• Users Online: 378
  • Print this page
  • Email this page
CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 116-119

Noninvasive ventilation influenced the survival of extreme super-super obese with obesity hypoventilation syndrome


Intensive Care Unit, Aseer Central Hospital, Abha, Aseer Region, Kingdom of Saudi Arabia

Correspondence Address:
Mr. Omprakash Palanivel
Cardiorespiratory Therapist, Aseer Central Hospital, Abha, Aseer Region, Kingdom of Saudi Arabia

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijrc.ijrc_33_19

Rights and Permissions

Recent studies conclude noninvasive ventilation (NIV) as a standard first-line therapy for any respiratory failure. The efficacy of NIV in obesity is well defined. In this context, the effectiveness of NIV in extreme super-super obese patients with obesity hypoventilation syndrome is not well studied, and the usage of NIV is controversial because of rare incidence. However, identifying the right patient, right timing, right clinical expertise, correct positions, and right appropriate NIV settings can produce positive results. Therefore, we present a unique case of a 32-year-old male weighing 283 kg, with body mass index >92 kg/m2 and carbon dioxide retention, whose symptoms were worsening despite adequate conventional treatment. He received continuous NIV for 70 h using a standard protocol with close monitoring. There was improvement in the patient vitals and medical condition with significant reduction in arterial carbon dioxide tension, leading to reduction in the length of intensive care unit stay and prevention of further complications. Long-term research is encouraged to validate NIV effectiveness in this group of patients.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1349    
    Printed23    
    Emailed0    
    PDF Downloaded291    
    Comments [Add]    

Recommend this journal