Pulmonary System and Obesity

被引：27

作者：

Ashburn, Doyle D. ^{[1
]}

DeAntonio, Angela ^{[2
]}

Reed, Mary Jane ^{[1
]}

机构：

[1] Geisinger Med Ctr, Dept Crit Care Med, Danville, PA 17822 USA

[2] Geisinger Wyoming Valley Med Ctr, Dept Crit Care Med, Wilkes Barre, PA 18711 USA

来源：

CRITICAL CARE CLINICS | 2010年 / 26卷 / 04期

关键词：

Pulmonary; Obesity; Respiratory failure; Lung mechanics; Mechanical ventilation; ARDS; END-EXPIRATORY PRESSURE; BODY-MASS INDEX; RESPIRATORY-DISTRESS-SYNDROME; MORBIDLY OBESE; LUNG INJURY; CHEST-WALL; VENTILATION; ANESTHESIA; MORTALITY; POSITION;

D O I：

10.1016/j.ccc.2010.06.008

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

There are several challenges in the management of respiratory failure in the obese population Pulmonary physiology is significantly altered leading to reduced lung volumes, decreased compliance abnormal ventilation and perfusion relationships and respiratory muscle inefficiency These complications can lead to a prolonged requirement for mechanical ventilation and increased intensive-care-unit length of stay

引用

页码：597 / +

页数：7

共 41 条

[21] Obesity and the lung: 3 . Obesity, respiration and intensive care [J].

Malhotra, A. ;

Hillman, D. .

THORAX, 2008, 63 (10) :925-931

[22] Low-tidal-volume ventilation in the acute respiratory distress syndrome [J].

Malhotra, Atul .

NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (11) :1113-1120

[23] Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome - A randomized controlled trial [J].

Meade, Maureen O. ;

Cook, Deborah J. ;

Guyatt, Gordon H. ;

Slutsky, Arthur S. ;

Arabi, Yaseen M. ;

Cooper, D. James ;

Davies, Andrew R. ;

Hand, Lori E. ;

Zhou, Qi ;

Thabane, Lehana ;

Austin, Peggy ;

Lapinsky, Stephen ;

Baxter, Alan ;

Russell, James ;

Skrobik, Yoanna ;

Ronco, Juan J. ;

Stewart, Thomas E. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 299 (06) :637-645

[24] The association between body mass index and clinical outcomes in acute lung injury [J].

Morris, Amy E. ;

Stapleton, Renee D. ;

Rubenfeld, Gordon D. ;

Hudson, Leonard D. ;

Caldwell, Ellen ;

Steinberg, Kenneth P. .

CHEST, 2007, 131 (02) :342-348

[25] COMPLIANCE OF THE RESPIRATORY SYSTEM AND ITS COMPONENTS IN HEALTH AND OBESITY [J].

NAIMARK, A ;

CHERNIACK, RM .

JOURNAL OF APPLIED PHYSIOLOGY, 1960, 15 (03) :377-382

[26] Body mass index is independently associated with hospital mortality in mechanically ventilated adults with acute lung injury [J].

O'Brien, JM ;

Phillips, GS ;

Ali, NA ;

Lucarelli, M ;

Marsh, CB ;

Lemeshow, S .

CRITICAL CARE MEDICINE, 2006, 34 (03) :738-744

[27] Obesity and mortality in critically ill adults: A systematic review and meta-analysis [J].

Oliveros, Henry ;

Villamor, Eduardo .

OBESITY, 2008, 16 (03) :515-521

[28]

Parameswaran Krishnan, 2006, Can Respir J, V13, P203

[29] The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia [J].

Pelosi, P ;

Croci, M ;

Ravagnan, I ;

Tredici, S ;

Pedoto, A ;

Lissoni, A ;

Gattinoni, L .

ANESTHESIA AND ANALGESIA, 1998, 87 (03) :654-660

[30] Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis [J].

Pelosi, P ;

Ravagnan, I ;

Giurati, G ;

Panigada, M ;

Bottino, N ;

Tredici, S ;

Eccher, G ;

Gattinoni, L .

ANESTHESIOLOGY, 1999, 91 (05) :1221-1231

← 1 2 3 4 5 →