Hypoventilation Syndromes

被引:19
作者
Chebbo, Ahmad [1 ]
Tfaili, Amer [1 ]
Jones, Shirley F. [1 ]
机构
[1] Scott & White Healthcare Texas A&M Hlth Sci Ctr, Div Pulm Crit Care & Sleep Med, Dept Internal Med, Temple, TX 76508 USA
关键词
Hypoventilation; Noninvasive ventilation; Obesity; Chest wall disorders; Obstructive lung disease; Neuromuscular disease; POSITIVE-PRESSURE VENTILATION; OBSTRUCTIVE SLEEP-APNEA; OBESITY-ASSOCIATED HYPOVENTILATION; RANDOMIZED CONTROLLED-TRIAL; NONINVASIVE VENTILATION; PULMONARY-FUNCTION; RESPIRATORY-FAILURE; WEIGHT-LOSS; ANKYLOSING-SPONDYLITIS; MECHANICAL VENTILATION;
D O I
10.1016/j.mcna.2011.09.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The hypoventilation syndromes represent a variety of disorders that affect central ventilatory control, respiratory mechanics, or both. Obesity hypoventilation syndrome is a clinically important disorder with serious cardiovascular and metabolic consequences if unrecognized. Hypoventilation in asthma and COPD is caused by mechanical challenges imparted by airflow obstruction and increase in dead space. In neuromuscular disease, respiratory muscle weakness results in hypoventilation. Decreases in thoracic volume and limited expansion of the chest highlight the restrictive ventilatory impairments seen in hypoventilation associated with chest wall disorders. Despite the mechanism, effective hypoventilation treatment targets the underlying disease and use of noninvasive ventilation.
引用
收藏
页码:1189 / +
页数:15
相关论文
共 92 条
[1]   Effect of noninvasive positive-pressure ventilation on survival in amyotrophic lateral sclerosis [J].
Aboussouan, LS ;
Khan, SU ;
Meeker, DP ;
Stelmach, K ;
Mitsumoto, H .
ANNALS OF INTERNAL MEDICINE, 1997, 127 (06) :450-453
[2]  
[Anonymous], 2004, COCHRANE DATABASE SY
[3]   Sleep disorders and diaphragmatic function patients with amyotrophic lateral sclerosis [J].
Arnulf, I ;
Similowski, T ;
Salachas, F ;
Garma, L ;
Mehiri, S ;
Attali, V ;
Behin-Bellhesen, V ;
Meininger, V ;
Derenne, JP .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 161 (03) :849-856
[4]   Sleep characteristics of amyotrophic lateral sclerosis in patients with preserved diaphragmatic function [J].
Atalaia, Antonio ;
De Carvalho, Mamede ;
Evangelista, Teresinha ;
Pinto, Anabela .
AMYOTROPHIC LATERAL SCLEROSIS, 2007, 8 (02) :101-105
[5]   Hypercapnia and ventilatory periodicity in obstructive sleep apnea syndrome [J].
Ayappa, I ;
Berger, KI ;
Norman, RG ;
Oppenheimer, BW ;
Rapoport, DM ;
Goldring, RM .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 166 (08) :1112-1115
[6]   MECHANICAL INSUFFLATION-EXSUFFLATION - COMPARISON OF PEAK EXPIRATORY FLOWS WITH MANUALLY ASSISTED AND UNASSISTED COUGHING TECHNIQUES [J].
BACH, JR .
CHEST, 1993, 104 (05) :1553-1562
[7]   MANAGEMENT OF CHRONIC ALVEOLAR HYPOVENTILATION BY NASAL VENTILATION [J].
BACH, JR ;
ALBA, AS .
CHEST, 1990, 97 (01) :52-57
[8]   Obesity hypoventilation syndrome - Hypoxemia during continuous positive airway pressure [J].
Banerjee, Dev ;
Yee, Brendon J. ;
Piper, Amanda J. ;
Zwillich, Clifford W. ;
Granstein, Ronald R. .
CHEST, 2007, 131 (06) :1678-1684
[9]   THE RELATIONSHIP BETWEEN PLEURAL FLUID FINDINGS AND THE DEVELOPMENT OF PLEURAL THICKENING IN PATIENTS WITH PLEURAL TUBERCULOSIS [J].
BARBAS, CSV ;
CUKIER, A ;
DEVARVALHO, CRR ;
BARBAS, JV ;
LIGHT, RW .
CHEST, 1991, 100 (05) :1264-1267
[10]   INSPIRATORY MUSCLE DYSFUNCTION AND CHRONIC HYPERCAPNIA IN CHRONIC OBSTRUCTIVE PULMONARY-DISEASE [J].
BEGIN, P ;
GRASSINO, A .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 143 (05) :905-912