Pulmonary system and obesity

Critical Care Clinics

Volumn 26, Issue 4, 2010, Pages 597-602

  Ashburn, Doyle D ^a   DeAntonio, Angela ^b   Reed, Mary Jane ^a  

^a GEISINGER MEDICAL CENTER   (United States)

^b GEISINGER HEALTH SYSTEM   (United States)

Author keywords

ARDS; Lung mechanics; Mechanical ventilation; Obesity; Pulmonary; Respiratory failure

Indexed keywords

ACUTE LUNG INJURY; AIR CONDITIONING; ARTIFICIAL VENTILATION; BOOK; BREATHING MUSCLE; EXPIRATORY RESERVE VOLUME; FUNCTIONAL RESIDUAL CAPACITY; HUMAN; INTENSIVE CARE UNIT; LUNG COMPLIANCE; LUNG MECHANICS; LUNG PERFUSION; LUNG RESISTANCE; LUNG VOLUME; OBESITY; PATIENT POSITIONING; PRIORITY JOURNAL; RESIDUAL VOLUME; RESPIRATORY DISTRESS; RESPIRATORY FAILURE; RESPIRATORY SYSTEM; TOTAL LUNG CAPACITY; VITAL CAPACITY;

EID: 77958091271     PISSN: 07490704     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ccc.2010.06.008     Document Type: Review

References (41)

1. Parameswaran K., Todd D.C., Soth M. Altered respiratory physiology in obesity. Can Respir J 2006, 13(4):203-210.
2. Akinnusi M.E., Pineda L.A., El Solh A.A. Effect of obesity on intensive care morbidity and mortality: a meta-analysis. Crit Care Med 2008, 36(1):151-158.
3. Oliveros H., Villamor E. Obesity and mortality in critically ill adults: a systematic review and meta-analysis. Obesity (Silver Spring) 2008, 16(3):515-521.
4. Jones R.L., Nzekwu M.M. The effects of body mass index on lung volumes. Chest 2006, 130(3):827-833.
5. Pelosi P., Croci M., Ravagnan I., et al. The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg 1998, 87(3):654-660.
6. Koenig S.M. Pulmonary complications of obesity. Am J Med Sci 2001, 321(4):249-279.
7. Malhotra A., Hillman D. Obesity and the lung: 3. Obesity, respiration and intensive care. Thorax 2008, 63(10):925-931.
8. Benedik P.S., Baun M.M., Keus L., et al. Effects of body position on resting lung volume in overweight and mildly to moderately obese subjects. Respir Care 2009, 54(3):334-339.
9. Hedenstierna G., McCarthy G., Bergstrom M. Airway closure during mechanical ventilation. Anesthesiology 1976, 44(2):114-123.
10. Sharp J.T., Henry J.P., Sweany S.K., et al. The total work of breathing in normal and obese men. J Clin Invest 1964, 43:728-739.
11. Naimark A., Cherniack R.M. Compliance of the respiratory system and its components in health and obesity. J Appl Physiol 1960, 15:377-382.
12. Behazin N., Jones S.B., Cohen R.I., et al. Respiratory restriction and elevated pleural and esophageal pressures in morbid obesity. J Appl Physiol 2010, 108(1):212-218.
13. Hedenstierna G., Santesson J. Breathing mechanics, dead space and gas exchange in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation. Acta Anaesthesiol Scand 1976, 20(3):248-254.
14. Suratt P.M., Wilhoit S.C., Hsiao H.S., et al. Compliance of chest wall in obese subjects. J Appl Physiol 1984, 57(2):403-407.
15. Shelton K.E., Woodson H., Gay S., et al. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis 1993, 148(2):462-466.
16. Bradley T.D., Brown I.G., Grossman R.F., et al. Pharyngeal size in snorers, nonsnorers, and patients with obstructive sleep apnea. N Engl J Med 1986, 315(21):1327-1331.
17. Rubinstein I., Zamel N., DuBarry L., et al. Airflow limitation in morbidly obese, nonsmoking men. Ann Intern Med 1990, 112(11):828-832.
18. Salome C.M., King G.G., Berend N. Physiology of obesity and effects on lung function. J Appl Physiol 2010, 108(1):206-211.
19. Holley H.S., Milic-Emili J., Becklake M.R., et al. Regional distribution of pulmonary ventilation and perfusion in obesity. J Clin Invest 1967, 46(4):475-481.
20. Demedts M. Regional distribution of lung volumes and of gas inspired at residual volume: influence of age, body weight and posture. Bull Eur Physiopathol Respir 1980, 16(3):271-285.
21. Yamane T., Date T., Tokuda M., et al. Hypoxemia in inferior pulmonary veins in supine position is dependent on obesity. Am J Respir Crit Care Med 2008, 178(3):295-299.
22. Ray C.S., Sue D.Y., Bray G., et al. Effects of obesity on respiratory function. Am Rev Respir Dis 1983, 128(3):501-506.
23. Kress J.P., Pohlman A.S., Alverdy J., et al. The impact of morbid obesity on oxygen cost of breathing (VO(2RESP)) at rest. Am J Respir Crit Care Med 1999, 160(3):883-886.
24. Bernard G.R., Artigas A., Brigham K.L., et al. Report of the American-European Consensus conference on acute respiratory distress syndrome: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Consensus Committee. J Crit Care 1994, 9(1):72-81.
25. Malhotra A. Low-tidal-volume ventilation in the acute respiratory distress syndrome. N Engl J Med 2007, 357(11):1113-1120.
26. Dreyfuss D., Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998, 157(1):294-323.
27. Hess D.R., Bigatello L.M. The chest wall in acute lung injury/acute respiratory distress syndrome. Curr Opin Crit Care 2008, 14(1):94-102.
28. The Acute Respiratory Distress Syndrome Network Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000, 342:1301-1308.
29. Webb H.H., Tierney D.F. Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 1974, 110(5):556-565.
30. Pelosi P., Ravagnan I., Giurati G., et al. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999, 91(5):1221-1231.
31. Reinius H., Jonsson L., Gustafsson S., et al. Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anesthesiology 2009, 111(5):979-987.
32. Talab H.F., Zabani I.A., Abdelrahman H.S., et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 2009, 109(5):1511-1516.
33. Valenza F., Vagginelli F., Tiby A., et al. Effects of the beach chair position, positive end-expiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. Anesthesiology 2007, 107(5):725-732.
34. Erlandsson K., Odenstedt H., Lundin S., et al. Positive end-expiratory pressure optimization using electric impedance tomography in morbidly obese patients during laparoscopic gastric bypass surgery. Acta Anaesthesiol Scand 2006, 50(7):833-839.
35. Gernoth C., Wagner G., Pelosi P., et al. Respiratory and haemodynamic changes during decremental open lung positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care 2009, 13(2):R59.
36. Meade M.O., Cook D.J., Guyatt G.H., et al. 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. JAMA 2008, 299(6):637-645.
37. Burns S.M., Egloff M.B., Ryan B., et al. Effect of body position on spontaneous respiratory rate and tidal volume in patients with obesity, abdominal distension and ascites. Am J Crit Care 1994, 3(2):102-106.
38. Boyce J.R., Ness T., Castroman P., et al. A preliminary study of the optimal anesthesia positioning for the morbidly obese patient. Obes Surg 2003, 13(1):4-9.
39. Hogue C.W., Stearns J.D., Colantuoni E., et al. The impact of obesity on outcomes after critical illness: a meta-analysis. Intensive Care Med 2009, 35(7):1152-1170.
40. O'Brien J.M., Phillips G.S., Ali N.A., et al. Body mass index is independently associated with hospital mortality in mechanically ventilated adults with acute lung injury. Crit Care Med 2006, 34(3):738-744.
41. Morris A.E., Stapleton R.D., Rubenfeld G.D., et al. The association between body mass index and clinical outcomes in acute lung injury. Chest 2007, 131(2):342-348.