Morbid Obesity: Peri-operative Management

by Edited by Adrian Alvarez , Jay B. Brodsky , Hendrikus J. M. Lemmens , John M. Morton

• ISBN13: 9780521518840
• ISBN10: 0521518849
• Edition: 2nd
• Format: Hardcover
• Copyright: 2010-04-30
• Publisher: Cambridge University Press

Summary

The world is experiencing an obesity epidemic; in both industrialized and emerging, countries the percent of adults and children with obesity is increasing annually.

Author Biography

Adrian Alvarez is Professor of Anesthesia and Staff Anesthesiologist at the Hospital Italiano, Buenos Aires, Argentina.
Jay B. Brodsky is Professor in the Department of Anesthesia at Stanford University School of Medicine and Medical Director of Perioperative Services at Stanford University Medical Center, Stanford, USA.
Hendrikus J.M. Lemmens is Professor in the Department of Anesthesia at Stanford University School of Medicine, Stanford, USA.
John M. Morton is Associate Professor of Surgery at Stanford University School of Medicine and Director of Bariatric Surgery and Surgical Quality at Stanford University Medical Center, Stanford, USA.

Table of Contents

List of contributors	p. vii
Preface to second edition	p. x
Preface to first edition	p. xi
List of abbreviations	p. xiii
Pathophysiology
Cardiovascular physiology	p. 1
Pulmonary physiology and sleep disordered breathing	p. 19
Digestive and metabolic physiology of obesity	p. 28
Pathophysiology of the pneumoperitoneum	p. 44
Preparation and pre-operative evaluation/management
Choice of bariatric operation	p. 53
Informed consent	p. 63
Pre-operative surgical management	p. 72
Pre-operative management: Nutritionist/psychologist/internist	p. 79
Intra-operative management
Positioning	p. 85
Monitoring the morbidly obese patient	p. 92
Effects of obesity on anesthetic agents	p. 100
Airway management	p. 111
Ventilatory strategies during anesthesia	p. 124
Regional anesthesia and obesity	p. 138
Post-operative conditions
Post-operative analgesia	p. 144
Post-anesthesia care unit: Management of anesthetic and surgical complications	p. 155
Intensive care management of the critically ill obese patient	p. 161
Post-operative rhabdomyolysis	p. 173
Nursing considerations	p. 182
Long-term complications following surgery	p. 188
Anesthetic considerations for the post-bariatric surgery patient	p. 198
Bariatric outcomes	p. 208
Special topics
Organizing a bariatric team	p. 216
Bariatric surgery in adolescents	p. 222
Management of the obese parturient	p. 233
Index	p. 240
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