2012, Number 3
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Arch Med Urg Mex 2012; 4 (3)
Obese patient management in the emergency depatment
Villatoro MA, Galicia HJJ, Alvarado DKS, Ramos MJA, Huerta SM
Language: Spanish
References: 41
Page: 112-118
PDF size: 62.79 Kb.
ABSTRACT
Morbidly obese patients (MOP) is one that accumulates excess body fat so great, that their health is adversely affected. Obesity has a number of predisposing factors. Medical and paramedical staff needs to know the peculiarities of MOP in the Emergency Department (ED) due to excessive size and body composition; this will improve pre-hospital and hospital care and also improve resource management. It is necessary that adequate facilities and equipement are available, and staff to meet the primary approach to serve the MOP, thus preventing their management becomes a challenge for all staff in the ED.
REFERENCES
WHO; Obesity, preventing and managing the global pandemic, 1997.
Rev Acad Mex Ciencias. 2011.
Wolf AM. Obes Res 1998; 6: 97-106.
Pi-Sunyer FX. Proc Obesity: criteria and classification. Nutr Soc 2000; 59 (4): 505-509.
Ciark JM, Brancati FL. The Challenge of obesity-related chronic diseases. J Gen Intern Med 2000; 15 (11): 828-829.
Calderón-Guzmán D, Hernández-García E, Barragán-Mejía G. Probable relación de leptina y estrés oxidativo en el cerebro. Arch Neurocien Mex 2009; 14 (3): 188-191.
Sunyer PI. 1998. Clinical Guidelines 1998. ASBS Guidelines 1997.
Bray GA. Contemporary diagnosis in management of obesity. New-Town Pa. Handbook in Health Care 1998.
Leslie M. Weighing in on clinical guidelines for obesity. Tools to assist your patients. Adv Nurse Pract 2000; 8 (3): 78-81.
Cornuzzie AG, Allison DB. The search for human obesity genes. Science; 1998; 280: 1374-1377.
Pelczarski K. Take a proactive approach to bariatric patient needs evaluating local obesity trends helps with product preparation. In: https://www.ecri.org/Documents/News/20070601_MaterialsManagementinHealthCare_Bariatric.pdf. 2007. Acceso dic 10 2011.
Reed MJ, Dunn MJ, McKeown DW. Can an airway assessment score predict difficulty at intubation in the emergency department? Emerg Med J 2005; 22: 99-102.
Wolf AM, Colditz GA. Current estimates of the economic cost of obesity in the U.S.; Obesity Research, 1998; 6(2): 97-106.
Li J, Murphy-Lavoie H, Bugas C et al. Complications on emergency intubation with and without paralysis. Am J Emerg Med 1999; 17: 141-143.
Langeron O, Masso E, Huraux C et al. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229-1236.
Caplan RA, Benumof JL, Berry FA et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists task force on management of the difficult airway. Anesthesiology 2003; 98: 1269-1277.
Juvin P, Lavaut E, Dupont H et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003; 97: 595-600.
Bond A. Obesity and difficult intubation. Anaesth Intensive Care 1993; 21: 828-830.
Brodsky JB, Lemmens HJ, Brock-Utne JG et al. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94: 732-736.
Collins JS, Lemmens HJ, Brodsky JB. Obesity and difficult intubation: where is the evidence? Anesthesiology 2006; 104: 617.
Jense HG, Dubin SA, Silverstein PI et al. Effect of obesity on safe duration of apnea in anesthetized humans. Anesth Analg 1991; 72: 89-93.
Cressey DM, Berthoud MC, Reilly CS. Effectiveness of continuous positive airway pressure to enhance pre-oxygenation in morbidly obese women. Anaesthesia 2001; 56: 680-684.
Ogunnaike BO, Jones SB, Jones DB et al. Anesthetic considerations for bariatric surgery. Anesth Analg 2002; 95: 1793-1805.
Erstad BL. Dosing of medications in morbidly obese patients in the intensive care unit setting. Intensive Care Med 2004; 30: 18-32.
Lemmens HJ, Brodsky JB. The dose of succinylcholine in morbid obesity. Anesth Analg 2006; 102: 438-44.
O’Brien JM Jr, Welsh CH, Fish RH, et al. Excess body weight is not independently associated with outcome in mechanical and ventilated patients with acute lung injury. Ann Intern Med 2004; 140: 338-345.
Kramer EB. Guide to the emergency management of morbidly obese patients: the rise in obesity means that more morbidly obese patients are being seen in emergency departments. 2007.
Grant P, Newcombe M. Emergency management of the morbidly obese. 2004; 16 (4): 309-17.
Goodell TT. The obese trauma patient: treatment strategies. J Trauma Nurs 1996; 3: 36-44.
Yuval M, Yaacov G. Management of the obese trauma patient. Anesthesiology Clin 2007; 25: 91-98.
Zhu S, Kim JE, Ma X, Shih A, Laud P, Pintar F et al. BMI and risk of serious upper body injury following motor vehicle crashes: Concordance of real-world and computer-simulated observations. PLoS Medicine. March 2010; 3 (7): e1000250.
Semchuk WM. Medication dosing guidelines in obese adults. In: RQHR Pharmacy Services. 2007.
Erstad BL. Dosing medications in morbidly obese patients in the ICU setting. Intensive Care Med 2004; 30: 18-32.
Ingrande J, Lemmens HJM. Dose adjustment of anaesthetics in the morbidly obese. British Journal of Anaesthesia 2010; 105 (S1): i16-i23.
De Baerdemaeker LED, Mortier EP, Struys MRF. Pharmacokinetics in obese patients. Continuing Education in Anaesthesia. Critical Care & Pain 2004; 4 (5): 152-5.
Rao M. Morbid obesity-anaesthetic management. In: http://www.theiaforum.org/Article_Folder/morbid-obesity-anaesthetic-management.pdf. Acceso dic 10 2011.
Obese patients difficult to manage in the emergency department. In http://www.acem.org.au/media/media_releases/Obese_patients_in_ED.pdf. Acceso dic 10 2011.
Gurney H, Rachel SR. Obesity in dose calculation: A mouse or an elephant? Journal Clinical Oncology 2007; 25 (30): 4703-4.
Management of the obese patient. Twin Cities health professional educational consortium. 2005.
Peri-operative management of the morbidly obese patient. The Association of Anaesthetists of Great Britain and Ireland. 2007.
Fox S. Drug dosing in the obese adult: An expert interview with Jeffrey F. Barletta. In: http://www.medscape.com/viewarticle/734194. Acceso dic 10 2011.
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