20. Critical Care Management of the Obese Patient after Bariatric Surgery

  1. Ali A. El Solh MD, MPH4,5,6
  1. Scott E. Mimms MD1,2 and
  2. Samer G. Mattar MD, FACR, FRCS (Edin), FASMBS1,2,3

Published Online: 19 APR 2012

DOI: 10.1002/9781119962083.ch20

Critical Care Management of the Obese Patient

Critical Care Management of the Obese Patient

How to Cite

Mimms, S. E. and Mattar, S. G. (2012) Critical Care Management of the Obese Patient after Bariatric Surgery, in Critical Care Management of the Obese Patient (ed A. A. El Solh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119962083.ch20

Editor Information

  1. 4

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

  2. 5

    Critical Care Western New York Healthcare System, USA

  3. 6

    Western New York Respiratory Research Center Buffalo, NY, USA

Author Information

  1. 1

    Indiana University, Indianapolis, IN, USA

  2. 2

    Indiana University Health Bariatics and Weight Loss, Indiana University Health North, Carmel, IN, USA

  3. 3

    IU Health Bariatics and Weight Loss, Indianapolis, IN, USA

Publication History

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

ISBN Information

Print ISBN: 9780470655900

Online ISBN: 9781119962083

SEARCH

Keywords:

  • Bariatric surgery;
  • Critical care;
  • Pulmonary care;
  • Obesity;
  • Metabolic syndrome;
  • Sleep apnea;
  • Venous thromboembolism

Summary

The incidence of morbid obesity continues to rise at an alarming rate and with a worldwide distribution. Moreover, the rate of weight gain is increasing exponentially in the super-obese population, resulting in a rapidly expanding subcategory of patients who represent a very high perioperative risk due to the critical state of their comorbidities. Weight-loss surgery remains the most effective and durable therapeutic option for morbid obesity and all predictors indicate persistent demand for the foreseeable future. Although many technical and management advancements have enhanced the safety profile of bariatric surgery, there remains a recognized incidence of serious postoperative complications. Consequently, there will continue to be a need for critical-care resources for the occasional post-bariatric surgery patient.