Ramping Position to Aid Non-invasive Ventilation (NIV) in Obese Patients in the ICU

The ramping position is recommended to facilitate pre-oxygenation and mask ventilation of obese patients in anaesthetics via improving the airway alignment.Two cases of obese patients admitted to the intensive care unit (ICU) with type 2 respiratory failure. Both cases showed obstructive breathing p...

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Bibliographic Details
Published in:Journal of critical care medicine (Universitatea de Medicină și Farmacie din Târgu-Mureș) 2023-02, Vol.9 (1), p.43-48
Main Authors: Shirazy, Mohamed, Gowers, Christopher, Headley, Padraig
Format: Article
Language:English
Subjects:
Acidosis
Antibiotics
Blood gas analysis
Body mass index
Case Report
Chronic obstructive pulmonary disease
Dietitians
Hemoglobin
Leukocytes
Lungs
non-invasive ventilation
obese
Obesity
Patients
ramping
Respiratory failure
Ventilators
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Summary:The ramping position is recommended to facilitate pre-oxygenation and mask ventilation of obese patients in anaesthetics via improving the airway alignment.Two cases of obese patients admitted to the intensive care unit (ICU) with type 2 respiratory failure. Both cases showed obstructive breathing patterns on non-invasive ventilation (NIV) and failed resolution of hypercapnia. Ramping position alleviated the obstructive breathing pattern and hypercapnia was subsequently resolved.There are no available studies on the rule of the ramping position in aiding NIV in obese patients in the ICU. Accordingly, this case series is significantly important in highlighting the possible benefits of the ramping position for obese patients in settings other than anaesthesia.
ISSN:2393-1817
2393-1809
2393-1817
DOI:10.2478/jccm-2023-0002