This book is the first to describe a practical evidence-based approach to the management of critically ill obese patients with various medical or postoperative respiratory problems in the intensive care unit. In brief, the book aims to identify the best strategy and present clinical recommendations for different circumstances, to establish indications for and contraindications to noninvasive and invasive mechanical ventilation, and to offer clear guidance on weaning from mechanical ventilation and on respiratory care. Causes of acute respiratory failure in the obese patient are discussed, and advice is offered on the prevention and management of complications during mechanical ventilation and on moving and feeding critically ill obese patients. Long-term outcomes, ethical issues, and health care costs are also addressed. The multidisciplinary approach, with contributions from international experts in different specialties, ensures that the book will be of interest to a range of health professionals involved in critical care, including intensivists, anesthesiologists, and pulmonologists.
Arvustused
This book is a comprehensive, internationally oriented guide for health care providers, managers, and specialists engaged in the care of these challenging patients. It considers the specific demands and peculiarities of this patient population and offers valuable clinical recommendations and guidance on respiratory care. (Anesthesia & Analgesia, Vol. 27 (06), December, 2018)
Senior trainees, fellows, and attending anesthesiologists, intensivists, and pulmonologists treating morbidly obese patients are an appropriate audience for this book, written by an international cast of contributors. Given the international group of authorities and the breadth of topics, this book is an important contribution to our understanding of respiratory management in the obese patient. (David J. Dries, Doody's Book Reviews, February, 2018)
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Part I Effects of Obesity on Respiratory Physiology |
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1 Control of Ventilation in Obesity |
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3 | (12) |
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2 Obesity, Respiratory Mechanics and Its Impact on the Work of Breathing, Neural Respiratory Drive, Gas Exchange and the Development of Sleep-Disordered Breathing |
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15 | (12) |
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3 Implications of Obesity for Mechanical Ventilation |
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27 | (16) |
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Part II Causes of Acute Respiratory Failure in the Obese Patient |
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4 Obesity and Comorbidities |
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43 | (8) |
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51 | (6) |
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6 Obesity and Congestive Heart Failure |
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57 | (8) |
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7 Intra-abdominal Hypertension and Abdominal Compartment Syndrome: Consequences for Mechanical Ventilation |
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65 | (12) |
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8 Impact of Sleep Breathing Disorders in Obese Critically Ill Patients |
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77 | (10) |
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87 | (12) |
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Part III Invasive Mechanical Ventilation in the Critically Ill Obese Patient |
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10 Preoxygenation Before Intubation in the Critically Ill Obese Patient |
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99 | (10) |
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11 Analgesia in the Obese Patient |
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109 | (14) |
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12 Sedation of the Obese Patient: Indications, Management, and Complications |
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123 | (16) |
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13 Positioning of the Critically Ill Obese Patient for Mechanical Ventilation |
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139 | (6) |
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14 Obesity and Positive End-Expiratory Pressure (PEEP)-Obesity and Recruitment Maneuvers During the Intraoperative Period |
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145 | (6) |
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15 Complications Associated with Invasive Mechanical Ventilation in Obese Patients |
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151 | (6) |
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16 Management of Ventilator-Induced Lung Injury |
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157 | (6) |
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17 Ventilation Modes for Obese Patients Under Mechanical Ventilation |
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163 | (16) |
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18 Obesity and Tracheostomy: Indications, Timing, and Techniques |
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179 | (8) |
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19 Decannulation Process in the Tracheostomised Obese Patients |
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187 | (6) |
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Part IV Noninvasive Ventilation and Oxygen Delivery in the Critically Ill Obese Patient |
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20 The Choice of Interface |
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193 | (6) |
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21 The Choice of Ventilator and Ventilator Setting |
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199 | (6) |
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22 Obesity and Bi-level Positive Airway Pressure |
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205 | (10) |
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23 High-Flow Nasal Cannula Therapy: Principles and Potential Use in Obese Patients |
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215 | (14) |
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24 NIV in Type 2 (Hypercapnic) Acute Respiratory Failure |
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229 | (10) |
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25 Prevention of Post-extubation Failure in Critically Ill Obese Patient |
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239 | (12) |
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26 NIV in the Obese Patient After Surgery |
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251 | (8) |
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27 Determinants of NIV Success or Failure |
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259 | (6) |
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Ines Maria Grazia Piroddi |
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28 Chronic Ventilation in Obese Patients |
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265 | (16) |
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Part V How to Support Nutritionally the Critically Ill Obese Patient |
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29 Nutritional Support in the Critically Ill Obese Ventilated Patient |
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281 | (6) |
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30 Long-Term Outcomes After Mechanical Ventilation |
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287 | (20) |
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| Index |
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307 | |
Antonio M. Esquinas, MD, PhD, is a member of staff on the Intensive Care Unit and Non-invasive Ventilatory Unit at Hospital General Universitario Morales Meseguer, Murcia, Spain. Prior to taking up this position in January 2013, he worked in the Departments of Anesthesiology, Critical Care, and Pain Medicine at Sapienza University of Rome, Italy. Dr. Esquinas is a Fellow of the College of Chest Physicians and an International Fellow of the American Association of Respiratory Care. He is Director of the International School of Non-invasive Mechanical Ventilation and President of the International Association of NIV and the Ibero-American Association of Bioethics in NIV. He is the author of well over 700 scientific publications, including almost 400 articles and 32 books.
Malcolm Lemzye, MD, is a Specialist in Respiratory and Critical Care Medicine in the Department of Respiratory and Critical Care Medicine, Schaffner Hospital, Lens, France. He had previously held a similar position at Broussais Hospital, Saint Malo (20089) and was a Clinical Fellow in Critical Care Medicine and Hyperbaric Medicine at Calmette Hospital, Lille (20068). Dr. Lemzye obtained his medical degree from 2 University Medical School, Lille in 2001 and subsequently completed his board certification in Critical Care in Pneumonology in 2006 and in Critical Care in 2008. He is the author of more than 40 articles in international peer-reviewed journals.