The world is experiencing an obesity epidemic. In both industrialized and emerging countries, the percentage of adults and children with obesity is increasing annually. It is no longer unusual to encounter a patient with extreme or morbid obesity in the operating room; these patients are routinely scheduled for every type of surgical procedure. Everyone involved in the peri-operative management of the surgical patient with morbid obesity – surgeons, anesthesiologists, internists, psychologists, nurses, nutritionists, respiratory therapists – must be aware of the special needs of these patients. Morbid Obesity: Peri-operative Management, second edition, considers the perioperative care of the morbidly obese patient, from preoperative preparation to intraoperative management and through to their postoperative course. Edited by leading experts in the management of the morbidly obese surgical patient, Morbid Obesity: Peri-operative Management, second edition, provides clear, practical clinical guidance on the management of the extremely obese surgical patient.
• Comprehensive discussion of perioperative management from both an anaesthetic and surgical perspective - relevant to anesthesiologists, surgeons and intensivists, internists, nurses, nutritionists and respiratory therapists • Overview of pathophysiology associated with morbid obesity enables a focused preoperative assessment • Up to date state-of-the-art care of the morbidly obese patient undergoing surgery
Preface; 1. Cardiovascular physiology Donald P. Bernstein; 2. Pulmonary physiology and sleep disordered breathing Roman Schumann and Stephanie B. Jones; 3. Digestive and metabolic physiology of obesity Patrick J. Neligan; 4. Pathophysiology of the pneumoperitoneum Brian R. Smith and Ninh T. Nguyen; 5. Choice of bariatric operation Deborah Abeles, Brandon Tari and Scott A. Shikora; 6. Informed consent S. E. Raper; 7. Pre-operative surgical management Basil M. Yurcisin; 8. Preoperative management: nutritionist/psychologist/internist Maria L. Collazo-Clavell, Helen Karakelides and Eric J. DeMaria; 9. Positioning Jay B. Brodsky; 10. Monitoring the morbidly obese patient Donald P. Bernstein; 11. Effects of obesity on anesthetic agents Jerry Ingrande; 12. Airway management Jeremy Collins; 13. Ventilation strategies during anesthesia Juraj Sprung, Toby N. Weingarten and David O. Warner; 14. Regional anesthesia and obesity Pedro P. Tanaka and Jay B. Brodsky; 15. Postoperative analgesia Adrian Alvarez; 16. Post anesthesia care unit (PACU): management of anesthetic and surgical complications Stephanie B. Jones, Roman Schumann and Daniel B. Jones; 17. Intensive care management of the critically ill obese patient Jenny Choi and Alfons Pomp; 18 Postoperative rhabdomyolysis João Ettinger, Paulo Batista and Euler Ázaro; 19. Nursing considerations Tracy Martinez; 20. Long-term complications following surgery Masha Livhits, Amy Lightner and Melinda Maggard; 21. Anesthetic considerations for the post-bariatric surgery patient David Zvara, Ronald Harter and Galina Dimirova; 22. Bariatric outcomes Gavitt A. Woodard and John M. Morton; 23. Organizing a bariatric team Fawzi S. Khayat and Matthew M. Hutter; 24. Bariatric surgery in adolescents Venita Chandra and Sanjeev Dut; 25. Management of the obese parturient Yigal Leykin; Index.