Oxford Textbook of Anaesthesia for the Obese Patient

Obesity is a global public health issue; significant numbers of the world's population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleep apnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous lines through to intubation and ventilation challenges.

The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological and pharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising from obesity in the setting of paediatrics, obstetrics, intensive care and trauma.

Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them using evidence and best practice.

List of contents

• SECTION 1 FOUNDATIONS


• 1: Bhavna Saxena and Ashish Sinha: Obesity: A Global Epidemic


• 2: Sunil Sinha and Hawa Abubakar: Defining Obesity


• 3: Chase D. Rose and Ajintha Pathmanathan: Genetics of obesity


• 4: Tiffany Sun Moon and Babatunde O. Ogunnaike: Pharmacokinetics and pharmacodynamics in obesity


• 5: Jan P. Mulier and Ruben Wouters: Opioid pharmacology in obese patients


• 6: Luc De Baerdemaeker, Jan Hendrickx and Andre De Wolf: Inhaled Anesthetics and Morbid Obesity


• 7: Ajintha Pathmanathan and Paul Stewart: Blocling Agents


• SECTION 2 OBESITY AND PHYSIOLOGY


• 8: Patrick J. Neligan: Metabolic Syndrome


• 9: Jahan Porhomayon, Peter J. Papadakos: Cardio-respiratory including airway changes in obesity


• 10: Raviraj Raveendran and Frances Chung: OSA- Incidence, physiology and management


• 11: Rainer Lenhardt and Jerrad R. Businger: CPAP physiology and perioperative implications


• SECTION 3 NON-BARIATRIC SURGERY


• 12: Deepu S. Ushakumari and Stephanie Rayos Callison: Thoraco-abdominal surgeries in obese patients


• 13: Deepu S. Ushakumari and Kelly A. Machovec: Cardiac surgery in obese patients


• 14: Anurag Tewari, Mahmood Ghazanwy and Eugenia Ayrian: Obesity and Anesthesia for Spine and Neurosurgery


• SECTION 4 BARIATRIC SURGERY


• 15: Matthew E. Pontell, Alvaro Galvez and Andres Castellanos: Patient Selection and Overview of Selected Procedures


• 16: Gabriel Mekel, Elizabeth Renza-Stingone and Andres Castellanos: Outcomes in Bariatric Surgery


• SECTION 5 SPECIFIC CLINICAL ISSUES


• 17: Rajeshwari Subramaniam, Hemkumar Pushparaj and Ajisha Aravindan: Pre-operative evaluation of the morbidly obese patient


• 18: Dipty Mangla: Perioperative analgesia


• 19: S. R. Moonesinghe and Sara Bowman: Postoperative complications in the obese patient and their management


• 20: Ranjani Venkataramani, Scott R. Coleman and Ashish Sinha: Ventilatory strategies in obese and obesity hypoventilation syndrome


• 21: Jeremy Collins and Brita M. Mittal: Difficult airway management


• 22: Anupama Wadhwa and Detlef Obal: Healthy Obese: A Paradox?


• 23: Anupama Wadhwa, Mansoor M. Aman and Fahad Aman: Peripheral Nerve Blocks in the Morbidly Obese


• 24: Eric Stander: CPR in the obese


• 25: Adrian Sultana: Day care surgery


• 26: Michelle Cole, David Gilhooly and S. R. Moonesinghe: Fluid management in the Obese Patient


• 27: Elizabeth A. Valentine: DVT incidence, prophylaxis and management


• 28: Shubhangi Singh, Prashant Singh and Preet M. Singh: Tissue oxygenation in obese


• SECTION 6 OTHER IMPORTANT ASPECTS


• 29: Aditee P. Ambardekar and Alissa Doll: Perioperative paediatric obesity


• 30: Onyi C. Onuoha: Obesity in pregnancy


• 31: Jon Livelsberger and Alla Spivak: ERAS and Obesity Surgery


• 32: Akshat Gargya, Matthew Troum and Marc Goldberg: Obesity and

  About the author

  
  
  
  
  
  
  
  
  
  Ashish Sinha, Professor & Vice Chairman Anesthesiology & Perioperative Medicine, Drexel University College of Medicine, Philadelphia, PA, USA and President of the International Society for the Perioperative Care of the Obese Patient (ISPCOP).

  
  
  

  Summary

  The Oxford Textbook of Anaesthesia for the Obese Patient is an evidence-based account of clinical practice in the field. Chapters are written by experts based in the US, UK, Europe and Australasia to reflect international practice.

Product details

• Authors: Ashish C. (Professor Sinha
• Assisted by: Ashish C. Sinha (Editor)
• Publisher: Oxford University Press
• Languages: English
• Product format: Hardback
• Released: 07.05.2021
• EAN: 9780198757146
• ISBN: 978-0-19-875714-6
• No. of pages: 368
• Series: Oxford Textbooks in Anaesthesia
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Non-clinical medicine; MEDICAL / Anesthesiology, Intensive Care Medicine, Anaesthetics, Critical care surgery