This book provides health professionals with sound clinical advice on management of the obese patient admitted into hospital. It addresses all aspects of the patient's care, as well as serving as a resource to facilitate the management of services, use of clinical information, and negotiation of ethical issues that occur in intensive care. As the number of obese patients in intensive care continues to grow, this book will serve as a comprehensive clinical resource for everyday use by both obesity specialists and emergency medicine physicians.
List of Contributors, viii Preface, xiii Part I Physiology and Consequences of Obesity 1 Cardiovascular Physiology in Obesity, 3 Eric J. Chan and Martin A. Alpert 2 Effects of Obesity on Respiratory Physiology, 13 Philippe Abou Jaoude, Jahan Porhomayon, and Ali A. El Solh 3 Gastrointestinal Physiology in Obesity, 21 Alexander D. Miras and Carel W. le Roux 4 Metabolic and Endocrine Physiology in Obesity, 28 Paula Alvarez-Castro, Susana Sangiao-Alvarellos, and Fernando Cordido 5 Renal Physiology in the Critically Ill Obese Patient, 38 Eric A.J. Hoste and Jan J. De Waele Part II Positive Pressure Ventilation 6 Sedation, Paralysis, and Pain Management of the Critically Ill Obese Patient, 47 Christopher G. Hughes, Lisa Weavind, and Pratik P. Pandharipande 7 Upper Airway Management in the Morbidly Obese Patient, 58 Michael Tielborg and Anthony Passannante 8 Mechanical Ventilation of the Obese Patient, 67 Mohammed Mogri and M. Jeffery Mador 9 Management of Acute Lung Injury in the Obese Patient, 74 Hallie C. Prescott and James M. O'Brien Jr Part III Management of Obesity Complications in Critical Care 10 Management of Infectious Complications in the Critically Ill Obese Patient, 85 Kristin Turza Campbell, Laura H. Rosenberger, Amani D. Politano, Tjasa Hranjec, and Robert G. Sawyer 11 Management of Gastrointestinal Complications in the Critically Ill Obese Patient, 93 Benjamin H. Levy III and David A. Johnson 12 Management of Endocrine Complications in the Critically Ill Obese Patient, 102 Joseph Varon and Ilse M. Espina 13 Management of Venous Thromboembolism in the Critically Ill Obese Patient, 108 Terence K. Trow and Richard A. Matthay 14 Nursing Care of the Critically Ill Obese Patient, 116 Margaret E. McAtee Part IV Hemodynamic Monitoring and Radiological Investigations 15 Hemodynamic Monitoring of the Critically Ill Obese Patient, 125 Wim K. Lagrand, Eline R. van Slobbe-Bijlsma, and Marcus J. Schultz 16 Diagnostic Imaging of the Critically Ill Obese Patient, 135 Venkata S. Katabathina, Neeraj Lalwani, Carlos S. Restrepo, and Srinivasa R. Prasad Part V Postsurgical Management 17 Postoperative Care of the Obese Patient, 149 Hui Sen Chong and Robert L. Bell 18 Management of the Obese Patient with Trauma, 159 Hadley K. Herbert and Therese M. Duane 19 Abdominal Solid Organ Transplantation in the Obese Patient, 169 Erin C. Hall and Dorry L. Segev 20 Critical Care Management of the Obese Patient after Bariatric Surgery, 179 Scott E. Mimms and Samer G. Mattar 21 Nutritional Requirements of the Critically Ill Obese Patient, 186 Bikram S. Bal, Frederick C. Finelli, and Timothy R. Koch Part VI Pharmacology 22 Drug Dosing in the Critically Ill Obese Patient, 197 Brian L. Erstad Part VII Prognosis and Ethics 23 Prognosis and Outcome of the Critically Ill Obese Patient, 211 Yasser Sakr, Mohamed Zeiden, and Juliana Marques 24 Ethical Considerations in the Critically Ill Obese Patient, 218 Mark D. Siegel Multiple Choice Questions, 225 Answers to Multiple Choice Questions, 234 Index, 236