Mechanical Ventilation in the Critically ill Obese Patient | KitaabNow

Mechanical Ventilation in the Critically ill Obese Patient

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  • Edited By: Antonio M. Esquinas, Malcolm Lemyze
  • ISBN: 9783319492520
  • Publisher: Springer Publishing Company
  • Edition: 1st
  • Publication Date: January 4, 2018
  • Format: Hardback – 315 pages
  • Language: English


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Description

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.

Key Features
  • Offers an evidence-based approach to management of critically ill obese patients with respiratory problems
  • Presents clinical recommendations
  • Identifies indications for and contraindications to noninvasive and invasive mechanical ventilation
  • Provides guidance on weaning from mechanical ventilation
Table of Contents
  1. Part I.
    1. Effects of obesity on respiratory physiology
    2. Effects of obesity on control of breathing
    3. Effects of obesity on respiratory mechanics and gas exchange
    4. Effects of obesity on sleep-disordered breathing
    5. Implications for mechanical ventilation
  2. Part II.
    1. Causes of acute respiratory failure in the obese patient
    2. Atelectasis
    3. Acute respiratory distress syndrome
    4. Community-acquired pneumonia
    5. Congestive heart failure.- Abdominal compartment syndrome
    6. Trauma
    7. Sleep-disordered breathing
    8. Drugs and medications
  3. Part III.
    1. Invasive mechanical ventilation in the critically ill obese patient
    2. Pre-oxygenation before intubation
    3. Difficult airway management
    4. Analgesia of the obese patient
    5. Sedation of the obese patient: indications, management, and complications
    6. Use of paralytics
    7. Positioning of the patient for mechanical ventilation
    8. Prevention of lung derecruitment
    9. Management of complications associated with mechanical ventilation
    10. Management of ventilator-induced lung injury
    11. Management of the obese pregnant patient
    12. Modes of ventilation
    13. Weaning from mechanical ventilation
    14. Tracheostomy: indications and technique
    15. Decannulation process in the tracheostomised obese patient
  4. Part IV.
    1. Noninvasive ventilation and oxygen delivery in the critically ill obese patient
    2. The choice of interface
    3. The choice of ventilator and ventilator setting
    4. NIV in type 1 (hypoxemic) acute respiratory failure
    5. High-flow oxygen via nasal cannula
    6. NIV in type 2 (hypercapnic) acute respiratory failure
    7. Prevention of post-extubation respiratory failure
    8. NIV in the obese patient after surgery
    9. Determinants of NIV success or failure
    10. Chronic ventilation in obese patients
  5. Part V.
    1. Moving and feeding the critically ill obese patient
    2. Transportation of obese patients under mechanical ventilation
    3. Nutritional support in the critically ill obese ventilated patient
    4. Rehabilitation of obese patients under mechanical ventilation
  6. Part VI.
    1. Ethical issues, outcome and
    2. Ethical issues regarding mechanical ventilation
    3. Long-term outcomes after mechanical ventilation
    4. Healthcare costs
Editors Biography

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 (2008–9) and was a Clinical Fellow in Critical Care Medicine and Hyperbaric Medicine at Calmette Hospital, Lille (2006–8). 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.

Additional information
Weight 0.792 kg
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