Perioperative Anesthetic Care of the Obese Patient : Complications and Challenges of the Obese Patient

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 Front Matter 1 Chapter 1 Cardiovascular Effects of Obesity 11 Chapter 2 Respiratory Concerns in the Obese Patient 22 Chapter 3 Renal Changes in Obesity 36 Chapter 4 Gastrointestinal and Hepatic Changes with Obesity 44 Chapter 5 Endocrine Changes in Obesity 51 Chapter 6 Hematological Considerations in the Obese Patient 60 Chapter 7 Preoperative Evaluation of the Obese Patient 71 Chapter 8 Psychological Considerations for Patients with Severe Obesity Presenting for Surgery 83 Chapter 9 Anesthetic Drug Administration 88 Chapter 10 Airway Management in the Obese 99 Chapter 11 Perioperative Monitoring of the Obese Patient 110 Chapter 12 Physiologic Changes with Pneumoperitoneum in the Obese Patient 114 Chapter 13 Intraoperative Positioning and Nerve Injury 126 Chapter 14 Metabolic Surgery for the Treatment of Obesity-Related Comorbidities 136 Chapter 15 Regional Anesthesia in the Obese Patient 148 Chapter 16 Postanesthesia Care of the Obese Patient 155 Chapter 17 Critical Care of the Obese Patient 168 Chapter 18 The Obese Parturient 184 Chapter 19 The Obese Pediatric Patient 195 Chapter 20 The Obese Trauma Patient 214 Index 225