A difficult case of obstructive sleep apnea with obesity hypoventilation syndrome

JOURNAL TITLE: Indian Journal of Sleep Medicine

Author
1. D. Bhattacharya
2. S. Chakrabarti
ISSN
0973-340X
DOI
10.5005/ijsm-1-1-58
Volume
1
Issue
1
Publishing Year
2006
Pages
7
Author Affiliations
    1. Department of Pulmonary, Critical Care & Sleep Medicine, Vardhaman Mahavir Medical College & Safdarjang Hospital, New Delhi
    1. Department of Pulmonary, Critical Care & Sleep Medicine, Vardhaman Mahavir Medical College & Safdarjang Hospital, New Delhi
  • Article keywords

    Abstract

    A middle aged morbidly obese lady with symptoms of obstructive sleep apnea and obesity hypoventilation syndrome was admitted to our hospital emergency in circulatory and Type II respiratory failure. She was resuscitated and put on invasive mechanical ventilation. After extubation she was put on non invasive bilevel positive airway pressure ventilation. Despite two weeks on ventilatory support the patients blood gas did not show significant improvement. The patient was given a trial of oral medroxyprogesterone and aectazolomide with continuation of BiPAP support. By two weeks the patient could be discharged on nocturnal non invasive BiPAP ventilation

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved