Perioperative Anesthetic Care of the Obese Patient / Edition 1

by Vilma E. Ortiz, Jeanine Wiener-Kronish

Overview

The only available resource to provide cutting-edge, in-depth coverage of the links between obesity and anesthesia in surgery, the reader-friendly Handbook of Perioperative Anesthesia: Complications and Challenges of the Obese Patient guides the practicing anesthesiologist through each stage of surgery for the obese patient. This clinically relevant text thoroughly illustrates the unique challenges and complications the anesthesiologist faces when supervising and administering drug delivery during surgery. Practical and hands-on, this source also advises the anesthesiologist on how to avoid potential risks and ensure speedy patient recovery post-operation.

Easily referenced, this handbook clearly addresses treatment and management of the obese patient in the three chronological stages of surgery:

• Preoperative – includes information on systemic patient evaluation and surgery preparation, emphasizing related areas of concern in the obese patient (cardiac, pulmonary, endocrine, and others) to help the anesthesiologist foresee how a patient will fare during surgery



• Intraoperative – provides a thorough discussion of the latest in procedural technique, drug and fluid administration, patient monitoring, and airway management



• Postoperative – steps the anesthesiologist can take following'surgery to optimize patient results

In addition, this handbook explores special situations that anesthesiologists may encounter during surgery, including the needs of pregnant and pediatric patients, as well as patients with needs outside of the hospital setting.

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Product Details

ISBN-13:	9780367385101
Publisher:	Taylor & Francis
Publication date:	09/19/2019
Edition description:	Reprint
Pages:	240
Product dimensions:	6.00(w) x 9.00(h) x (d)

About the Author

Vilma E. Ortiz, Jeanine Wiener-Kronish

Table of Contents

Preface v

Contributors ix

Part 1 Preoperative

1 Cardiovascular Effects of Obesity Meredith A. Albrecht Ronald F. Albrecht II 1

2 Respiratory Concerns in the Obese Patient Matthias Eikermann 12

3 Renal Changes in Obesity William J. Benedetto 26

4 Gastrointestinal and Hepatic Changes with Obesity Mark A. Hoeft Vilma E. Ortiz 34

5 Endocrine Changes in Obesity Gregory Ginsburg 41

6 Hematological Considerations in the Obese Patient Jonathan E. Charnin 50

7 Preoperative Evaluation of the Obese Patient Jean Kwo 61

8 Psychological Considerations for Patients with Severe Obesity Presenting for Surgery Stephanie Sogg 73

Part 2 Intraoperative Management

9 Anesthetic Drug Administration John L. Walsh 78

10 Airway Management in the Obese Torin D. Shear 89

11 Perioperative Monitoring of the Obese Patient Hovig V. Chitilian 100

12 Physiologic Changes with Pneumoperitoneum in the Obese Patient Lorenzo Berra William R. Kimball 104

13 Intraoperative Positioning and Nerve Injury Aalok V. Agarwala 116

14 Metabolic Surgery for the Treatment of Obesity-Related Comorbidities Janey S. A. Pratt Fawsi S. Khayat 126

15 Regional Anesthesia in the Obese Patient Shubha V. Y. Raju Tim Canty 138

Part 3 Postoperative Care

16 Postanesthesia Care of the Obese Patient Nicholas C. Watson Edward A. Bittner 145

17 Critical Care of the Obese Patient Nicholas C. Watson Edward A. Bittner 158

Part 4 Special Situations

18 The Obese Parturient Heather A. Panaro Vilma E. Ortiz 174

19 The Obese Pediatric Patient Roland Brusseau 185

20 The Obese Trauma Patient Heena P. Santry Marc de Moya 204

Index 215