Sedation considerations for the nonintubated obese patient in critical care.
Sedation of the obese critical care patient presents unique challenges that include altered respiratory function and a predisposition to respiratory suppression and airway obstruction. Sedative drugs have pronounced effects on obese patients. Knowledge of the anatomic and physiologic changes associated with obesity, airway management, and sedation agents better prepares one to care for these patients safely and effectively.
Welliver
Mark
M
School of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX 76109, USA. m.welliver@tcu.edu
Bednarzyk
Michele
M
D000402:Airway Obstruction; D002983:Clinical Competence; D016292:Procedural Sedation / Q000009:adverse effects / Q000451:nursing*; D003422:Critical Care / Q000379:methods*; D006801:Humans; D009765:Obesity / Q000451:nursing* / Q000503:physiopathology; D015656:Respiratory Mechanics