Anesthetic Management of the Obese Surgical Patient by Jay B. Brodsky

By Jay B. Brodsky

The worldwide weight problems epidemic is becoming in severity, affecting humans of all ages and costing healthcare services thousands of bucks each year. each day, anesthesiologists are provided with overweight and morbidly overweight sufferers present process all kinds of surgery; the administration of those sufferers differs considerably from that of standard weight sufferers present process an analogous strategy. Anesthetic administration of the overweight Surgical sufferer discusses those particular administration concerns inside each one surgical area of expertise quarter. preliminary chapters describe pre-operative review and pharmacology; those are via unique chapters at the anesthetic administration of a wide selection of surgeries, from joint substitute to open center surgical procedure. crucial interpreting for anesthesiologists and nurse anesthetists world wide, Anesthetic administration of the overweight Surgical sufferer and its significant other paintings by way of an analogous authors, Morbid weight problems: Peri-operative administration, permit either trainees and practised pros to control this advanced sufferer crew successfully.

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Extra resources for Anesthetic Management of the Obese Surgical Patient

Example text

Langeron O, Masso E, Huraux C et al. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229–1236. 16. Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94: 732–736. 17. Catheline JM, Bihan H, Le Quang T et al. Preoperative cardiac and pulmonary assessment in bariatric surgery. Obes Surg 2008; 18: 271–277. Points  Never assume that the primary physician or surgeon has adequately identified or addressed all associated medical conditions.

Cambridge: Cambridge University Press, 2010. Reproduced with permission. 40 20 50 60 30 40 Body mass index (kg/m2) 70 easily occur in an obese patient if 70 ml/kg is used as the basis for calculation. [19] Large volume fluid administration (15–40 ml/kg TBW) during elective surgery has many potential benefits including a reduction in postoperative nausea, earlier recovery and prevention of rhabdomyolysis. Pulse contour analysis of functional parameters (stroke volume variation, pulse pressure variation) may be more accurate predictors of volume status than BP and CVP measurements, but these devices are not routinely used during surgery.

J Clin Anesth 2007; 19: 3–8. 9. Lemmens HJ, Brodsky JB. The dose of succinylcholine in morbid obesity. Anesth Analg 2006; 102: 438–442. 10. Leykin Y, Pellis T, Lucca M et al. The effects of cisatracurium on morbidly obese women. Anesth Analg 2004; 99: 1090–1094. 11. Tsueda K, Warren JE, McCafferty LA, Nagle JP. Pancuronium bromide requirement during anesthesia for the morbidly obese. Anesthesiology 1978; 48: 438–439. 12. Suzuki T, Masaki G, Ogawa S. Neostigmine-induced reversal of vecuronium in normal weight, overweight and obese female patients.

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