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Volume 77
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10.5603/ARM.27780
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Case Report

Resolvement of Respiratory Failure and Polycythemia after CPAP Treatment in a Middle-Aged Male with Severe Obstructive Sleep Apnea

by
Robert Pływaczewski
1,*,
Damian Korzybski
2,
Barbara Kazanecka
2,
Luiza Jonczak
1,
Dorota Górecka
2 and
Paweł Śliwiński
1
1
Department of Respiratory Failure, National Tuberculosis and Lung Diseases Research Institute, Płocka 26, 01-138 Warsaw, Poland
2
II Department of Respiratory Medicine, National Tuberculosis and Lung Diseases Research Institute, Płocka 26, 01-138 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2009, 77(5), 479-483; https://doi.org/10.5603/ARM.27780
Submission received: 10 April 2009 / Revised: 12 August 2009 / Accepted: 12 August 2009 / Published: 12 August 2009

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.
Keywords: obstructive sleep apnea; respiratory failure; polycythemia; CPAP obstructive sleep apnea; respiratory failure; polycythemia; CPAP

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MDPI and ACS Style

Pływaczewski, R.; Korzybski, D.; Kazanecka, B.; Jonczak, L.; Górecka, D.; Śliwiński, P. Resolvement of Respiratory Failure and Polycythemia after CPAP Treatment in a Middle-Aged Male with Severe Obstructive Sleep Apnea. Adv. Respir. Med. 2009, 77, 479-483. https://doi.org/10.5603/ARM.27780

AMA Style

Pływaczewski R, Korzybski D, Kazanecka B, Jonczak L, Górecka D, Śliwiński P. Resolvement of Respiratory Failure and Polycythemia after CPAP Treatment in a Middle-Aged Male with Severe Obstructive Sleep Apnea. Advances in Respiratory Medicine. 2009; 77(5):479-483. https://doi.org/10.5603/ARM.27780

Chicago/Turabian Style

Pływaczewski, Robert, Damian Korzybski, Barbara Kazanecka, Luiza Jonczak, Dorota Górecka, and Paweł Śliwiński. 2009. "Resolvement of Respiratory Failure and Polycythemia after CPAP Treatment in a Middle-Aged Male with Severe Obstructive Sleep Apnea" Advances in Respiratory Medicine 77, no. 5: 479-483. https://doi.org/10.5603/ARM.27780

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