Please enable JavaScript.
Coggle requires JavaScript to display documents.
Obesity - Coggle Diagram
Obesity
On ICU
30% admissions in US
Worse outcomes
Increased duration on mechanical ventilation
Increased duration of admission
Increased risk of morbidity and mortaility
Co-morbidities
Cardiovascular
Metabolic
HIgh risk
TO staff
Use of specialised equipment
Load on scanners, theatre tables
Intra and inter hospital
A-E
A
NAP 4
Factor in difficult airway
Percutaneous tracheostomy
B
Reduced FRC
Reduced compliance
Ventilatory volumes should be calculated off ideal body weight
Trans-pulmonary pressure = airway pressure - pleural pressure
Oesophageal pressure is a surrogate for pleural pressure
OSA
STOPBANG
Snoring
Tired
Observed
Pressure
BMI >35
Age >50
Neck size >16 inches
Gender = male
C
Vascular access
NIBP
40% circumferance
80% length
HIgh risk DVT
Metabolic
Insulin resistance
Inhibits mobilisation of fat in stress
Metabolism of protein
Management
Early nutrition
Higher protein intake
Pharmakinetics
Distribution
Increased volume of distribution
Fat soluable drugs
Metabolism
dosing recommendations may not be accurate
Monitoring is recommended