<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_jccm-2023-0002_s_006"><h3>Introduction</h3>
<p>The ramping position is recommended to facilitate pre-oxygenation and mask ventilation of obese patients in anaesthetics via improving the airway alignment.</p>
</sec>
<sec id="j_jccm-2023-0002_s_007"><h3>Presentation of case series</h3>
<p>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.</p></sec>
<sec id="j_jccm-2023-0002_s_008"><h3>Conclusion</h3>
<p>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.</p></sec>
</abstract>

Introduction
The ramping position is recommended to facilitate pre-oxygenation and mask ventilation of obese patients in anaesthetics via improving the airway alignment.

Presentation of case series
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.
Conclusion
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.

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

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution 4.0 International License.

Introduction
The ramping position is recommended to facilitate pre-oxygenation and mask ventilation of obese patients in anaesthetics via improving the airway...

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

Article Category: Case Report

Published Online: Feb 08, 2023

Page range: 43 - 48

Received: Apr 23, 2022

Accepted: Dec 06, 2022

DOI: https://doi.org/10.2478/jccm-2023-0002

Keywords
ramping, obese, non-invasive ventilation

© 2023 Mohamed Shirazy, Christopher Gowers, Padraig Headley, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

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

Article Category: Case Report

Published Online: Feb 08, 2023

Page range: 43 - 48

Received: Apr 23, 2022

Accepted: Dec 06, 2022

DOI: https://doi.org/10.2478/jccm-2023-0002

Keywordsramping, obese, non-invasive ventilation

© 2023 Mohamed Shirazy, Christopher Gowers, Padraig Headley, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
ramping, obese, non-invasive ventilation