[The obese patient and acute respiratory failure, a challenge for intensive care].
Le patient obèse en insuffisance respiratoire aiguë, un défi pour la réanimation.
Acute respiratory failure
Insuffisance respiratoire aiguë
Mechanical ventilation
Obesity
Obesity hypoventilation syndrome
Obésité
Syndrome obésité hypoventilation
Ventilation mécanique
Journal
Revue des maladies respiratoires
ISSN: 1776-2588
Titre abrégé: Rev Mal Respir
Pays: France
ID NLM: 8408032
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
04
08
2018
accepted:
16
10
2018
pubmed:
16
9
2019
medline:
28
4
2020
entrez:
16
9
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31521432
pii: S0761-8425(19)30312-2
doi: 10.1016/j.rmr.2018.10.621
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
971-984Informations de copyright
Copyright © 2019. Published by Elsevier Masson SAS.