Skip to main content

Acute Applications of Noninvasive Ventilation in Obesity Hypoventilation Syndrome: Evidence and Key Practical Recommendations

  • Chapter
Noninvasive Mechanical Ventilation
  • 3382 Accesses

Abstract

Noninvasive ventilation (NIV) and sitting position are the two cornerstones of the initial therapeutic management of obese patients in acute respiratory failure (ARF). Strong evidence supports NIV in obese patients for type 2 (hypercapnic) ARF, for the prevention of ARF immediately after extubation, and for preoxygenation before intubation. Conversely, NIV should be cautiously used in case of type 1 (hypoxemic) ARF.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ARF:

Acute respiratory failure

BMI:

Body mass index

EPAP:

Expiratory positive airway pressure

IPAP:

Inspiratory positive airway pressure

NIV:

Noninvasive ventilation

OHS:

Obesity hypoventilation syndrome

OSAS:

Obstructive sleep apnea syndrome

References

  1. Mokhlesi B. Obesity hypoventilation syndrome: a state-of-the-art review. Respir Care. 2010;55:1347–62.

    PubMed  Google Scholar 

  2. Nowbar S, Burkart KM, Gonzales R, et al. Obesity-associated hypoventilation in hospitalized patients: prevalence, effects, and outcome. Am J Med. 2004;116:1–7.

    Article  PubMed  Google Scholar 

  3. Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Carrillo A, Ferrer M, Gonzalez-Diaz G, et al. Noninvasive ventilation in acute hypercapnic respiratory failure caused by obesity hypoventilation syndrome and chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2012;186:1279–85.

    Article  PubMed  Google Scholar 

  5. Lemyze M, Taufour P, Duhamel A, et al. Determinants of noninvasive ventilation success or failure in morbidly obese patients in acute respiratory failure. PLoS One. 2014;9(5), e97563.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Futier E, Constantin JM, Pelosi P, et al. Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology. 2011;114:1354–63.

    Article  PubMed  Google Scholar 

  7. Díaz GG, Alcaraz AC, Talavera JC, Pérez PJ, Rodriguez AE, Cordoba FG, Hill NS. Noninvasive positive-pressure ventilation to treat hypercapnic coma secondary to respiratory failure. Chest. 2005;127:952–60.

    Article  PubMed  Google Scholar 

  8. El-Solh AA, Aquilina A, Pineda L, et al. Noninvasive ventilation for prevention of post-extubation respiratory failure in obese patients. Eur Respir J. 2006;28:588–95.

    Article  CAS  PubMed  Google Scholar 

  9. Lemyze M, Mallat J, Duhamel A, et al. Effects of sitting position and applied positive end-expiratory pressure on respiratory mechanics of critically ill obese patients receiving mechanical ventilation. Crit Care Med. 2013;41:2592–9.

    Article  PubMed  Google Scholar 

  10. Lemyze M, Guerry MJ, Mallat J, Thevenin D. Obesity supine death syndrome revisited. Eur Respir J. 2012;40:1568–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Malcolm Lemyze MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Lemyze, M. (2016). Acute Applications of Noninvasive Ventilation in Obesity Hypoventilation Syndrome: Evidence and Key Practical Recommendations. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21653-9_37

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21652-2

  • Online ISBN: 978-3-319-21653-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics