[Therapeutical approach in severe exacerbation of COPD associating obstructive sleep apnoea and obesity].
COPD exacerbations with respiratory acidosis are difficult to manage, especially when OSA and obesity are associated. The solution is the use of noninvasive ventilation associated with oxygenotherapy in order to correct the hypercapnia, hypoxemia and respiratory acidosis and to prevent the invasive mechanical ventilation. Early respiratory rehabilitation and the use of a domiciliary ventilatory support after the acute episode could be a part of the management for these patients. We present a modality of therapeutical approach through a clinical case.
Institutul de Pneumologie Marius Nasta, Bucureşti. srujinski@yahoo.com
Stefan
S
Dumitrache-Rujinski
Alina
A
Croitoru
Miron Alexandru
MA
Bogdan
D000368:Aged; D015992:Body Mass Index; D005081:Exercise Therapy; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D010102:Oxygen Inhalation Therapy; D026741:Physical Therapy Modalities; D011175:Positive-Pressure Respiration; D011613:Psychotherapy; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D011788:Quality of Life; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D012907:Smoking / Q000009:adverse effects; D016896:Treatment Outcome