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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Obesity hypoventilation syndrome with Obstructive sleep apnoea From Pickwick papers to medical capers

Nikhil Sarangdhar

Asst. Professor, Deptt. TB & Chest diseases, K. J . Somaija Medical College, Mumbai

 

Corresponding author:

Dr. Nikhil Sarangdhar

Associate Professor Department of TB & Chest KJ Somalya Medical College Jlon, Mumbai-400022.

Year: 2016, Volume: 6, Issue: 3, Page no. 95-100,
Views: 566, Downloads: 2
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

The term “Obesity hypoventilation syndrome (OHS)" is used to describe the development of chronic alveolar hypoventilation during sleep as well as awake states due to impaired ventilatory drive from morbid obesity. This syndrome is associated with significant moitidity and mortality. Although non-invasive ventilation Improves sleep-disordered breathing and gas exchange, its efficacy is limited by subjective patient tolerance and persistence of daytime hypercapnoea in a subset of patients. This case report describes the author's experience in diagnosis and management of a such a case of OHS with Obstructive sleep apnoea (OSA) In resource limited settings and also emphasizes the importance of early detection and management In patients of OHS, considering the substantial morbidity associated with this disorder. 

<p>The term &ldquo;Obesity hypoventilation syndrome (OHS)" is used to describe the development of chronic alveolar hypoventilation during sleep as well as awake states due to impaired ventilatory drive from morbid obesity. This syndrome is associated with significant moitidity and mortality. Although non-invasive ventilation Improves sleep-disordered breathing and gas exchange, its efficacy is limited by subjective patient tolerance and persistence of daytime hypercapnoea in a subset of patients. This case report describes the author's experience in diagnosis and management of a such a case of OHS with Obstructive sleep apnoea (OSA) In resource limited settings and also emphasizes the importance of early detection and management In patients of OHS, considering the substantial morbidity associated with this disorder.&nbsp;</p>
Keywords
Obesity hypoventilation, sleep apnoea, BIPAP, CPAP
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