Mechanical Ventilation in the Critically Ill Obese Patient

Part I. Effects of obesity on respiratory physiology. - Effects of obesity on control of breathing. - Effects of obesity on respiratory mechanics and gas exchange. - Effects of obesity on sleep-disordered breathing. - Implications for mechanical ventilation. - Part II. Causes of acute respiratory failure in the obese patient. - Atelectasis. - Acute respiratory distress syndrome. - Community-acquired pneumonia. - Congestive heart failure. - Abdominal compartment syndrome. - Trauma. - Sleep-disordered breathing. - Drugs and medications. - Part III. Invasive mechanical ventilation in the critically ill obese patient. - Pre-oxygenation before intubation. - Difficult airway management. - Analgesia of the obese patient. - Sedation of the obese patient: indications, management, and complications. - Use of paralytics. - Positioning of the patient for mechanical ventilation. - Prevention of lung derecruitment. - Management of complications associated with mechanical ventilation. - Management of ventilator-inducedlung injury. - Management of the obese pregnant patient. - Modes of ventilation. - Weaning from mechanical ventilation. - Tracheostomy: indications and technique. - Decannulation process in the tracheostomised obese patient. - Part IV. Noninvasive ventilation and oxygen delivery in the critically ill obese patient. - The choice of interface. - The choice of ventilator and ventilator setting. - NIV in type 1 (hypoxemic) acute respiratory failure. - High-flow oxygen via nasal cannula. - NIV in type 2 (hypercapnic) acute respiratory failure. - Prevention of post-extubation respiratory failure. - NIV in the obese patient after surgery. - Determinants of NIV success or failure. - Chronic ventilation in obese patients. - Part V. Moving and feeding the critically ill obese patient. - Transportation of obese patients under mechanical ventilation. - Nutritional support in the critically ill obese ventilated patient. - Rehabilitation of obese patients under mechanical ventilation. - Part VI. Ethical issues, outcomeand costs. - Ethical issues regarding mechanical ventilation. - Long-term outcomes after mechanical ventilation. - Healthcare costs.