Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review.
Main Author: | |
---|---|
Publication Date: | 2017 |
Other Authors: | , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10400.10/1921 |
Summary: | Obesity is a global epidemic that adversely affects respiratory physiology. Sleep-disordered breathing and obesity hypoventilation syndrome (OHS) are among the most common pulmonary complications related to obesity class III. Patients with OHS may present with acute hypercapnic respiratory failure (AHRF) that necessitates immediate noninvasive ventilation (NIV) or invasive ventilation and intensive care unit (ICU) monitoring. The OHS is underrecognized as a cause of AHRF. The management of mechanical ventilation in obese ICU patients is one of the most challenging problems facing respirologists, intensivists, and anesthesiologists. The treatment of AHRF in patients with OHS should aim to improve alveolar ventilation with better alveolar gas exchange, as well as maintaining a patent upper airway, which is ideally achieved through NIV. Treatment with NIV is associated with improvement in blood gases and lung mechanics and may reduce hospital admissions and morbidity. In this review, we will address 3 main issues: (1) NIV of critically ill patients with acute respiratory failure and OHS; (2) the indications for postoperative application of NIV in patients with OHS; and (3) the impact of OHS on weaning and postextubation respiratory failure. Additionally, the authors propose an algorithm for the management of obese patients with AHRF. |
id |
RCAP_a4ed6941972ab7e76411c1fd1fe49cc6 |
---|---|
oai_identifier_str |
oai:repositorio.hff.min-saude.pt:10400.10/1921 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review.Noninvasive ventilationVentilação não invasivaObesity hypoventilation syndromeSíndrome de hipoventilação por obesidadeObesityIntensive care unitsRespiratory insufficiencyObesity is a global epidemic that adversely affects respiratory physiology. Sleep-disordered breathing and obesity hypoventilation syndrome (OHS) are among the most common pulmonary complications related to obesity class III. Patients with OHS may present with acute hypercapnic respiratory failure (AHRF) that necessitates immediate noninvasive ventilation (NIV) or invasive ventilation and intensive care unit (ICU) monitoring. The OHS is underrecognized as a cause of AHRF. The management of mechanical ventilation in obese ICU patients is one of the most challenging problems facing respirologists, intensivists, and anesthesiologists. The treatment of AHRF in patients with OHS should aim to improve alveolar ventilation with better alveolar gas exchange, as well as maintaining a patent upper airway, which is ideally achieved through NIV. Treatment with NIV is associated with improvement in blood gases and lung mechanics and may reduce hospital admissions and morbidity. In this review, we will address 3 main issues: (1) NIV of critically ill patients with acute respiratory failure and OHS; (2) the indications for postoperative application of NIV in patients with OHS; and (3) the impact of OHS on weaning and postextubation respiratory failure. Additionally, the authors propose an algorithm for the management of obese patients with AHRF.SAGE PublicationsRepositório do Hospital Prof. Doutor Fernando FonsecaSequeira, TBaHammam, AEsquinas, A2017-08-09T09:44:13Z2017-01-01T00:00:00Z2017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.10/1921engJ Intensive Care Med. 2017 Aug;32(7):421-4281525-148910.1177/0885066616663179metadata only accessinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-20T15:52:39Zoai:repositorio.hff.min-saude.pt:10400.10/1921Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:52:56.992726Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
title |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
spellingShingle |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. Sequeira, T Noninvasive ventilation Ventilação não invasiva Obesity hypoventilation syndrome Síndrome de hipoventilação por obesidade Obesity Intensive care units Respiratory insufficiency |
title_short |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
title_full |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
title_fullStr |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
title_full_unstemmed |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
title_sort |
Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review. |
author |
Sequeira, T |
author_facet |
Sequeira, T BaHammam, A Esquinas, A |
author_role |
author |
author2 |
BaHammam, A Esquinas, A |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Repositório do Hospital Prof. Doutor Fernando Fonseca |
dc.contributor.author.fl_str_mv |
Sequeira, T BaHammam, A Esquinas, A |
dc.subject.por.fl_str_mv |
Noninvasive ventilation Ventilação não invasiva Obesity hypoventilation syndrome Síndrome de hipoventilação por obesidade Obesity Intensive care units Respiratory insufficiency |
topic |
Noninvasive ventilation Ventilação não invasiva Obesity hypoventilation syndrome Síndrome de hipoventilação por obesidade Obesity Intensive care units Respiratory insufficiency |
description |
Obesity is a global epidemic that adversely affects respiratory physiology. Sleep-disordered breathing and obesity hypoventilation syndrome (OHS) are among the most common pulmonary complications related to obesity class III. Patients with OHS may present with acute hypercapnic respiratory failure (AHRF) that necessitates immediate noninvasive ventilation (NIV) or invasive ventilation and intensive care unit (ICU) monitoring. The OHS is underrecognized as a cause of AHRF. The management of mechanical ventilation in obese ICU patients is one of the most challenging problems facing respirologists, intensivists, and anesthesiologists. The treatment of AHRF in patients with OHS should aim to improve alveolar ventilation with better alveolar gas exchange, as well as maintaining a patent upper airway, which is ideally achieved through NIV. Treatment with NIV is associated with improvement in blood gases and lung mechanics and may reduce hospital admissions and morbidity. In this review, we will address 3 main issues: (1) NIV of critically ill patients with acute respiratory failure and OHS; (2) the indications for postoperative application of NIV in patients with OHS; and (3) the impact of OHS on weaning and postextubation respiratory failure. Additionally, the authors propose an algorithm for the management of obese patients with AHRF. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-09T09:44:13Z 2017-01-01T00:00:00Z 2017-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.10/1921 |
url |
http://hdl.handle.net/10400.10/1921 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
J Intensive Care Med. 2017 Aug;32(7):421-428 1525-1489 10.1177/0885066616663179 |
dc.rights.driver.fl_str_mv |
metadata only access info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
metadata only access |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SAGE Publications |
publisher.none.fl_str_mv |
SAGE Publications |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130395768258560 |