Tratamiento del síndrome de hipoventilación por obesidad: propuesta de algoritmo terapéutico

Abstract

Introduction: Obesity hypoventilation syndrome is a clinical pathology in which the interaction between excess body weight and respiratory capacity triggers important complications, raising fundamental questions about comprehensive health and the complex network of interconnected systems of the human body. Objective: to describe the treatment in its various forms of presentation of obesity hypoventilation syndrome and its main complications, through a descriptive bibliographic review, for the development of a proposed therapeutic algorithm. Methodology: a retrospective descriptive bibliographic review with a qualitative approach was carried out, with information from 17 articles published in high-impact journals in biomedical databases such as Medline, National Library of Medicine, Cochrane and Scopus, using search engines such as PubMed, Elsevier, Science Direct and Google Scholar, from January 2019 to December 2023. Results: The main forms of presentation of OHS depend on the clinical phenotype, with the classic presentation and those related to sleep-disordered breathing being those of clinical relevance to treat with general measures and use of positive airway pressure. Conclusions: OHS requires multidisciplinary management and an assertive and early diagnosis to avoid unfortunate complications for the patient.