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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.
Table of Contents 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, Galina Dimitrova and Joseph G. Werner 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