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Morbid Obesity


  • 63 b/w illus.
  • Page extent: 262 pages
  • Size: 246 x 189 mm
  • Weight: 0.73 kg


 (ISBN-13: 9780521518840)

The world is experiencing an obesity epidemic. In both industrialized and emerging countries, the percentage of adults and children with obesity is increasing annually. It is no longer unusual to encounter a patient with extreme or morbid obesity in the operating room; these patients are routinely scheduled for every type of surgical procedure. Everyone involved in the peri-operative management of the surgical patient with morbid obesity – surgeons, anesthesiologists, internists, psychologists, nurses, nutritionists, respiratory therapists – must be aware of the special needs of these patients. Morbid Obesity: Peri-operative Management, 2nd edition considers the perioperative care of the morbidly obese patient, from preoperative preparation to intraoperative management and through to their postoperative course. Edited by leading experts in the management of the morbidly obese surgical patient, Morbid Obesity: Peri-operative Management, second edition, provides clear, practical clinical guidance on the management of the extremely obese surgical patient.

• Comprehensive discussion of perioperative management from both an anaesthetic and surgical perspective - relevant to anesthesiologists, surgeons and intensivists, internists, nurses, nutritionists and respiratory therapists • Overview of pathophysiology associated with morbid obesity enables a focused preoperative assessment • Up to date state-of-the-art care of the morbidly obese patient undergoing surgery


Preface; 1. Cardiovascular physiology Donald P. Bernstein; 2. Pulmonary physiology and sleep disordered breathing Roman Schumann and Stephanie B. Jones; 3. Digestive and metabolic physiology of obesity Patrick J. Neligan; 4. Pathophysiology of the pneumoperitoneum Brian R. Smith and Ninh T. Nguyen; 5. Choice of bariatric operation Deborah Abeles, Brandon Tari and Scott A. Shikora; 6. Informed consent S. E. Raper; 7. Pre-operative surgical management Basil M. Yurcisin; 8. Preoperative management: nutritionist/psychologist/internist Maria L. Collazo-Clavell, Helen Karakelides and Eric J. DeMaria; 9. Positioning Jay B. Brodsky; 10. Monitoring the morbidly obese patient Donald P. Bernstein; 11. Effects of obesity on anesthetic agents Jerry Ingrande; 12. Airway management Jeremy Collins; 13. Ventilation strategies during anesthesia Juraj Sprung, Toby N. Weingarten and David O. Warner; 14. Regional anesthesia and obesity Pedro P. Tanaka and Jay B. Brodsky; 15. Postoperative analgesia Adrian Alvarez; 16. Post anesthesia care unit (PACU): management of anesthetic and surgical complications Stephanie B. Jones, Roman Schumann and Daniel B. Jones; 17. Intensive care management of the critically ill obese patient Jenny Choi and Alfons Pomp; 18 Postoperative rhabdomyolysis João Ettinger, Paulo Batista and Euler Ázaro; 19. Nursing considerations Tracy Martinez; 20. Long-term complications following surgery Masha Livhits, Amy Lightner and Melinda Maggard; 21. Anesthetic considerations for the post-bariatric surgery patient David Zvara, Ronald Harter, Galina Dimitrova and Joseph G. Werner; 22. Bariatric outcomes Gavitt A. Woodard and John M. Morton; 23. Organizing a bariatric team Fawzi S. Khayat and Matthew M. Hutter; 24. Bariatric surgery in adolescents Venita Chandra and Sanjeev Dut; 25. Management of the obese parturient Yigal Leykin; Index.


Praise for the first edition: 'Alvarez's lucid presentation of these complex and timely issues is an achievement in itself, but even more so is his production of a very readable book. This book is assured to inform and complement the busy clinician. I recommend it to every physician involved in the care of the morbidly obese patient.' Obesity Surgery

'I enjoyed reading this organized, appropriately illustrated, and well-references book. …Although this, by intention, is not a textbook of anaesthesia for obesity, it contains a wealth of anaesthetic-related information and I have no reservation in recommending it as essential reading for any anaesthetist involved in the care of patients suffering obesity. In my opinion, it will also appeal to surgeons, physicians, intensivists, theatre, recovery and ward nursing staff, psychologists, dieticians, and managers involved in the care of these complex and frequently challenging patients. British Journal of Anaesthesia

'… the text is well illustrated and … organised. The authors come from varied clinical backgrounds … Each chapter is well researched and appropriately referenced … an excellent resource for anaesthetists, surgeons and intensivists who wish to develop skills to recognise potential complications and provide quality peri-operative care to obese patients.' Critical Care (

'… this book should be on the shelf of any provider who regularly cares for obese patients. [Its] easy-to-read chapters and efficiently indexed information make it a very useful tool for quick reference in the operating room or preoperative assessment setting. The text is filled with easy-to-read figures and tables, which only enhances its usefulness in clinical practice. The editors even provide a list of abbreviations in the front of the book. [They] have clearly achieved their goal of providing a comprehensive yet very accessible manual for the care of the morbidly obese patient.' Anesthesiology


Donald P. Bernstein, Roman Schumann, Stephanie B. Jones, Patrick J. Neligan, Brian R. Smith, Ninh T. Nguyen, Deborah Abeles, Brandon Tari, Scott A. Shikora, S. E. Raper, Basil M. Yurcisin, Maria L. Collazo-Clavell, Helen Karakelides, Eric J. DeMaria, Jay B. Brodsky, Donald P. Bernstein, Jerry Ingrande, Jeremy Collins, Juraj Sprung, Toby N. Weingarten, David O. Warner, Pedro P. Tanaka, Adrián Álvarez, Stephanie B. Jones, Roman Schumann, Daniel B. Jones, Jenny Choi, Alfons Pomp, João Ettinger, Paulo Batista, Euler Ázaro, Tracy Martinez, Masha Livhits, Amy Lightner, Melinda Maggard, David Zvara, Ronald Harter, Galina Dimitrova, Joseph G. Werner, Gavitt A. Woodard, John M. Morton, Fawzi S. Khayat, Matthew M. Hutter, Venita Chandra, Sanjeev Dut, Yigal Leykin

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