Critical Care Management of the Obese Patient

Ali El Solh, MD, is an Associate Professor of Medicine, Anesthesiology, and Social and Preventive Medicine at the State University of New York at Buffalo. He is a practicing physician and has been Director of the Critical Care Unit for more than 12 years. Dr El Solh has numerous publications on the subjects of obesity and critical care (59 articles listed in PubMed) plus several monographs on the subjects.

• List of Contributors, viii Preface, xiiiPart I Physiology and Consequences of Obesity1 Cardiovascular Physiology in Obesity, 3Eric J. Chan and Martin A. Alpert2 Effects of Obesity on Respiratory Physiology, 13Philippe Abou Jaoude, Jahan Porhomayon, and Ali A. El Solh3 Gastrointestinal Physiology in Obesity, 21Alexander D. Miras and Carel W. le Roux4 Metabolic and Endocrine Physiology in Obesity, 28Paula Alvarez-Castro, Susana Sangiao-Alvarellos, and Fernando Cordido5 Renal Physiology in the Critically Ill Obese Patient, 38Eric A.J. Hoste and Jan J. De WaelePart II Positive Pressure Ventilation6 Sedation, Paralysis, and Pain Management of the Critically Ill Obese Patient, 47Christopher G. Hughes, Lisa Weavind, and Pratik P. Pandharipande7 Upper Airway Management in the Morbidly Obese Patient, 58Michael Tielborg and Anthony Passannante8 Mechanical Ventilation of the Obese Patient, 67Mohammed Mogri and M. Jeffery Mador9 Management of Acute Lung Injury in the Obese Patient, 74Hallie C. Prescott and James M. O’Brien JrPart III Management of Obesity Complications in Critical Care10 Management of Infectious Complications in the Critically Ill Obese Patient, 85Kristin Turza Campbell, Laura H. Rosenberger, Amani D. Politano, Tjasa Hranjec, and Robert G. Sawyer11 Management of Gastrointestinal Complications in the Critically Ill Obese Patient, 93Benjamin H. Levy III and David A. Johnson12 Management of Endocrine Complications in the Critically Ill Obese Patient, 102Joseph Varon and Ilse M. Espina13 Management of Venous Thromboembolism in the Critically Ill Obese Patient, 108Terence K. Trow and Richard A. Matthay14 Nursing Care of the Critically Ill Obese Patient, 116Margaret E. McAteePart IV Hemodynamic Monitoring and Radiological Investigations15 Hemodynamic Monitoring of the Critically Ill Obese Patient, 125Wim K. Lagrand, Eline R. van Slobbe-Bijlsma, and Marcus J. Schultz16 Diagnostic Imaging of the Critically Ill Obese Patient, 135Venkata S. Katabathina, Neeraj Lalwani, Carlos S. Restrepo, and Srinivasa R. PrasadPart V Postsurgical Management17 Postoperative Care of the Obese Patient, 149Hui Sen Chong and Robert L. Bell18 Management of the Obese Patient with Trauma, 159Hadley K. Herbert and Therèse M. Duane19 Abdominal Solid Organ Transplantation in the Obese Patient, 169Erin C. Hall and Dorry L. Segev20 Critical Care Management of the Obese Patient after Bariatric Surgery, 179Scott E. Mimms and Samer G. Mattar21 Nutritional Requirements of the Critically Ill Obese Patient, 186Bikram S. Bal, Frederick C. Finelli, and Timothy R. KochPart VI Pharmacology22 Drug Dosing in the Critically Ill Obese Patient, 197Brian L. ErstadPart VII Prognosis and Ethics23 Prognosis and Outcome of the Critically Ill Obese Patient, 211Yasser Sakr, Mohamed Zeiden, and Juliana Marques24 Ethical Considerations in the Critically Ill Obese Patient, 218Mark D. SiegelMultiple Choice Questions, 225Answers to Multiple Choice Questions, 234Index, 236

“Critical Care Management of the Obese Patientdoes indeed provide a very useful reference for anybody who is involved in managing critically ill patients because, as time goes on, more and more of these patients are likely to be obese.”  (Diabetes Update, 1 October 2013)