18. Management of the Obese Patient with Trauma

  1. Ali A. El Solh MD, MPH2,3,4
  1. Hadley K. Herbert MD and
  2. Therèse M. Duane MD, FACS

Published Online: 19 APR 2012

DOI: 10.1002/9781119962083.ch18

Critical Care Management of the Obese Patient

Critical Care Management of the Obese Patient

How to Cite

Herbert, H. K. and Duane, T. M. (2012) Management of the Obese Patient with Trauma, in Critical Care Management of the Obese Patient (ed A. A. El Solh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119962083.ch18

Editor Information

  1. 2

    Division of Pulmonary, Critical Care & Sleep Medicine, School of Medicine and Biomedical Sciences, University at Buffalo, USA

  2. 3

    Critical Care Western New York Healthcare System, USA

  3. 4

    Western New York Respiratory Research Center Buffalo, NY, USA

Author Information

  1. Department of General Surgery, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA, USA

Publication History

  1. Published Online: 19 APR 2012
  2. Published Print: 16 APR 2012

ISBN Information

Print ISBN: 9780470655900

Online ISBN: 9781119962083

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Keywords:

  • Obesity;
  • Trauma;
  • Management;
  • Mortality;
  • Morbidity

Summary

Obesity has increased dramatically throughout the USA over the last decade. Trauma centers throughout the country can expect an increase in admissions of obese patients. As illustrated through a series of studies that explore the impact of obesity in the setting of trauma, the consequences and outcomes of trauma in the obese patient can be grave. Thus it is necessary for trauma teams to provide appropriate and safe care, adapted to meet the unique needs of the obese trauma patient during the prehospital, initial assessment, workup, operative, and hospital phases. This approach includes establishing management guidelines for the obese trauma patient, such as appropriate use of equipment. Additionally, trauma teams should familiarize themselves with limitations in the examination, investigation, and monitoring of the obese patient. Care should be multidisciplinary and should maximize the expertise of consulting teams, physical and occupational therapists, social workers, dieticians, and case managers where appropriate.