An essential read for healthcare providers across all disciplines, this book is a comprehensive guide to the perioperative management of the obese patient. Providing practical guidance on specific aspects of physiology, pharmacology and anaesthetic technique, it addresses the increasing prevalence of obese patients in both elective and emergency settings and the need for a definitive text on the perioperative care for these patients. With content mapped to the Royal College of Anaesthetists learning matrices, the book covers key topics such as: * Epidemiology of obesity * Pathophysiology of obesity * Pre-operative assessment * Intra- operative management * Post-operative care * Bariatric surgery.
List of contributors; Preface; Abbreviations list; Part I. Background to Obesity, Epidemiology and Anthropology: 1. The Obesity problem and its relationship to healthcare Harry Rutter; 2. Drivers of obesity, nutrition and dietary considerations David Haslam; 3. Body morphology and fat distribution Henna Tirmizi and Roman Schumann; 4. Reports and guidelines Kanchan Patil; 5. Education and training in perioperative care Chris Carey; Part II. Pathophysiology of Obesity: 6. Cardiovascular pathophysiology Peter Gregory; 7. Respiratory and airway pathophysiology Nathan Ware and Christopher Bouch; 8. Sleep disordered breathing Pei Kee Poh and Andrew Hall; 9. Drug compartments and body systems Chris Hebbes and Jonathan Thompson; 10. Diabetes mellitus and the metabolic syndrome Hsiu L. Yap and Harvinder Chahal; Part III. Preoperative Assessment and Preparation: 11. Airway assessment in obesity Naveen Eipe and Adele S. Budiansky; 12. Respiratory assessment in obesity Nick Reynolds and Christopher Bouch; 13. Cardiovascular assessment in obesity Neil Ruparelia and Iqbal Malik; 14. Sleep disordered breathing assessment and management Brian Kent and Joerg Steier; 15. Risk assessment and stratification for obesity Andrew Chamberlain and Jonathan Redman; 16. Perioperative anaesthetic implications in the obese child Helen Smith and Liam Brennan; 17. Ward and operating room equipment for the obese Paul Ayrton and Nicholas Howlett; Part IV. Intra-operative Management: 18. Patient and operating room preparation for the obese Rhodri Birtchnell and Nick Kennedy; 19. Induction of general anaesthesia and positioning in obesity Tiffany Moon; 20. The rapid sequence induction: myth and obesity Jay Brodsky; 21. Airway management in obesity Vassilis Athanassoglou and Anil Patel; 22. Maintenance of general anaesthesia in obesity Bjorn Heyse and Luc De Baerdemaker; 23. Techniques of ventilation and pneumoperitoneum Rupert Mason and Mike Margarson; 24. Analgesic techniques Naveen Eipe and Adele S. Budiansky; 25. Reversal and emergence from anaesthesia Marcus Wood; 26. The morbidly obese parturient Elinor Wighton and Paul Sharpe; 27. Day case surgery for obese patients Mark Skues; 28. Emergency surgery and trauma in the obese Peter Shirley and Neil MacDonald; Part V. Post-operative Care: 29. Post-operative recovery: location and potential complications Michele Carron and Francesco Zarantonello; 30. Enhanced recovery for the obese patient Khaleel Fareed and Sherif Awad; 31. Thromboprophylaxis for the obese surgical patient Ben Bailliff and Will Lester; 32. Perioperative care of the obese diabetic patient Alexandra Miras, Belen Perez-Pevia and Nicolas Varela; 33. Nutritional management of the obese surgical patient Gail Pinnock; 34. Critical care management of the obese patient Matt Charlton and Christopher Bouch; Part VI. Bariatric Surgery: 35. Indications for bariatric surgery Christos Tsironis; 36. Surgical procedures for weight loss Naim Faikh and Marco Adamo; 37. Bariatric surgery complications K. T. Yeung and Ahmed Ahmed; 38. Anaesthesia for bariatric surgery Jonathan Cousins and Christopher Bouch; 39. Management of patients' post-bariatric surgery David Bowrey, Tom Palser and Melanie Paul; 40. Paediatric bariatric surgery and anaesthesia N. Durkin, S. Noor, Anish Desai and Meera Kurup; Index.