Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome

The mortality rate for respiratory failure resulting from obesity hypoventilation syndrome is high if it requires ventilator management. We describe a case of severe acute respiratory failure resulting from obesity hypoventilation syndrome (BMI, 60.2 kg/m2) successfully treated with venovenous extra...

Full description

Saved in:
Bibliographic Details
Main Authors: Nao Umei, Shingo Ichiba
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2017/9437452
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832566895539126272
author Nao Umei
Shingo Ichiba
author_facet Nao Umei
Shingo Ichiba
author_sort Nao Umei
collection DOAJ
description The mortality rate for respiratory failure resulting from obesity hypoventilation syndrome is high if it requires ventilator management. We describe a case of severe acute respiratory failure resulting from obesity hypoventilation syndrome (BMI, 60.2 kg/m2) successfully treated with venovenous extracorporeal membrane oxygenation (VV-ECMO). During ECMO management, a mucus plug was removed by bronchoscopy daily and 18 L of water was removed using diuretics, resulting in weight loss of 24 kg. The patient was weaned from ECMO on day 5, extubated on day 16, and discharged on day 21. The fundamental treatment for obesity hypoventilation syndrome in morbidly obese patients is weight loss. VV-ECMO can be used for respiratory support until weight loss has been achieved.
format Article
id doaj-art-5acbe2a93a514ec6a978b5099a88538c
institution Kabale University
issn 2090-6420
2090-6439
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Critical Care
spelling doaj-art-5acbe2a93a514ec6a978b5099a88538c2025-02-03T01:02:52ZengWileyCase Reports in Critical Care2090-64202090-64392017-01-01201710.1155/2017/94374529437452Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation SyndromeNao Umei0Shingo Ichiba1Department of Surgical Intensive Care Medicine, Nippon Medical School Hospital, Tokyo, JapanDepartment of Surgical Intensive Care Medicine, Nippon Medical School Hospital, Tokyo, JapanThe mortality rate for respiratory failure resulting from obesity hypoventilation syndrome is high if it requires ventilator management. We describe a case of severe acute respiratory failure resulting from obesity hypoventilation syndrome (BMI, 60.2 kg/m2) successfully treated with venovenous extracorporeal membrane oxygenation (VV-ECMO). During ECMO management, a mucus plug was removed by bronchoscopy daily and 18 L of water was removed using diuretics, resulting in weight loss of 24 kg. The patient was weaned from ECMO on day 5, extubated on day 16, and discharged on day 21. The fundamental treatment for obesity hypoventilation syndrome in morbidly obese patients is weight loss. VV-ECMO can be used for respiratory support until weight loss has been achieved.http://dx.doi.org/10.1155/2017/9437452
spellingShingle Nao Umei
Shingo Ichiba
Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
Case Reports in Critical Care
title Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
title_full Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
title_fullStr Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
title_full_unstemmed Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
title_short Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome
title_sort venovenous extracorporeal membrane oxygenation as a treatment for obesity hypoventilation syndrome
url http://dx.doi.org/10.1155/2017/9437452
work_keys_str_mv AT naoumei venovenousextracorporealmembraneoxygenationasatreatmentforobesityhypoventilationsyndrome
AT shingoichiba venovenousextracorporealmembraneoxygenationasatreatmentforobesityhypoventilationsyndrome