Management of respiratory failure in obese patients. Efficiency of nasal bi-level positive airway pressure.

Rabec C., Merati M., Baudouin N., Foucher P., Ulukavac T., Reybet-Degat O.

REVUE DES MALADIES RESPIRATOIRES, cilt.15, sa.3, ss.269-278, 1998 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 3
  • Basım Tarihi: 1998
  • Dergi Adı: REVUE DES MALADIES RESPIRATOIRES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.269-278
  • Anahtar Kelimeler: obesity, acute respiratory failure, nasal bi-level positive airway pressure, OBSTRUCTIVE SLEEP-APNEA, PULMONARY-DISEASE, NONINVASIVE VENTILATION, MECHANICAL VENTILATION, BODY VENTILATORS, MASK VENTILATION, HYPERCAPNIA, HYPOVENTILATION, EXACERBATIONS, HYPERTENSION
  • Gazi Üniversitesi Adresli: Hayır

Özet

Obstructive Sleep Apnea (OSA), Obesity-Linked Hypoventilation (OLH) - a hypoventilation which is independent of apneas and increased by sleep -, and COPD are mechanisms for respiratory failure in obese patients. We thought nasal bi-level positive airway pressure to be a suitable treatment : EPAP is useful to maintain upper airway patency and IPAP-EPAP difference to correct OLH and COPD hypoventilation. Our purpose is to report the results of such a therapeutic approach.