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 Jo o 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