A management guideline for obesity-hypoventilation syndromes

被引:17
|
作者
Subramanian S. [1 ,2 ]
Strohl K.P. [1 ]
机构
[1] Department of Medicine, Case Western Reserve University, Louis Stokes VA Medical Center, Cleveland, OH
[2] Division of Pulmonary and Critical Care Medicine, University Hospitals of Cleveland, 11100 Euclid Ave., Cleveland
关键词
Hypercapnia; Obesity; Pickwickian syndrome;
D O I
10.1007/s11325-999-0131-3
中图分类号
学科分类号
摘要
A survey of our pulmonary service revealed little consensus as to the definition, work-up, and management of hypoventilation, more often encountered in the presence of obesity. If hypoventilation is defined by an arterial carbon dioxide level above 45mmHg, 22% of artrial blood gas samples over a 5-month period met this criterium, suggesting a high "any-cause" prevalence. This article presents the rationale and explanation for a management protocol for obesity-hypoventilation that is currently being assessed in the VA Medical Center and Case Western Reserve University training program in Pulmonary and Critical Care Medicine. Copyright © 1999 by Thieme Medical Publishers, Inc., All rights reserved.
引用
收藏
页码:131 / 138
页数:7
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