Somnolence with Cyanosis Cured by Massage

Morison, Alexander

doi:10.1002/j.1550-8528.1994.tb00082.x

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the society was unable to provide any useful insights, the president of the society made reference to the similarity between Caton's patient and the character Joe, in Dickens' book "The Posthumous Papers of the Pickwick Club" [23]. Another early report described a sleepy card player whose extreme daytime somnolence improved after weight loss [17]. The first use of the term "Pickwickian syndrome" was in the widely cited early report of OHS by Burwell et al [18].…”

Section: Historical Descriptions Of Ohsmentioning

confidence: 99%

Defining obesity hypoventilation syndrome

Shah

Shrimanker

Kaltsakas

2021

Breathe

View full text Add to dashboard Cite

With increasing prevalence of obesity, the substantial contribution of obesity hypoventilation syndrome (OHS) to morbidity and mortality is likely to increase. It is therefore crucial that the condition has a clear definition to allow timely identification of patients. OHS was first described as “Pickwickian syndrome” in the 1950s; in subsequent decades, case reports did not clearly delineate between patients suffering from OHS and those suffering from obstructive sleep apnoea. In 1999, the American Academy of Sleep Medicine published a guideline that delineated the cause of daytime hypercapnia as either predominantly upper airway or predominantly hypoventilation. This was the first formal definition of OHS as the presence of daytime alveolar hypoventilation (arterial carbon dioxide tension >45 mmHg) in patients with body mass index >30 kg·m−2 in the absence of other causes of hypoventilation. This definition is reflected in the most recent guidelines published on OHS. Recent developments in defining OHS include proposed classification systems of severity and demonstrating the value of using serum bicarbonate to exclude OHS in patients with a low index of suspicion.Educational aimsTo provide an overview of the historical basis of the definition of obesity hypoventilation syndrome.To explain the rationale for the current definition of obesity hypoventilation syndrome.To demonstrate areas that need further investigation in defining obesity hypoventilation syndrome.

show abstract

Section: Historical Descriptions Of Ohsmentioning

confidence: 99%

Defining obesity hypoventilation syndrome

Shah

Shrimanker

Kaltsakas

2021

Breathe

View full text Add to dashboard Cite

show abstract

“…The first is a case by Russell (31) published in 1866 and is the earliest description that I have identified in English of a "Pickwickian-like Syndrome," describing the association between obesity and daytime somnolence. The second (3) and the third (28) cases of the same syndrome were published in 1889, more than 20 years later, and contain the first reference to the fat boy in the Pickwick Papers. The fourth paper is by Burwell and colleagues (8), and is the one which firmly implanted the term "the Pickwickian Syndrome" in the medical literature.…”

mentioning

confidence: 99%