(PDF) Mechanical Ventilation in the Critically Ill Obese Patient by Antonio M. Esquinas

This is the PDF eBook version for Mechanical Ventilation in the Critically Ill Obese Patient by Antonio M. Esquinas, Malcolm Lemyze

Table of Contents

Part I. Effects of obesity on respiratory physiology.- Effects of obesity on control of breathing.- Effects of obesity on respiratory mechanics and gas exchange.- Effects of obesity on sleep-disordered breathing.- Implications for mechanical ventilation.- Part II. Causes of acute respiratory failure in the obese patient.- Atelectasis.- Acute respiratory distress syndrome.- Community-acquired pneumonia.- Congestive heart failure.- Abdominal compartment syndrome.- Trauma.- Sleep-disordered breathing.- Drugs and medications.- Part III. Invasive mechanical ventilation in the critically ill obese patient.- Pre-oxygenation before intubation.- Difficult airway management.- Analgesia of the obese patient.- Sedation of the obese patient: indications, management, and complications.- Use of paralytics.- Positioning of the patient for mechanical ventilation.- Prevention of lung derecruitment.- Management of complications associated with mechanical ventilation.- Management of ventilator-induced lung injury.- Management of the obese pregnant patient.- Modes of ventilation.- Weaning from mechanical ventilation.- Tracheostomy: indications and technique.- Decannulation process in the tracheostomised obese patient.- Part IV. Noninvasive ventilation and oxygen delivery in the critically ill obese patient.- The choice of interface.- The choice of ventilator and ventilator setting.- NIV in type 1 (hypoxemic) acute respiratory failure.- High-flow oxygen via nasal cannula.- NIV in type 2 (hypercapnic) acute respiratory failure.- Prevention of post-extubation respiratory failure.- NIV in the obese patient after surgery.- Determinants of NIV success or failure.- Chronic ventilation in obese patients.- Part V. Moving and feeding the critically ill obese patient.- Transportation of obese patients under mechanical ventilation.- Nutritional support in the critically ill obese ventilated patient.- Rehabilitation of obese patients under mechanical ventilation.- Part VI. Ethical issues, outcome and costs.- Ethical issues regarding mechanical ventilation.- Long-term outcomes after mechanical ventilation.- Healthcare costs.