Download or read book Thoracic Surgery in the Morbidly Obese Patient written by Andrew D. Bambrough and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Obesity is wide-reaching health problem. It is estimated that 34% of the North American adult population is obese; of which 5% is morbidly obese. As a result many obese patients are scheduled for surgery, including thoracic procedures. An increased BMI is not the only determinant for morbidity and mortality during thoracic surgical procedures. Many patients have several comorbidities associated with their obesity that can complicate their operative course and increase their risks of postoperative complications."--authors' abstract.
Download or read book The Globesity Challenge to General Surgery written by Mirto Foletto and published by Springer Science & Business. This book was released on 2014-04-17 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of morbid obesity has led the World Health Organization to coin the descriptive term “globesity” to reflect the worldwide nature of the problem. Providing health care to these patients, especially when surgery is required, can be extremely challenging owing to the specific needs in respect of logistics, facilities, and professional expertise. Appropriate care has to date often been unachievable and unaffordable outside of established bariatric centers, but such centers themselves usually have insufficient capacity and resources to cope with the demand among the general population. This book therefore provides a wealth of guidance and helpful tips and tricks on how to deal with obese patients within a general surgery setting. Importantly, it highlights the need for global rethinking on public health as regards resource allocation and patterns and standards of care, with the ultimate goal of improving outcomes through greater affordability.
Download or read book ANESTHETIC APPROACH OF A MORBIDLY OBESE PATIENT UNDERGOING SINGLE STAGE BILATERAL THORACIC SURGERY written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The anesthetic management of morbidly obese patients constitutes a challenge for the anesthesiologist, as these patients demonstrate significantly high morbidity and mortality rates. We present a case of a morbidly obese patient undergoing bilateral thoracotomy under combined general and epidural anesthesia.A 44 year old male with u0392u039cu0399=49kg/m2 and a medical history of arterial hypertension, diabetes mellitus, dyslipidemia and nephrectomy due to kidney cancer, underwent a bilateral thoracic surgery. Preoperative spirometry revealed: FEV1= 3,9lt (96%) and FVC= 4,32lt (88%) while arterial blood gases (ABGu201ds) in room air revealed: pH= 7,35, pCO2= 36,7mmHg, pO2= 72,5mmHg. Echocardiography revealed a suboartic stenosis and EF=60%. We administrated general anesthesia with a double lumen endotracheal tube 39Fr, along with thoracic epidural analgesia (levobupivacaine 2% and fentanyl 2u03bcg/ml with a rate of 5ml/h and a patient- controlled bolus lockout of 5ml every 15 min at T5-6 interspace. Basic monitoring, invasive arterial pressure measurement, Bispectral Index and Cerebral Oximetry monitoring (INVOS) were used. The patient was hemodynamically stable perioperatively, while no difficulty was observed during one- lung ventilation, for both lungs. Cerebral oximetry and BIS remained within normal limits (INVOS variation10%, BIS= 40-55). Postoperative ABGu201ds indicated (FiO2= 35%), pH=7,4 ,pO2=125mmHg, pCO2=38,2mmHg and VAS scores
Download or read book Thoracic Surgery in the Special Care Patient An Issue of Thoracic Surgery Clinics E Book written by Sharon Ben-Or and published by Elsevier Health Sciences. This book was released on 2017-11-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Sharon Ben-Or, is devoted to Thoracic Surgery in the Special Care Patient. Dr. Ben-Or has assembled expert authors to review the following topics: Thoracic surgery in the pregnant patient; Thoracic surgery in early stage small cell lung cancer; Lung cancer in the post transplant / immunosuppressed patient; The postpneumonectomy patient; Thoracic surgery considerations in the obese patient; Thoracic surgery considerations in the pediatric patient; Esophagectomy after weight reduction surgery; Thoracic surgery considerations in the mentally ill or handicapped patient; Lung cancer with concomitant cardiac disease; Malignant pleural effusion and the trapped lung; Empyema from an obstructing lung cancer; Synchronous esophageal and lung cancer; Thoracic surgery considerations in the AIDS patient; and more!
Download or read book Surgery for the Morbidly Obese Patient written by Mervyn Deitel and published by . This book was released on 1989 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Very Good,No Highlights or Markup,all pages are intact.
Download or read book Anesthetic Management of the Obese Surgical Patient written by Jay B. Brodsky and published by Cambridge University Press. This book was released on 2011-12-08 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Download or read book Morbid Obesity written by Adrian O. Alvarez and published by Cambridge University Press. This book was released on 2004-11-04 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by international experts in the field, this comprehensive book covers all aspects of obesity that may impact upon the practice of the anaesthetist, intensivist or other healthcare professional dealing with the obese patient. The information is presented in a logical manner--opening chapters cover the underlying pathophysiology of obesity and move on to discuss general risk factors, legal and ethical aspects of anaesthesia, changes in pharmacokinetics and pharmacodynamics, pre-operative assessment and management. The main section of the book then focuses on specific problems such as renal function, DVT, patient positioning, airway management and ventilation, pulse oximetry, TOE, brain monitoring and BIS, general, spinal and epidural anaesthesia, volatile anaesthetics and drug delivery. A final section includes chapters that detail the nursing, ICU and trauma management of the obese patient, and covers key topics such as anaesthesia for caesarean section, ECG, infection control, haemodynamic monitoring, post-anaesthetic care and postoperative analgesia.
Download or read book Principles and Practice of Anesthesia for Thoracic Surgery written by Peter Slinger, MD, FRCPC and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.
Download or read book Anesthetic Management of the Obese Surgical Patient written by Jay B. Brodsky and published by Cambridge University Press. This book was released on 2011-12-08 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Download or read book Robotic Cardiac Surgery written by Changqing Gao and published by Springer Science & Business Media. This book was released on 2013-11-23 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic Cardiac Surgery is a comprehensive guide to robotic/totally endoscopic cardiac surgery. The book is intended to provide in-depth information regarding the history of robotic surgical systems, their components and principles. It emphasizes patient selection, perioperative management, anesthesia considerations and management, operative techniques and management, postoperative care and results. Extensive, detailed photographs and illustrations of different kinds of robotic surgery are also included. It provides cardiac surgeons, cardiac anesthesiologists, and perfusionists with a comprehensive review of current robotic cardiac surgeries and related knowledge. Changqing Gao, MD, is a professor at the Department of Cardiovascular Surgery, PLA General Hospital, Beijing, China.
Download or read book Controversies in the Anesthetic Management of the Obese Surgical Patient written by Yigal Leykin and published by Springer Science & Business Media. This book was released on 2012-08-04 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of obesity, an important risk factor for various diseases, has increased markedly worldwide in recent years. The results of long-term dietary behavioural therapy, however, remain sadly inadequate, with a relapse rate of about 90%. Surgery is still the only effective treatment for these patients. The annual number of weight loss operations performed in the United States in the early 1990s totaled only about 16,000, but by 2005 the figure exceeded 200,000. The anesthetic care of severely obese patients entails particular issues, and difficulties are believed to escalate in the presence of co-morbidities. Despite this, outcome data in respect of anesthetic care and pain management are still scarce. Anesthetic Management of the Obese Patient considers a wide range of important practical issues and controversies. Key questions in preoperative, intraoperative, and postoperative management are carefully addressed, and different approaches are evaluated, casting light on their effectiveness and limitations. Written by world leaders in the field, this book will be an invaluable aid for anesthesiologists.
Download or read book Anesthesia and Perioperative Care of the High Risk Patient written by Ian McConachie and published by Cambridge University Press. This book was released on 2014-09-04 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise summary of perioperative management of high-risk surgical patients, bridging the gap between the operating theatre and ICU.
Download or read book Morbid Obesity written by Adrian Alvarez and published by Cambridge University Press. This book was released on 2010-03-11 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with extreme obesity undergoing surgical procedures need specific perioperative management. This new edition gives clear guidance on clinical management.
Download or read book Principles and Practice of Anesthesia for Thoracic Surgery written by Peter Slinger and published by Springer. This book was released on 2019-01-04 with total page 1081 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated and expanded, this comprehensive new edition captures the considerable evolution in the anesthetic management of patients requiring anesthesia for non-cardiac intrathoracic diagnostic and therapeutic procedures. Major advances addressed include the expanded role of ultrasound beyond trans-esophageal echocardiography, the role of extra-corporeal membrane oxygenation in thoracic anesthesia, and postoperative pain management for thoracic surgery. Chapters are authored by prominent anesthesiologists and feature cases commonly encountered in clinical practice. Authoritative and the leading text in the field, this book will serve as an indispensible guide to practitioners of thoracic anesthesia at all levels.
Download or read book Intra Abdominal Hypertension written by Manu Malbrain and published by Cambridge University Press. This book was released on 2013-08-15 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical clinical handbook reviewing all aspects of the diagnosis and management of intra-abdominal hypertension; essential reading for all critical care staff.
Download or read book Surgical Management of Obesity written by Henry Buchwald and published by Elsevier Health Sciences. This book was released on 2007 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.
