclose

Michael Dreher, MD

  • Consultant: Philips
  • Grant/Research Support: ResMed
  • Honoraria: ResMed, Weinmann, Philips, Hamilton, Heinen + Löwenstein 

Carolyn D'Ambrosio, MD

  • Advisor/Consultant: Advanced ICU Care, Alabama Sleep Clinic

Jens Geisler, MD

  • Nothing to disclose

Jean-Louis Pepin, MD

  • Nothing to disclose

Richard ZuWallack, MD

  • Grant/Research Support: Boehringer Ingelheim
  • Honoraria: Glaxo Smith-Kline, Boehringer Ingelheim

Planners and Managers

The planners and managers reported the following financial relationship or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:


Lindsay Borvansky

  • Nothing to disclose

Andrea Funk

  • Nothing to disclose

Liddy Knight

  • Nothing to disclose

CME Provider Accreditation Statement

This activity is provided by Global Education Group.     

Physician Accreditation Statement - CME

Global Education Group is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

*This CME/CE activity complies with all requirements of the federal Physician Payment Sunshine Act. If a reportable event is associated with this activity, the accredited provider managing the program will provide the appropriate physician data to the Open Payments database.

Physician Credit Designation - CME

Global Education Group designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Global Education Group

For information about the physician accreditation for this activity, please contact Global Education Group at (303) 395-1782, or

How to Obtain CME/CE Credit

Attendees are expected to view the entire activity before attempting to take the test and/or complete the activity evaluation. Successful completion will lead to the issuance of a certificate for AMA PRA Category 1 Credit™ or nursing credit. To receive credit, the course must be completed between August 31, 2018 and August 31, 2019.

Participation in this activity should be completed in approximately 1.0 hour. Please follow these steps in order to receive CME/CE credit for viewing the webcast:

  • Read all of the CME/CE accreditation information above.
  • View the complete electronic (web) activity.
  • Click on the link to apply for CME/CE credits.
  • Complete the online registration (registration is free).
  • Complete the online test and/or evaluation. Participants must receive a test score of at least 75% and answer all evaluation questions to receive a certificate.

After successfully completing the online test and/or evaluation, your application will be immediately processed and you will be given the opportunity to download a personalized CME/CE certificate for participation in this activity. 

Should you have any CME/CE questions regarding this activity, please contact:

Global Education Group
5575 S. Sycamore Street, Suite 200
Littleton, CO 80120
Phone: 303-395-1782
Fax: 303-648-5311


Fee Information

There is no fee for this educational activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) does not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Policy on Privacy and Confidentiality

Global Education Group protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. Global Education Group and our joint sponsors will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the appropriate accrediting agency.

Global Education Group, CHEST, Elsevier, and Dane Garvin Ltd. maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your non-public personal information.

Medium Used

This program has been made available online.
"Airway Secretion and Clearance in COPD"

System Requirements

To view this educational activity you will need a web browser with Javascript and either Flash or HTML5 enabled.  Nearly all modern web browsers will work.

Commercial Support Statement

This online Resource Center is supported by an Educational Grant from Philips Respironics, Inc.


Copyright© 2018 by the American College of Chest Physicians. All Rights reserved. Permission for accreditation use granted to Global Education Group (Global). Web interface provided by Dane Garvin Ltd.