Main description:

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.

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 Non-Operating Room Anesthesia
33: Andrea Tsai and Roman Schumann: Intensive care
34: Maureen McCunn, Justin Richards and Karla Greco: Obesity and Trauma
35: Christian Balabanoff Acosta, Clint Fleckenstein and Eric Gewirtz: Guidelines and Equipment in Obese Patients
36: Abiona Berkley, Muhammad Ahmed and Jose Sosa-Herrera: Medicolegal issues and the Obese Patient