Obesity is a global public health issue; significant numbers of the worlds population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleep apnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous linesthrough to intubation and ventilation challenges. The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological and pharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising fromobesity in the setting of paediatrics, obstetrics, intensive care and trauma.Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them using evidence and best practice.
SECTION 1 FOUNDATIONS; Obesity: A Global Epidemic; Defining Obesity; Genetics of obesity; Pharmacokinetics and pharmacodynamics in obesity; Opioid pharmacology in obese patients; Inhaled Anesthetics and Morbid Obesity; Blocling Agents; SECTION 2 OBESITY AND PHYSIOLOGY; Metabolic Syndrome; Cardio-respiratory including airway changes in obesity; OSA- Incidence, physiology and management; CPAP physiology and perioperative implications; SECTION 3 NON-BARIATRIC SURGERY; Thoraco-abdominal surgeries in obese patients; Cardiac surgery in obese patients; Obesity and Anesthesia for Spine and Neurosurgery; SECTION 4 BARIATRIC SURGERY; Patient Selection and Overview of Selected Procedures; Outcomes in Bariatric Surgery; SECTION 5 SPECIFIC CLINICAL ISSUES; Pre-operative evaluation of the morbidly obese patient; Perioperative analgesia; Postoperative complications in the obese patient and their management; Ventilatory strategies in obese and obesity hypoventilation syndrome; Difficult airway management; Healthy Obese: A Paradox?; Peripheral Nerve Blocks in the Morbidly Obese; CPR in the obese; Day care surgery; Fluid management in the Obese Patient; DVT incidence, prophylaxis and management; Tissue oxygenation in obese; SECTION 6 OTHER IMPORTANT ASPECTS; Perioperative paediatric obesity; Obesity in pregnancy; ERAS and Obesity Surgery; Obesity and Non-Operating Room Anesthesia; Intensive care; Obesity and Trauma; Guidelines and Equipment in Obese Patients; Medicolegal issues and the Obese Patient;
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