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Vol 77, No 5 (2009)
CASE REPORTS
Published online: 2009-08-12
Submitted: 2013-02-22
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Resolvement of respiratory failure and polycythemia after CPAP treatment in a middle-aged male with severe obstructive sleep apnea

Robert Pływaczewski, Damian Korzybski, Barbara Kazanecka, Luiza Jonczak, Dorota Górecka, Paweł Śliwiński
Pneumonol Alergol Pol 2009;77(5):479-483.

open access

Vol 77, No 5 (2009)
CASE REPORTS
Published online: 2009-08-12
Submitted: 2013-02-22

Abstract

We present the case of a 52 year-old obese (BMI = 46.2 kg/m2) man with severe obstructive sleep apnea (RDI of 60). Before CPAP treatment was applied, the patient was diagnosed with complete respiratory failure and polycythemia. During effective autoCPAP treatment (after 10 days AHI was 5.5 at 10 mbar pressure) we observed normalization of arterial blood gases (PaCO2 of borderline value). After one month’s treatment with autoCPAP at home, we found normalization of blood morphology parameters and PaCO2 had returned to normal, and the patient was properly oxygenated. The patient lost 22 kg during therapy (9 kg in hospital, and 13 kg at home) which resulted in the spirometric measurements returning to their normal value.

Abstract

We present the case of a 52 year-old obese (BMI = 46.2 kg/m2) man with severe obstructive sleep apnea (RDI of 60). Before CPAP treatment was applied, the patient was diagnosed with complete respiratory failure and polycythemia. During effective autoCPAP treatment (after 10 days AHI was 5.5 at 10 mbar pressure) we observed normalization of arterial blood gases (PaCO2 of borderline value). After one month’s treatment with autoCPAP at home, we found normalization of blood morphology parameters and PaCO2 had returned to normal, and the patient was properly oxygenated. The patient lost 22 kg during therapy (9 kg in hospital, and 13 kg at home) which resulted in the spirometric measurements returning to their normal value.

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Keywords

obstructive sleep apnea; respiratory failure; polycythemia; CPAP

About this article
Title

Resolvement of respiratory failure and polycythemia after CPAP treatment in a middle-aged male with severe obstructive sleep apnea

Journal

Advances in Respiratory Medicine

Issue

Vol 77, No 5 (2009)

Pages

479-483

Published online

2009-08-12

Bibliographic record

Pneumonol Alergol Pol 2009;77(5):479-483.

Keywords

obstructive sleep apnea
respiratory failure
polycythemia
CPAP

Authors

Robert Pływaczewski
Damian Korzybski
Barbara Kazanecka
Luiza Jonczak
Dorota Górecka
Paweł Śliwiński

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