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Obesity and the lung: 3 · Obesity, respiration and intensive care
1 Pulmonary and Critical Care and Sleep Medicine Divisions, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
2 West Australian Sleep Disorders Research Institute, Department of Pulmonary Physiology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
Correspondence to:
Dr A Malhotra, Pulmonary and Critical Care and Sleep Medicine Divisions, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA; amalhotra1{at}partners.org
Obesity is a major problem from a public health perspective and a difficult practical matter for intensivists. The obesity pandemic has required treating clinicians to develop an appreciation of the substantial pathophysiological effects of obesity on the various organ systems. The important physiological concepts are illustrated by focusing on obstructive sleep apnoea, obesity hypoventilation syndrome, abdominal compartment syndrome and ventilatory management of the obese patient with acute respiratory distress syndrome.
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