Critical care of the obese and bariatric surgical patient.
Obesity is associated with a chronic inflammatory state that predisposes to atherogenesis, thrombogenesis, and carcinogenesis and may increase susceptibility to infections. Critically ill, obese patients have higher mortality. MOF is the best predictor of ICU mortality for obese patients. Pulmonary hypertension and higher BMI are associated with higher surgical risk. Progress in surgical technique and anesthesia has substantially improved the safety of performing operations in severely obese patients.
Levi
Daniela
D
Albert Einstein College of Medicine, Critical Care Services, Montefiore Medical Center, 111 East 210 Street, Bronx, NY 10467, USA. dlevi@montefiore.org
Goodman
Elliot R
ER
Patel
Mayank
M
Savransky
Yevgeny
Y
D015904:Biliopancreatic Diversion; D003422:Critical Care; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D015390:Gastric Bypass; D015391:Gastroplasty; D006801:Humans; D007442:Intubation, Intratracheal; D007581:Jejunoileal Bypass; D009767:Obesity, Morbid / Q000601:surgery; D011655:Pulmonary Embolism / Q000209:etiology; D014218:Triage; D020246:Venous Thrombosis / Q000209:etiology