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.
Contents
SECTION 1 FOUNDATIONS
1:Obesity: A Global Epidemic, Bhavna Saxena and Ashish Sinha
2:Defining Obesity, Sunil Sinha and Hawa Abubakar
3:Genetics of obesity, Chase D. Rose and Ajintha Pathmanathan
4:Pharmacokinetics and pharmacodynamics in obesity, Tiffany Sun Moon and Babatunde O. Ogunnaike
5:Opioid pharmacology in obese patients, Jan P. Mulier and Ruben Wouters
6:Inhaled Anesthetics and Morbid Obesity, Luc De Baerdemaeker, Jan Hendrickx and Andre De Wolf
7:Blocling Agents, Ajintha Pathmanathan and Paul Stewart
SECTION 2 OBESITY AND PHYSIOLOGY
8:Metabolic Syndrome, Patrick J. Neligan
9:Cardio-respiratory including airway changes in obesity, Jahan Porhomayon, Peter J. Papadakos
10:OSA- Incidence, physiology and management, Raviraj Raveendran and Frances Chung
11:CPAP physiology and perioperative implications, Rainer Lenhardt and Jerrad R. Businger
SECTION 3 NON-BARIATRIC SURGERY
12:Thoraco-abdominal surgeries in obese patients, Deepu S. Ushakumari and Stephanie Rayos Callison
13:Cardiac surgery in obese patients, Deepu S. Ushakumari and Kelly A. Machovec
14:Obesity and Anesthesia for Spine and Neurosurgery, Anurag Tewari, Mahmood Ghazanwy and Eugenia Ayrian
SECTION 4 BARIATRIC SURGERY
15:Patient Selection and Overview of Selected Procedures, Matthew E. Pontell, Alvaro Galvez and Andres Castellanos
16:Outcomes in Bariatric Surgery, Gabriel Mekel, Elizabeth Renza-Stingone and Andres Castellanos
SECTION 5 SPECIFIC CLINICAL ISSUES
17:Pre-operative evaluation of the morbidly obese patient, Rajeshwari Subramaniam, Hemkumar Pushparaj and Ajisha Aravindan
18:Perioperative analgesia, Dipty Mangla
19:Postoperative complications in the obese patient and their management, S. R. Moonesinghe and Sara Bowman
20:Ventilatory strategies in obese and obesity hypoventilation syndrome, Ranjani Venkataramani, Scott R. Coleman and Ashish Sinha
21:Difficult airway management, Jeremy Collins and Brita M. Mittal
22:Healthy Obese: A Paradox?, Anupama Wadhwa and Detlef Obal
23:Peripheral Nerve Blocks in the Morbidly Obese, Anupama Wadhwa, Mansoor M. Aman and Fahad Aman
24:CPR in the obese, Eric Stander
25:Day care surgery, Adrian Sultana
26:Fluid management in the Obese Patient, Michelle Cole, David Gilhooly and S. R. Moonesinghe
27:DVT incidence, prophylaxis and management, Elizabeth A. Valentine
28:Tissue oxygenation in obese, Shubhangi Singh, Prashant Singh and Preet M. Singh
SECTION 6 OTHER IMPORTANT ASPECTS
29:Perioperative paediatric obesity, Aditee P. Ambardekar and Alissa Doll
30:Obesity in pregnancy, Onyi C. Onuoha
31:ERAS and Obesity Surgery, Jon Livelsberger and Alla Spivak
32:Obesity and Non-Operating Room Anesthesia, Akshat Gargya, Matthew Troum and Marc Goldberg
33:Intensive care, Andrea Tsai and Roman Schumann
34:Obesity and Trauma, Maureen McCunn, Justin Richards and Karla Greco
35:Guidelines and Equipment in Obese Patients, Christian Balabanoff Acosta, Clint Fleckenstein and Eric Gewirtz
36:Medicolegal issues and the Obese Patient, Abiona Berkley, Muhammad Ahmed and Jose Sosa-Herrera
