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Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care pp 347–354Cite as

Noninvasive Ventilation for Patients with Obesity Hypoventilation and Acute Hypercapnic Respiratory Failure

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Abstract

Obstructive sleep-disordered breathing and obesity hypoventilation syndrome (OHS) are common pulmonary complications of obesity. Patients with OHS may present with acute-on-chronic exacerbation and acute hypercapnic respiratory failure (AHRF). Management of AHRF in obese patients is one of the most challenging problems facing respirologists, intensivists, and anesthesiologists in intensive care units. Noninvasive ventilation is the initial mainstay of treatment in patients with OHS who develop AHRF. The aims of treatment are to improve alveolar ventilation and alveolar gas exchange and to maintain a patent upper airway. In this chapter, we discuss the latest available information on the value of noninvasive ventilation in patients with OHS and AHRF.

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Acknowledgment

This work was partially supported by the Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia (MED511-02-08).

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Authors and Affiliations

  1. University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Ahmed S. BaHammam

  2. Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia, King Saud University, Riyadh, Saudi Arabia

    Ahmed S. BaHammam & Aljohara S. Almeneessier

  3. Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Aljohara S. Almeneessier

Authors
  1. Ahmed S. BaHammam
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  2. Aljohara S. Almeneessier
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Correspondence to Ahmed S. BaHammam .

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Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Pathophysiology and Pulmonary Rehab, Azienda Ospedaliera dei Colli PO Monaldi, Napoli, Italy

    Giuseppe Fiorentino

  3. Innovative Technologies for the Study of Sleep Breathing Disorders, Institute for Biomedical Research and Innovation (IRIB), Italian National Research Council, Palermo, Italy

    Giuseppe Insalaco

  4. Department of Pulmonary and CC Medicine, Lenox Hill Hospital, New York, NY, USA

    Bushra Mina

  5. Department of Respiratory and CC Medicine, First Affiliated Hospital of Chongqing M, Chongqing, China

    Jun Duan

  6. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Maria Cristina Mondardini

  7. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Fabio Caramelli

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BaHammam, A.S., Almeneessier, A.S. (2020). Noninvasive Ventilation for Patients with Obesity Hypoventilation and Acute Hypercapnic Respiratory Failure. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_35

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  • DOI: https://doi.org/10.1007/978-3-030-42998-0_35

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