Titlebook: Controversies in the Anesthetic Management of the Obese Surgical Patient; Yigal Leykin,Jay B. Brodsky Book 2013 Springer-Verlag Italia 201

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What is the Best Way to Induce General Anesthesia in Obese Patients?. A basic understanding of pharmacodynamics and pharmacokinetics in the obese patient facilitates tracheal intubation and prevents hemodynamic instability secondary to drug overdose. In short, induction of general anesthesia in the obese patient necessitates planning as complications are less forgiving in this patient population.

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Applications and Advances of Modal Testingficult airway management is indeed expected. In such patients, maximizing oxygenation is of primary importance. This chapter will therefore also highlight best practice in terms of preoxygenation and recruitment maneuvers which minimize atelectasis. Suggested alternatives to direct laryngoscopy that achieve rapid intubation will be recommended.

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d postoperative phase.Includes supplementary material: 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%.

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Y. Berthier,L. Vincent,M. Godethead-elevated laryngoscopy position to maximize view during direct laryngoscopy while the operating room table is tilted in the reverse Trendelenburg position to maximize the safe-apnea period and to facilitate mask ventilation.

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https://doi.org/10.1007/978-94-009-1691-3iscuss the controversial issue of what anesthetic monitor should be regarded as essential. Although formal recommendations are lacking, modifications in pathophysiology imposed by various degrees of obesity, along with modifications in PK and PD, suggest the need for additional monitoring. The rationale and available evidence are discussed.