[The obese patient and acute respiratory failure, a challenge for intensive care]. / Le patient obèse en insuffisance respiratoire aiguë, un défi pour la réanimation.
Rev Mal Respir
; 36(8): 971-984, 2019 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-31521432
ABSTRACT
As a result of the constantly increasing epidemic of obesity, it has become a common problem in the intensive care unit. Morbid obesity has numerous consequences for the respiratory system. It affects both respiratory mechanics and pulmonary gas exchange, and dramatically impacts on the patient's management and outcome. With the potential for causing devastating respiratory complications, the particular anatomical and physiological characteristics of the respiratory system of the morbidly obese subject should be carefully taken into consideration. The present article reviews the management of obese patients in respiratory failure, from noninvasive ventilation to tracheostomy, including postural and technical issues, and explains the physiologically based ventilatory strategy both for NIV and invasive mechanical ventilation up to the weaning from the ventilatory support.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Síndrome de Hipoventilación por Obesidad
/
Respiración Artificial
/
Síndrome de Dificultad Respiratoria
/
Obesidad
Tipo de estudio:
Etiology_studies
Límite:
Humans
Idioma:
Fr
Año:
2019
Tipo del documento:
Article