RT Journal Article
SR Electronic
T1 The Obesity Hypoventilation Syndrome
JF Respiratory Care
FD American Association for Respiratory Care
SP 1723
OP 1730
VO 53
IS 12
A1 Mark Anthony Powers
YR 2008
UL http://rc.rcjournal.com/content/53/12/1723.abstract
AB We only need to look around us to see that we are in an epidemic of obesity and obesity-related medical problems. The obesity hypoventilation syndrome is a disorder in which an obese person with normal lungs chronically hypoventilates. Obesity impairs ventilatory mechanics, increases the work of breathing and carbon dioxide production, results in respiratory muscle dysfunction, and reduces ventilatory response to hypercapnia. Sleep-disordered breathing is present in most patients with the obesity hypoventilation syndrome. When noninvasive ventilation can be successfully introduced, hypoventilation can usually be corrected. Weight loss is the desirable long-term treatment for the obesity hypoventilation syndrome. This paper concisely overviews the physiologic factors that lead to the obesity hypoventilation syndrome and discusses therapies for it.