Ramping Position to Aid Non-invasive Ventilation (NIV) in Obese Patients in the ICU
Article Category: Case Report
Publicado en línea: 08 feb 2023
Páginas: 43 - 48
Recibido: 23 abr 2022
Aceptado: 06 dic 2022
DOI: https://doi.org/10.2478/jccm-2023-0002
Palabras clave
© 2023 Mohamed Shirazy, Christopher Gowers, Padraig Headley, published by Sciendo
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 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.