Handbook of perioperative anesthesia: complications and challenges of the obese patient

This is the only available resource to provide cutting edge in-depth coverageof the links between obesity and anesthesia in surgery. As a clinically relevant text it thoroughly illustrates the unique challenges and complications faced by the anaesthesiologist when supervising and administering drug delivery during surgery. Furthermore it provides a practical guidance to the anaesthesiologist on how to avoid potential risks and ensure a speedy post-operation patient recovery. ÍNDICE: A. Preoperative. 1. Cardiac. Accuracy of Thallium Scanning in Large BMI. Cardiac Issues Associated with Use of Phen-Fen. 2. Pulmonary. Sleep Disordered Breathing (Who Needs PSG?) CPAP/BiPAP Use Preoperative? 3. Renal. 4. Gastrointestinal/Hepatic. High Incidence of Gallstones. Higher Risk for Reflux/Aspiration. NAFLD. For Patients S/P Gastric Bypass: Concerns about Nutrient Absorption, Placement of OGTüfs, Ulceration Risk with Use of NSAIDs. 5. Endocrine. Metabolic Syndrome. Diabetes . Has Strict Glycemic Control Been Associated with Lower Postoperative Adverse Outcomes? 6. Hematologic. DVT Prophylaxis. 7.Preoperative Evaluation of the Obese Patient. 8. Psychological Evaluation. NoDifference from Any Other Patient, but Some Special Concerns for WLS. B. Intraoperative Management. 1. Anesthetic Drug Administration. 2. Airway Management. 3. Monitoring. Where to Place BP Cuff. BIS Monitoring in the Obese. Indications for Invasive Monitoring. 4. Physiologic Changes with Penumoperitoneum. 5. Intraoperative Challenges. Fluid Administration. Risk of Renal Failure. Patient Positioning and Increased Risk of Injuries. Intravenous Access. Timely Antibiotic Administration. 6. Bariatric Surgery. Procedures Available: Risks/Benefits of Each and Morbidity/Mortality. Management of Surgical Complications. 7. Regional Anesthesia. Ultrasound. Anticoagulation. C. Postoperative Care. ICU Care. PACU. Postoperative Pain Management. Surgical Issues Like Wound Dehiscence. D. Special Situations. 1. The Obese Parturient. 2. Obese Child/Adolescent. 3. Caring for the Obese Patient üOff-Site.

• ISBN: 978-1-4200-9530-2
• Editorial: Informa Healthcare
• Encuadernacion: Cartoné
• Páginas: 256
• Fecha Publicación: 01/10/2009
• Nº Volúmenes: 1
• Idioma: Inglés