Core Topics in Anaesthesia and Peri-operative Care of the Morbidly Obese Surgical Patient

A practical guide to safe anaesthesia and perioperative management of the obese patient.

Christopher Bouch (Edited by), Jonathan Cousins (Edited by)

9781107163287, Cambridge University Press

Hardback, published 27 September 2018

254 pages, 5 b/w illus. 36 tables
25.3 x 19.2 x 1.8 cm, 0.71 kg

'Many textbooks have been published in the past outlining and discussing bariatric surgery, but they have focused only on the surgery. This book is a refreshing change as it looks at anaesthesia and perioperative care … well structured … relevant to all perioperative practitioners, especially operating department practitioners, anaesthetic and recovery nurses. Preassessment nurses and pain management nurses would also find this book useful.' Paul Bond, Journal of Perioperative Practice

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, Belén Pérez-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.

Subject Areas: Anaesthetics [MMB]