Morbid Obesity

Part I. General Aspects: 1. Introduction. Perioperative management. Reasons for a multidisciplinary approach Adrian Alvarez and Aniceto Baltasar; 2. Perioperative risks and frequent complications Louis Brusco Jr.; 3. Informed consent in bariatric surgery and anaesthesia George Cowen; Part II. Patho-Physiology: 4. Lung physiology Michael Campos and Adam Wanner; 5. Cardiac morphology and ventricular function Martin Alpert; 6. Patho-physiology of cardiovascular co-morbidities Thomas Blanck, Igor Muntyan and Hatem Zayed-Moustafa; 7. Physiological charges during laparoscopy Martin Fried; 8. Digestive physiology and gastric aspiration Peter Marko, Andrea Gabrielli, Lawrence Caruso and Joseph Layton; Part III. Preoperative Management: 9. Preoperative evaluation of the patient for bariatric surgery R. A. Beers and M. F. Roizen; Part IV. Perioperative Management of Co-morbidities: 10. Diabetes mellitus Frederick Mihm; 11. Co-existing cardiac disease Shamsuddin Akhtar, Viji Kurup and Lars Helgeson; 12. Deep venous thromboses prophylaxis Carlos Barba and Fernando Lamounier; 13. Surgical antibiotic prophylaxis Lepetic Alejandro, Claudia Vujacich, Aníbal Calmaggi, Graciela María Guerrini and María del Rosario González Arzac; 14. Renal dysfunction David Rothenberg and Arvind Rajagopal; Part V. Pharmacology: 15. Pharmacokynetics and pharmacodynamics. essential guide for anesthetic drugs administration Luc De Baerdemaeker, Eric Mortier and Michel Struys; 16. Remifentanil in morbidly obese patients Adrian Alvarez; Part VI. Monitoring: 17. Electrocardiography Martin Alpert; 18. Respiratory monitoring Michael Tucci, Vipin Bansal and Enrico Camporesi; 19. Cortical electrical activity monitoring Gabriel Gurman; Part VII. Intra-operative Management: 20. Positioning the morbidly obese patient for surgery Jay Brodsky; 21. Airway management Allan Reed and David Kramer; 22. Inhalation anaesthesia Leland Hanowell; 23. Total intravenous anesthesia Adrian Alvarez; 24. Anesthetic management for the obese parturient John Sullivan and Cynthia Wong; Part VIII. Post-Operative Care: 25. Post anaesthetic care unit management Juan Carlos Flores andAdrian Alvarez; 26. Respiratory management Paul Marik and Ezz Fam; 27. Management of the obese critically ill patient in ICU Paul Marik and Francisco Brun; 28. Nursing management Suzanne Burns, Donna Charlebois, Mary Deivert, Joe Krenitsky and Debra Wilmoth; 29. Postoperative analgesia Alejandro Haidbauer; Part IX. Conclusions: 30. Anaesthesia and morbid obesity, present and future Adrian Alvarez.