Oxford Textbook of Anaesthesia for the Obese Patient (Oxford Textbooks in Anaesthesia)

Obesity is a global public health issue; significant numbers of the world's 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 lines through 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 from obesity 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. Cover Series Oxford Textbook of Anaesthesia for the Obese Patient Copyright Contents Abbreviations Contributors SECTION 1 Foundations 1. Obesity: a global epidemic 2. Defining obesity 3. Genetics of obesity 4. Pharmacokinetics and pharmacodynamics in obesity 5. Opioid pharmacology in obese patients 6. Inhaled anaesthetics and morbid obesity 7. Neuromuscular blocking agents in obesity SECTION 2 Obesity and physiology 8. Metabolic syndrome 9. Cardiorespiratory physiology including airway changes in obesity 10. Obstructive sleep apnoea: incidence, physiology, and management 11. Continuous positive airway pressure: physiology and perioperative implications SECTION 3 Non-​bariatric surgery 12. Thoracoabdominal surgeries in obese patients 13. Cardiac surgery in obese patients 14. Obesity and anaesthesia for spine and neurosurgery SECTION 4 Bariatric surgery 15. Patient selection and overview of selected procedures 16. Outcomes in bariatric surgery SECTION 5 Specific clinical issues 17. Preoperative evaluation of the morbidly obese patient 18. Perioperative analgesia 19. Postoperative complications in the obese patient and their management 20. Ventilatory strategies in obesity and obesity hypoventilation syndrome 21. Difficult airway management 22. Healthy obese: a paradox? 23. Peripheral nerve blocks in the morbidly obese patient 24. Cardiopulmonary resuscitation in the obese patient 25. Day care surgery 26. Fluid management in the obese patient 27. Venous thromboembolism: incidence, prophylaxis, and management 28. Tissue oxygenation in the obese patient SECTION 6 Other important aspects 29. Perioperative paediatric obesity 30. Obesity in pregnancy 31. Enhanced recovery after bariatric surgery 32. Obesity and non-​operating room anaesthesia 33. Intensive care 34. Obesity and trauma 35. Guidelines and equipment in obese patients 36. Medicolegal issues and the obese patient Index "Obesity is a global public health issue; significant numbers of the world's 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 lines through to intubation and ventilation challenges. This textbook presents an evidence-based account of the principles and clinical practice within the field. It 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."-- Page 4 de la couverture