title: Care of the obesity surgery patient requiring immediate-level care or intensive care.
abstract: Most bariatric surgery patients are triaged directly to the medical surgical floor postoperatively. However, patients at high risk due to comorbid factors, who have failed postoperative extubation or have suffered intraoperative complication, may require intensive care unit (ICU) or intermediate-level care (IMC). The special needs of the morbidly obese IMC/ICU patient include: triage, mobility, visiting, fluid resuscitation, management of sleep apnea, airway management, transporting for out of ICU procedures, and preventing pressure ulcers. Traditional approaches to nursing care require new thought when dealing with the massively obese. Our experiences with the special needs of these critically ill morbidly obese bariatric surgery patients are described.
authors.affiliation: Pomerado Hospital, Poway, California 92064, USA. Jed2@pphs.org
authors.forename: J E
authors.initials: JE
authors.lastname: Davidson
authors.forename: C
authors.initials: C
authors.lastname: Callery
mesh_terms: D001291:Attitude of Health Personnel; D015897:Comorbidity; D003422:Critical Care / Q000379:methods*; D004434:Early Ambulation; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D017770:Lifting; D009767:Obesity, Morbid / Q000150:complications / Q000451:nursing* / Q000601:surgery*; D018579:Patient Selection; D013527:Perioperative Nursing / Q000379:methods; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control; D011383:Progressive Patient Care / Q000379:methods*; D012121:Respiration, Artificial / Q000379:methods / Q000451:nursing; D012307:Risk Factors; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000517:prevention & control; D014187:Transportation of Patients / Q000379:methods; D014218:Triage / Q000379:methods