Morbid Obesity Peri-operative Management

The world is experiencing an obesity epidemic. In both industrialized and emerging countries, the percentage of adults and children with obesity is increasing annually. It is no longer unusual to encounter a patient with extreme or morbid obesity in the operating room; these patients are routinely scheduled for every type of surgical procedure. Everyone involved in the peri-operative management of the surgical patient with morbid obesity – surgeons, anesthesiologists, internists, psychologists, nurses, nutritionists, respiratory therapists – must be aware of the special needs of these patients. Morbid Obesity: Peri-operative Management, 2nd edition considers the perioperative care of the morbidly obese patient, from preoperative preparation to intraoperative management and through to their postoperative course. Edited by leading experts in the management of the morbidly obese surgical patient, Morbid Obesity: Peri-operative Management, second edition, provides clear, practical clinical guidance on the management of the extremely obese surgical patient.

Preface; 1. Cardiovascular physiology Donald P. Bernstein; 2. Pulmonary physiology and sleep disordered breathing Roman Schumann and Stephanie B. Jones; 3. Digestive and metabolic physiology of obesity Patrick J. Neligan; 4. Pathophysiology of the pneumoperitoneum Brian R. Smith and Ninh T. Nguyen; 5. Choice of bariatric operation Deborah Abeles, Brandon Tari and Scott A. Shikora; 6. Informed consent S. E. Raper; 7. Pre-operative surgical management Basil M. Yurcisin; 8. Preoperative management: nutritionist/psychologist/internist Maria L. Collazo-Clavell, Helen Karakelides and Eric J. DeMaria; 9. Positioning Jay B. Brodsky; 10. Monitoring the morbidly obese patient Donald P. Bernstein; 11. Effects of obesity on anesthetic agents Jerry Ingrande; 12. Airway management Jeremy Collins; 13. Ventilation strategies during anesthesia Juraj Sprung, Toby N. Weingarten and David O. Warner; 14. Regional anesthesia and obesity Pedro P. Tanaka and Jay B. Brodsky; 15. Postoperative analgesia Adrian Alvarez; 16. Post anesthesia care unit (PACU): management of anesthetic and surgical complications Stephanie B. Jones, Roman Schumann and Daniel B. Jones; 17. Intensive care management of the critically ill obese patient Jenny Choi and Alfons Pomp; 18 Postoperative rhabdomyolysis João Ettinger, Paulo Batista and Euler Ázaro; 19. Nursing considerations Tracy Martinez; 20. Long-term complications following surgery Masha Livhits, Amy Lightner and Melinda Maggard; 21. Anesthetic considerations for the post-bariatric surgery patient David Zvara, Ronald Harter, Galina Dimitrova and Joseph G. Werner; 22. Bariatric outcomes Gavitt A. Woodard and John M. Morton; 23. Organizing a bariatric team Fawzi S. Khayat and Matthew M. Hutter; 24. Bariatric surgery in adolescents Venita Chandra and Sanjeev Dut; 25. Management of the obese parturient Yigal Leykin; Index.

Patients with extreme obesity frequently undergo surgical procedures. Detailed understanding of the risks these patients face is critical for a successful outcome. Morbid Obesity: Peri-operative Management, 2nd edition provides practical clinical guidance on all aspects of operative practice, and is relevant to all healthcare professionals involved in perioperative care.

Adrian Alvarez is a Staff Anesthesiologist at the Hospital Italiano, Buenos Aires, Argentina.
Jay B. Brodsky is a Professor in the Department of Anesthesia at Stanford University School of Medicine and Medical Director of Perioperative Services at Stanford University Medical Center, Stanford, USA.
Hendrikus J. M. Lemmens is a Professor in the Department of Anesthesia at Stanford University School of Medicine, Stanford, USA.
John Morton is Associate Professor of Surgery at Stanford University School of Medicine, Stanford, USA.