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Noninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review.

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dc.contributor.authorSequeira, T
dc.contributor.authorBaHammam, A
dc.contributor.authorEsquinas, A
dc.date.accessioned2017-08-09T09:44:13Z
dc.date.available2017-08-09T09:44:13Z
dc.date.issued2017
dc.description.abstractObesity 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Intensive Care Med. 2017 Aug;32(7):421-428pt_PT
dc.identifier.doi10.1177/0885066616663179pt_PT
dc.identifier.issn1525-1489
dc.identifier.urihttp://hdl.handle.net/10400.10/1921
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.subjectNoninvasive ventilationpt_PT
dc.subjectVentilação não invasivapt_PT
dc.subjectObesity hypoventilation syndromept_PT
dc.subjectSíndrome de hipoventilação por obesidadept_PT
dc.subjectObesitypt_PT
dc.subjectIntensive care unitspt_PT
dc.subjectRespiratory insufficiencypt_PT
dc.titleNoninvasive Ventilation in the Critically Ill Patient With Obesity Hypoventilation Syndrome: A Review.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBostonpt_PT
oaire.citation.endPage428pt_PT
oaire.citation.startPage421pt_PT
oaire.citation.titleJournal of Intensive Care Medicinept_PT
oaire.citation.volume32pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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