Mechanical Ventilation in the Critically Ill Obese Patient
This book is the first to describe a practical evidence-based approach to the management of critically ill obese patients with various medical or postoperative respiratory problems in the intensive care unit. In brief, the book aims to identify the best s
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Antonio M. Esquinas Malcolm Lemyze Editors
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Mechanical Ventilation in the Critically Ill Obese Patient
Antonio M. Esquinas • Malcolm Lemyze Editors
Mechanical Ventilation in the Critically Ill Obese Patient
Editors Antonio M. Esquinas Intensive Care and Non Invasive Ventilatory Unit Hospital Morales Meseguer Murcia Spain
Malcolm Lemyze Department Respiratory and CC Medicine Schaffner Hospital Lens France
ISBN 978-3-319-49252-0 ISBN 978-3-319-49253-7 (eBook) https://doi.org/10.1007/978-3-319-49253-7 Library of Congress Control Number: 2017955688 © Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
There is no doubt that obesity has become one of the leading public health threats worldwide. The number of obese subjects has doubled during the last 25 years to reach more than 600 million subjects in 2015. Considering the 100 million obese children in the world, obesity’s future is assured at least for the next generation. Of course, the continuously increasing incidence of the disease is problematic, but the new alarming phenomenon is the explosion of the cases of massively obese individuals. Indeed, the higher the severity of obesity according to body mass index, the higher the incidence of obesity-associated cardio-respiratory disorders and metabolic diseases. Obesity-induced chronic respiratory failure—commonly referred to as obesity hypoventilation syndrome—is encountered in more than half of the superobese patients with a BMI exceeding 50 kg·m−2. The management of these patients in the emergency setting is often challenging and raises specific problems that must be addressed
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