Pickwickian Syndrome

Overview

4.3 out of 5 (9 Reviews)

Credits

1.50

Post Assessment Questions

7

Start Date

1 Jan 2021

Last Review Date

3 Feb 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

90 Minutes


 
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Activity Description

Obesity hypoventilation syndrome (also named Pickwickian syndrome) is defined as the presence of awake alveolar hypoventilation characterized by daytime hypercapnia (arterial PaCO2 greater than 45 mmHg [5.9 kPa]) that is thought to be a consequence of diminished ventilatory drive and capacity related to obesity (BMI over 30 kg/m2) in the absence of an alternate respiratory, neuromuscular, or metabolic explanation for hypoventilation. The management of obesity hypoventilation syndrome (OHS) is challenging and complex, and the clinical presentation of the disease should be diagnosed early to achieve optimal outcomes. OHS has significant overlap with obstructive sleep apnea, but there are also differences in underlying pathology, which differentiates the two conditions. This activity reviews the epidemiology, etiology, pathogenesis, clinical features, management, and prognosis. This activity highlights the role of the interprofessional team in caring for patients with this condition.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Recognize clinical indicators and symptoms of obesity hypoventilation syndrome (OHS) during patient assessments, considering factors such as daytime hypercapnia during full wakefulness and obesity (BMI over 30 kg/m²).

  • Systematically screen high-risk individuals, especially those with obesity, for potential obesity hypoventilation syndrome through targeted assessments, including sleep studies and arterial blood gas analysis.

  • Initiate evidence-based interventions and management strategies for OHS, incorporating lifestyle modifications, weight loss initiatives, and, when necessary, positive airway pressure (PAP) therapy.

  • Effectively communicate with patients, caregivers, and members of the interprofessional team, ensuring clear understanding of the diagnosis, treatment options, and the importance of long-term management.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.50 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

marion d. on 2/23/2021

Rana M. on 2/28/2021

Ravi J. on 12/17/2022

Mace S. on 1/29/2023

Ravi J. on 6/26/2023

kim t. on 7/27/2023

Noel J. on 8/23/2023

Peter C. on 12/23/2023

NISHA N. on 1/1/2024

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