Obesity Hypoventilation Syndrome
Conditions
Brief summary
The purpose of this study is to investigate the evolution of daytime partial pressure of carbon dioxide in the blood (PaCO2) after 6 weeks of noninvasive ventilation-pressure support ventilation (NIV-PSV) with target volume versus continuous positive airway pressure (CPAP) alone versus NIV-PSV.
Detailed description
Compare the efficacy between 3 ventilation modes (CPAP, PSV and PSV with Target Volume) on patients with obesity hypoventilation syndrome already treated with CPAP but with persistent desaturations.
Interventions
The Vivo 40 will be used either in CPAP mode, PSV mode without Target Volume or PSV mode with Target Volume
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients from 20 to 75 years old. * Body mass index \> 32 kg/m2 * Nocturnal oxygen desaturation 5 mn ≤ 88% under CPAP, * PaCO2 \> 5,9 kPa in diurnal, spontaneous ventilation
Exclusion criteria
* Patients with COPD and VEMS/FVC \< 65% * Patients with CHF and periodic breathing (Ejection Fraction \<40%) * Patients with a recent respiratory decompensation in the month preceding inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of daytime PaCO2 of NIV without target volume, with Target volume and with CPAP alone | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Evolution of subjective and objective sleepness (Osler) | 6 weeks |
| Cardiovascular parameters on Arterial strength (pulse velocity) and Endothelial function (Post ischemic test) | 6 weeks |
| Evolution of blood inflammation (IL6, TNFα et CRP) | 6 weeks |
| Evolution in dyspnea scores (BDI/TDI and Simon Score) | 6 weeks |
| Compliance (hours of treatment) | 6 weeks |
| Evolution of quality of ventilation (Leaks, asynchronism, others events) | 6 weeks |
| Sleep quality (PSG) between the 3 groups at 6 weeks | 6 weeks |
| Evolution of insulin résistance | 6 weeks |
Countries
France