The obese patient and acute respiratory failure, a challenge for intensive care.

[The obese patient and acute respiratory failure, a challenge for intensive care]. Rev Mal Respir. 2019 Sep 11;: Authors: Lemyze M, Granier M Abstract As a result of the constantly increasing epidemic of obesity, it has become a common problem in the intensive care unit. Morbid obesity has numerous consequences for the respiratory system. It affects both respiratory mechanics and pulmonary gas exchange, and dramatically impacts on the patient's management and outcome. With the potential for causing devastating respiratory complications, the particular anatomical and physiological characteristics of the respiratory system of the morbidly obese subject should be carefully taken into consideration. The present article reviews the management of obese patients in respiratory failure, from noninvasive ventilation to tracheostomy, including postural and technical issues, and explains the physiologically based ventilatory strategy both for NIV and invasive mechanical ventilation up to the weaning from the ventilatory support. PMID: 31521432 [PubMed - as supplied by publisher]
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research

Related Links:

AbstractObesity is a worldwide epidemic with rates nearly doubling over the last 30 years. Despite increasing prevalence, the multifactorial pathogenesis of obesity continues to be widely misunderstood. Investigating genetic drivers in the development of obesity is an important area of focus, as genetics move to the forefront of medicine and personalized treatment evolves. Thus, this narrative review focused on four genes which have genome-wide association study –documented links to obesity and obesity syndromes. We explored their involvement in the predisposition, progression, and prognosis of obesity. Leptin, lepti...
Source: Obesity Surgery - Category: Surgery Source Type: research
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research
In this study, we focus on the early stage of a high-fat diet mouse model: a short-term 3-week treatment. Our results showed that this short-term 3-week HFD can already induce significant body weight gain, increased adipocyte size and surprisingly, anxiety-like behavior of the animals. Then we tried the early intervention with metformin, already reported for its effects in long-term HFD induced obesity. For a short-term 3-week co-treatment, metformin alleviated the HFD-induced increase in body weight, the increase in adipocyte size and furthermore, the anxiety-like behavior. Differences were noted among the normal diet (ND...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Authors: Achmat G, Leach L, Onagbiye SO Abstract BACKGROUND: Cardiometabolic disease (CMD) risk factors have reached epidemic proportions, with many people at risk of premature disability and death. There is insufficient data regarding the prevalence of CMD risk factors among firefighters in the Western Cape Province of South Africa. The purpose of this study was to examine the prevalence of CMD risk factors among South African firefighters in the Western Cape Province. Additional outcomes were to determine the relationship between BMI and CMD risk factors among firefighters. METHODS: A total of 219 healthy mal...
Source: Journal of Sports Medicine and Physical Fitness - Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
We describe the various mass spectrometry-based approaches and highlight the challenges inherent in biomarker discovery studies. We suggest novel strategies for endometrial cancer detection exploiting biologically important protein biomarkers and set the scene for future directions in endometrial cancer biomarker research.
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Review Source Type: research
Screening guidelines for endometrial hyperplasia/malignancy are based on a patient population predating the current obesity epidemic. With the rise in obesity and related malignancies, the objective of this study is to evaluate various risk factors for endometrial hyperplasia/malignancy in premenopausal women with AUB or oligomenorrhea. Specifically the study aims to elucidate whether obesity or age confers higher risk of disease in the premenopausal population.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 9: Basic Science/Research/Education (3:05 PM – 4:05 PM) 3:47 PM Source Type: research
ConclusionMLL remains to be underdiagnosed. Due to the obesity epidemic, clinicians must be aware of this once rare disease. The role of concurrent bariatric surgery with surgical resection of MLL warrants further studies.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
By DEBORAH A. COHEN Physical inactivity is a mounting challenge for America. In reviewing the 2013-2015 American time use survey, we found that most Americans report spending their daily leisure time watching screens, and devote only a small fraction of leisure time—24 minutes for men and 14 minutes for women—to physical activity. A recent longitudinal examination of the National Health and Nutrition Examination Survey showed that sitting time increased by an hour a day between 2007 and 2016, with the largest increases among adolescents ages 12-19 and adults, 20 years and older. As m...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Patients Amazon Deborah Cohen health and wellness hulu Netflix physical activity Rand Source Type: blogs
Resumo Contexto A obesidade é uma epidemia global, inclusive entre as crianças. Diante desse perfil, torna-se necessário identificar precocemente alterações cardiovasculares presentes em crianças com sobrepeso/obesidade. A ultrassonografia no modo B das carótidas comuns avalia, com precisão e em tempo real, as alteraç ões precoces na medição da espessura do complexo médio-intimal (CMI), podendo detectar o início do processo de aterosclerose. Objetivos O presente estudo comparou a espessura do CMI entre crianças escolare...
Source: Jornal Vascular Brasileiro - Category: Surgery Source Type: research
THURSDAY, Oct. 10, 2019 -- America's child obesity epidemic shows no signs of shrinking. About 4.8 million American kids aged 10 to 17 -- just over 15% -- were obese in 2017-2018, according to a new report. " These new data show that this challenge...
Source: Drugs.com - Daily MedNews - Category: General Medicine Source Type: news
More News: Eating Disorders & Weight Management | Epidemics | Epidemiology | Intensive Care | Obesity | Respiratory Medicine | Tracheostomy