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Perioperative Anesthetic Care of the Obese Patient

2009 Edition, October 14, 2009

Complete Document

Detail Summary

Active, Most Current

Additional Comments:
ISBN: 978-1-4200-9531-9
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Product Details:

  • Revision: 2009 Edition, October 14, 2009
  • Published Date: October 14, 2009
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 236
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


The prevalence of obesity in the United States and worldwide is increasing at a worrisome rate. The World Health Organization (WHO) projects that by 2015 approximately 2.3 billion adults will be overweight [body mass index (BMI) ≥ 25] and more than 700 million will be obese (BMI ≥ 30). Some chronic conditions associated with obesity include peripheral vascular disease, liver disease, polycythemia, cardiorespiratory derangements, and diabetes. More and more frequently, obese and severely obese patients are seen in the operating room for procedures ranging from elective to emergency surgery. Perioperative healthcare providers are faced with the challenge of caring for this complex patient population while ensuring their safety. The issues facing the anesthesiologist are myriad: increase in co-morbidities, potential for airway complications, and postoperative adverse events. An understanding of the associated co-morbidities will impact the perioperative anesthetic approach as well as the postoperative management of these patients.

This handbook is divided into four sections: preoperative assessment, intraoperative management, postoperative care, and special situations. The discussion within the preoperative assessment section is divided into the main areas of concern, including cardiac, pulmonary, renal, gastrointestinal, and endocrine systems. Additionally, preoperative and psychological evaluations are discussed. The following section on intraoperative management will continue the in-depth discussion to the next stage of care with thorough coverage of drug administration, airway management, monitoring issues, intraoperative challenges, and bariatric surgery. Postoperative care provides the clinician with the information needed for optimal patient recovery, and as the increase in obesity affects all age groups, the last heading covers the perioperative concerns in the obese parturient, the obese trauma patient as well as in the obese child/adolescent. The information contained herein is meant to complement knowledge gained from the study of textbook and journal articles on the subject.

With the goal of optimizing medical care and improving patient safety, the handbook of Perioperative Anesthetic Care of the Obese Patient provides an effi cient way for the healthcare provider to obtain clear, updated information in a format that is concise and easy to access. It is designed to be a valuable tool for practicing anesthesiologists and will also be of great use to anesthesia residents, medical and surgical residents, medical students, nurse anesthetists, and nurses caring for this patient population in the United States and abroad. As an easy to carry resource, it will make the information available where the clinician needs it most: the preoperative evaluation area, the clinic, the operating room, and the recovery room.