Controversies in the Anesthetic Management of the Obese Surgical Patient (eBook)

SECTION 1:  Introduction      1.Should Anesthesiologists Managing Morbidly Obese Patients Receive Special Education and Training?2.How should obesity be measured and how should anesthetic drug dosage be calculated? SECTION 2: Preoperative Concerns3.What are the Important Perioperative Risk Factors for Morbidly Obese Patients?4. Does Every Morbidly Obese Patient Need a Complete Preoperative Workup?5. What Should an Anesthesiologist Know about the Metabolic Syndrome? 6.Is a Full Cardiac Workup Indicated For Morbidly Obese Patients With Cardiac  Disease?                                                                                                                                      7.How and When Should Diabetes in the Obese Patient be Treated?8.How Should You Manage Anti-Hypertensive Drugs in Morbidly Obese Surgical Patients?9. Should all Morbidly Obese Patients be Evaluated for Obstructive Sleep Apnea?  10.Are Morbidly Obese Patient at Increased Risk for Gastric Acid Aspiration? 11. What is the role for pre-operative physical training and respiratory kinesitherapy in obese surgical patients?SECTION 3:  Intraoperative Management12. Which Intraoperative Monitors are Essential for the Obese Surgical Patient?13. What is the Optimal Position for Induction of Anesthesia for a Morbidly Obese Patient? 14. Do all Morbidly Obese Patients have a “Difficult” Airway?15.What is the Best Way to Induce General Anesthesia in Obese Patients?16.Do Supraglottic Airways have a role in the Anesthetic Management of Obese Patients?17.Is Protective Lung Ventilation Safe in Morbidly Obese Patients?                  18.Does choice of inhaled anesthetic agent matter?   19. What is Optimal Fluid Management of the Obese Surgical Patient?20. What are the Challenges of Laparoscopy in Morbid Obese Patients?21. Is there a role for regional anesthesia in the obese patient?SECTION 4:  Postoperative Concerns22. Should obese surgical patients be recovered in an ICU or PACU? Should all postoperative MO patients be monitored during their entire hospitalization?23.  Is opioid analgesia safe after surgery?  24. What is the Role of Analgesic Adjuncts in Obese Patients? SECTION 5:  Other Controversies25. Can Morbidly Obese Patients Safely Undergo Surgery at an Outpatient Surgery  Center?26. What Physiological Changes Occur After Bariatric Surgery and Are They Important to the       Anesthesiologist? 27.Which anesthetic (general or regional) is safest for a caesarean-section in a morbidly obese parturient?