LEADER 01358nam--2200397---450- 001 990003628600203316 005 20120229144159.0 010 $a978-88-387-5955-3 035 $a000362860 035 $aUSA01000362860 035 $a(ALEPH)000362860USA01 035 $a000362860 100 $a20120223d2010----km-y0itay50------ba 101 $aita 102 $aIT 105 $ay|||||||001yy 200 1 $a<> contratti agrari e le nuove fonti di energia$eforme di tutela$eratio, commento, giurisprudenza, mappa, formulario$fBruno Cirillo 210 $aSantarcangelo di Romagna$cMaggioli$d2010 215 $a198 p.$d24 cm 225 2 $a<> essenziali per l'avvocato$v4 300 $aIl CD-ROM contiene: formulario 410 0$12001$a<> essenziali per l'avvocato$v, 4 606 0 $aContratti agrari$xLegislazione$2BNCF 676 $a346.45004348$v22 700 1$aCIRILLO,$bBruno$0609758 801 0$aIT$bsalbc$gISBD 912 $a990003628600203316 951 $aXXV.1.N. 78$b71425 G.$cXXV.1.N.$d00307094 951 $aXXV.1.N. 78 a$b70197 G.$cXXV.1.N.$d00307581 959 $aBK 969 $aGIU 979 $aCHIARA$b90$c20120223$lUSA01$h1217 979 $aFIORELLA$b90$c20120229$lUSA01$h1441 979 $aFIORELLA$b90$c20120229$lUSA01$h1441 996 $aContratti agrari e le nuove fonti di energia$91138269 997 $aUNISA LEADER 06020nam 2200697Ia 450 001 9910438132403321 005 20200520144314.0 010 $a1-283-61274-7 010 $a9786613925190 010 $a88-470-2634-2 024 7 $a10.1007/978-88-470-2634-6 035 $a(CKB)2560000000091077 035 $a(EBL)973170 035 $a(OCoLC)809767626 035 $a(SSID)ssj0000736884 035 $a(PQKBManifestationID)11418343 035 $a(PQKBTitleCode)TC0000736884 035 $a(PQKBWorkID)10783300 035 $a(PQKB)10902363 035 $a(DE-He213)978-88-470-2634-6 035 $a(MiAaPQ)EBC973170 035 $a(PPN)168334429 035 $a(EXLCZ)992560000000091077 100 $a20120809h20122013 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aControversies in the anesthetic management of the obese surgical patient /$fYigal Leykin, Jay B. Brodsky ; editors 205 $a1st ed. 2013. 210 $aMilan ;$aNew York $cSpringer$d2012, c2013 215 $a1 online resource (301 p.) 300 $aDescription based upon print version of record. 311 $a88-470-5638-1 311 $a88-470-2633-4 320 $aIncludes bibliographical references and index. 327 $aControversiesin the Anesthetic Management of the Obese Surgical Patient; Preface; Contents; Contributors; Part I Introduction; 1 Should Anesthesiologists Managing Morbidly Obese Patients Receive Special EducationSpecial Education and TrainingTraining?; Abstract; 1.1...Introduction; 1.2...Alterations Associated with Morbid Obesity; 1.2.1 Anatomy; 1.2.2 Physiology; 1.2.3 Pharmacology; 1.3...What Does it Mean for an Anesthesiologist to be Ready for MO Patients?; 1.4...Current Format of Learning and EducationEducation; 1.5...Current TrainingTraining Strategies for Residents and Practitioners 327 $a1.6...Anesthesia Practitioners1.7...Our Proposal for Educational and TrainingTraining Strategies; 1.7.1 Potential Sources of Training; 1.7.1.1 Simulation-Based Training; 1.7.1.2 Clinical Training; 1.7.1.3 On-Line Resources; 1.7.1.4 Scientific Meetings; 1.7.1.5 Printed Sources; 1.8...Conclusions; References; 2 How Should Obesity be Measured and How Should Anesthetic Drug Dosage be Calculated?; Abstract; 2.1...Introduction; 2.2...The Problems with Assessing Excess Adiposity; 2.3...Methods for Assessing Adiposity; 2.3.1 Body Weight and BMI; 2.3.2 Assessing Body Fat Distribution; 2.3.2.1 Waist Circumference 327 $a2.3.2.2 Hip Circumference2.3.2.3 Other Body Circumferences; 2.3.2.4 Ratios; 2.3.2.5 Sagittal Abdominal Diameter; 2.3.2.6 CT and MRI; 2.4...Methods for Assessing Body CompositionBody Composition; 2.4.1 Anthropometry; 2.4.2 Dual-Energy X-ray Absorptiometry; 2.4.3 Bioelectric Impedance Analysis; 2.5...How Should These Measurements be Used to Calculate Anesthetic Drug Dosage?; 2.5.1 Total Body Weight; 2.5.2 Lean Body Weight; 2.5.3 Ideal Body Weight and Corrected Body Weight; 2.5.4 Pharmocokinetic Mass; 2.5.5 Allometric Scaling; 2.6...Practical Guidelines; 2.7...Conclusions; References 327 $aPart II Preoperative Concerns3 What are the Important Perioperative Risk Factors for Morbidly Obese Patients?; Abstract; 3.1...Introduction; 3.2...The Metabolic Syndrome; 3.3...Obstructive Sleep Apnea; 3.4...Cardiovascular Disease; 3.5...Pregnancy; 3.6...Conclusions; References; 4 Does Every Morbidly Obese Patient Need a Complete Preoperative Workup?; Abstract; 4.1...Introduction; 4.2...Cardiac; 4.3...Pulmonary; 4.4...Renal and Electrolytes; 4.5...Hepatic; 4.6...Hematologic; 4.7...Endocrine; 4.8...Preoperative Workup Specific to Bariatric Surgery; 4.9...Conclusions; References 327 $a5 Obesity and Metabolic Syndrome: Considerations from AnesthesiologistsAbstract; 5.1...Background; 5.2...Pathophysiology of Obesity; 5.3...Clinical Assessment in Adults, Children and Adolescents; 5.4...Obesity: At Risk Patients and Scoring System; 5.4.1 Physical Assessment; 5.4.2 Monitoring; 5.5...Metabolic Syndrome; 5.5.1 Therapeutic Implications; 5.5.1.1 Obesity and Body Fat Distribution as Targets of Therapy; 5.5.1.2 Insulin Resistance as Target of Therapy; 5.6...Obesity and Perioperative Medicine; 5.7...Obesity Related Health Cost; 5.7.1 Financial Burden of Obesity; 5.8...Conclusion; References 327 $a6 Is a Full Cardiac Workup Indicated for Morbidly Obese Patients with Cardiac Disease? 330 $aThe worldwide prevalence of obesity has increased dramatically in recent years. Since the results of long-term dietary behavioral therapy remain sadly inadequate, surgery is currently the only effective treatment for patients with severe or morbid obesity. The numbers of weight loss operations continue to increase annually throughout the world. The anesthetic management of severely obese patients entails special challenges, especially when medical co-morbidities are present. Published outcome data on anesthetic care and pain management of these patients are scarce, and many practices remain controversial. Controversies in the Anesthetic Management of Obese Patients considers a wide range of important practical issues. Key questions in preoperative, intraoperative, and postoperative management are addressed, and different approaches are evaluated. Written by international leaders in the field, this book will be an invaluable aid for anesthesia care providers. 606 $aAnesthesia$xComplications 606 $aObesity$xComplications 606 $aAnesthesiology 615 0$aAnesthesia$xComplications. 615 0$aObesity$xComplications. 615 0$aAnesthesiology. 676 $a617.4/3 676 $a617.43 701 $aLeykin$b Yigal$01755397 701 $aBrodsky$b Jay B$01755398 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910438132403321 996 $aControversies in the anesthetic management of the obese surgical patient$94192169 997 $aUNINA