Tag: nieinwazyjna wentylacja mechaniczna

Światowa epidemia otyłości dotarła do Polski. Otyłość może być powodem całkowitej, hiperkapnicznej niewydolności oddychania. Powikłanie to należy podejrzewać u osób chorobliwie otyłych, o BMI > 35. Rozpoznanie potwierdza się badaniem gazów krwi tętniczej wykazującym PaO2 < 60 mm Hg i PaCO2 > 45 mm Hg.

Non-invasive mechanical ventilation (NIV) is a modern method of chronic respiratory failure (CRF) treatment. With thedevelopment of medicine and society known as “western”, the number of elderly people, in whom there is overlapping ofchronic diseases such as COPD, is growing. In adult population NIV is used in the treatment of neuromuscular diseases suchas amyotrophic lateral sclerosis (ALS) or spinal muscular atrophy. The other main indications include restrictive diseasessuch as kyphoscoliosis, pulmonary diseases with COPD which is the primary indication, and various forms of central apneasyndrome with epidemiologically essential role of obesity hypoventilation syndrome (OHS). In each of those indications, andin different patients, the mode and ventilation intensity may significantly differ.