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01.09.2016 | Lipid and Metabolic Effects of Gastrointestinal Surgery (R. Cohen, Section Editor) | Ausgabe 9/2016

Current Atherosclerosis Reports 9/2016

The Bariatric Patient in the Intensive Care Unit: Pitfalls and Management

Zeitschrift:
Current Atherosclerosis Reports > Ausgabe 9/2016
Autoren:
Carlos E. Pompilio, Paolo Pelosi, Melina G. Castro
Wichtige Hinweise
This article is part of the Topical Collection on Lipid and Metabolic Effects of Gastrointestinal Surgery

Abstract

The increasing number of bariatric/metabolic operations as important alternatives for the treatment of obesity and type 2 diabetes brought several concerns about the intensive care of patients undergoing those procedures. Intensive Care Unit admission criteria are needed in order to better allocate resources and avoid unnecessary interventions. Furthermore, well-established protocols, helpful in many clinical situations, are not directly applicable to obese patients. Indeed, difficult airway management, mechanical ventilation, fluid therapy protocols, prophylaxis, and treatment of venous thromboembolic events have unique aspects that should be taken into consideration. Finally, new data related to planning nutrition therapy of the critically obese have been highlighted and deserve consideration. In this review, we provide an outline of recent studies related to those important aspects of the care of the bariatric/metabolic patients in critical conditions.

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