Obesity hypoventilation syndrome (OHS) successfully treated with non-invasive positive pressure ventilation (NIPPV)

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Positive Pressure for Obesity Hypoventilation Syndrome

Obesity is increasing world-wide; obesity hypoventilation syndrome (OHS), formerly Pickwickian syndrome, has increased in parallel. Despite its prevalence, OHS has not been studied well, but there is abundant evidence that it is tightly linked with sleep-disordered breathing, most commonly obstructive sleep apnea. This article reviews the pathophysiology of OHS as well as the literature regardi...

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Non-invasive positive pressure ventilation (NIPPV) in stable patients with chronic obstructive pulmonary disease (COPD).

While non-invasive positive pressure ventilation (NIPPV) has become an accepted management approach for patients with acute hypercapnia, it remains unclear whether it can also be beneficial in stable chronic obstructive pulmonary disease (COPD) patients with chronic respiratory failure. Randomised controlled trials (RCT) with a maximum duration of 3 months showed contradictory effects in blood ...

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Backup Respiratory Rate During Noninvasive Positive Pressure Ventilation in Obesity Hypoventilation Syndrome

Obesity hypoventilation syndrome (OHS) refers to sleep-related hypoventilation with repetitive episodes of complete and partial obstructions of the upper airway. 1 Some fi nesse is required to determine the appropriate ventilator settings to prevent such episodes, which can alter the effi cacy of noninvasive positive pressure ventilation (NPPV). In a recent article in CHEST (January 2013), Cont...

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Introducing non-invasive positive pressure ventilation.

Non-invasive ventilation techniques provide and enhance alveolar ventilation without the need for an endotracheal airway. These techniques are increasingly being used by nurses to manage patients with type 2 respiratory failure. The author outlines the advantages of, and criteria and contraindications for, using bi-level positive airway pressure (BiPAP).

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BACKGROUND Non-invasive ventilation (NIV) is an effective form of treatment in patients with obesity hypoventilation syndrome (OHS) who have concomitant severe obstructive sleep apnoea (OSA). However, there is a paucity of evidence on the efficacy of NIV in patients with OHS without severe OSA. We performed a multicentre randomised clinical trial to determine the comparative efficacy of NIV ver...

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ژورنال

عنوان ژورنال: Nihon Naika Gakkai Zasshi

سال: 2004

ISSN: 0021-5384,1883-2083

DOI: 10.2169/naika.93.145