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Ashish Sinha - Oxford Textbook of Anaesthesia for the Obese Patient

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Ashish Sinha Oxford Textbook of Anaesthesia for the Obese Patient
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Oxford Textbook of Anaesthesia for the Obese Patient: summary, description and annotation

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Obesity is a global public health issue; significant numbers of the worlds population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleepapnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous lines through to intubation and ventilation challenges.The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological andpharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising from obesity in the setting of paediatrics, obstetrics, intensive care and trauma.Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them usingevidence and best practice.

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Oxford Textbook of Anaesthesia for the Obese Patient OXFORD TEXTBOOKS IN - photo 1
Oxford Textbook of
Anaesthesia for the Obese Patient
OXFORD TEXTBOOKS IN ANAESTHESIA

Oxford Textbook of Anaesthesia for the Elderly Patient

Edited by Chris Dodds, Chandra Kumar, and Bernadette Veering

Oxford Textbook of Anaesthesia for Oral and Maxillofacial Surgery

Edited by Ian Shaw, Chandra Kumar, and Chris Dodds

Principles and Practice of Regional Anaesthesia, Fourth Edition

Edited by Graeme McLeod, Colin McCartney, and Tony Wildsmith

Oxford Textbook of Cardiothoracic Anaesthesia

Edited by R. Peter Alston, Paul Myles, and Marco Ranucci

Oxford Textbook of Transplant Anaesthesia and Critical Care

Edited by Ernesto A. Pretto, Jr, Gianni Biancofiore, Andre DeWolf, John R. Klinck, Claus Niemann, Andrew Watts, and Peter D. Slinger

Oxford Textbook of Obstetric Anaesthesia

Edited by Vicki Clark, Marc Van de Velde, and Roshan Fernando

Oxford Textbook of Neuroscience and Anaesthesiology

Edited by George A. Mashour and Kristin Engelhard

Oxford Textbook of Anaesthesia for the Obese Patient

Edited by Ashish C. Sinha

Oxford Textbook of Anaesthesia for the Obese Patient - image 2

Great Clarendon Street, Oxford, OX2 6DP,

United Kingdom

Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

Oxford University Press 2021

The moral rights of the authors have been asserted

First Edition published in 2021

Impression: 1

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form and you must impose this same condition on any acquirer

Published in the United States of America by Oxford University Press

198 Madison Avenue, New York, NY 10016, United States of America

British Library Cataloguing in Publication Data

Data available

Library of Congress Control Number: 2020943920

ISBN 9780198757146

eISBN 9780192642837

DOI: 10.1093/med/9780198757146.001.0001

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.

Acknowledgements

First off, I have to acknowledge the support of my single biggest supporter, from birth and before, my mother, Prity Sinha. As soon as I could hold a spoon she put a pencil in my hand and taught me the three Rs. She was, and continues to be, my biggest supporter, especially when I was a young sapling and needed a support for my growthshe was there every time. Next of course is dad, my hero. I guess I always wanted to be him; for smarts, wit, one-line zingers, dint of purpose, and inability to accept the first, second, or even the third time when told, No, it cannot be done. Many of his one-liners like If its worth doing, its worth doing right!, Many can buy an elephant; not all of those can feed an elephant still pepper my lexicon. And for the lesson that 3 No Trump is a closing bid! After attending a lecture that I was delivering, and me having acknowledged him from the lectern, he commented afterwards that in the audience he was thrilled by the role reversalto be identified as my father; in most past settings I was recognized as his son. Dad and mom inspired me and had unwavering confidence in yours truly; who looked at me and saw something bigger, way bigger, than I could ever see in me.

Next is my brother, for his strength of character and focus on the right thing to do. Many hot summer days playing cricket (broken bulbs and windows!) and many warm evenings spent during summer vacations staring at chess boards. My friend and confidante, sometimes disapproving of my escapades but always supportive. In medical school, when I needed, nay wanted, to have a motorcycle and our father had said a firm No, he bought it for me and said dad shouldnt find out! Well, sorry brother, he just did!

My next acknowledgement is for my children, Kavita, Ishan, and Anamika. I hope I make you proud and that you, in turn, exceed my accomplishments, and whatever they may be, in every way. That is the, sometimes silent, prayer of every parent.

Then I wish to acknowledge people who were in my life in certain roles and have moved on: friends, partners, and family. I thank you for your support at those times when you were with me and I was engrossed in this project, and I wish you well in the future because our past had some amazing times!

To my favourite cousin Sharad and his best friend ABS, who have guided and supported this wayward cousin of theirs!

In academic medicine one has to have focus and I have to thank my mentor, Lee A. Fleisher, who convinced me to focus a majority of my academic effort on obesity. This is what has ultimately culminated in this book!

A few years ago, when I had my first interaction with Oxford University Press and was invited to edit a textbook on this subject, I had possibility underestimated the time and effort that would be expended in this endeavour, but I am thrilled to be at this point in the project. The people who I have to singularly recognize from Oxford University Press are Geraldine Jeffers, Rachel Goldsworthy, Fiona Sutherland, Helen Cook, Karen Moore, and Sean McLeod.

Last, and most importantly, I wish to thank all my contributors; you are what made this book possible! I apologize for harassing you for drafts and edits. You own the glory of this book and I will take credit for anything less than perfect.

Ashish C. Sinha

Contents

SECTION 1
Foundations

Bhavna Saxena and Ashish C. Sinha

Sunil Sinha and Hawa Abubakar

Chase D. Rose and Ajintha Pathmanathan

Tiffany Sun Moon and Babatunde O. Ogunnaike

Jan P. Mulier and Ruben Wouters

Luc De Baerdemaeker, Jan Hendrickx, and Andre M. De Wolf

Ajintha Pathmanathan and Paul Stewart

SECTION 2
Obesity and physiology

Patrick J. Neligan

Jahan Porhomayon and Peter J. Papadakos

Raviraj Raveendran and Frances Chung

Rainer Lenhardt and Jerrad R. Businger

SECTION 3
Non-bariatric surgery

Deepu S. Ushakumari and Stephanie Rayos Callison

Deepu S. Ushakumari and Kelly A. Machovec

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