The traumatised bariatric patient presents unique challenges and difficulties. Approximately 25% of adults in the United Kingdom are obese and 2% are morbidly obese. With an increasing incidence of obesity, understanding the specific challenges of managing the traumatised obese patient is vital for trauma practitioners.
Belzberg H., Wo CC, Demetriades D., Shoemaker WC2007. Effects of age and obesity on hemodynamics, tissue oxygenation, and outcome after trauma. J Trauma62: 1192-200.
2.
Bochicchio GV, Joshi M., Bochicchio K., Nehman S., Tracy JK, Scalea TM2006. Impact of obesity in the critically ill trauma patient: A prospective study. J Am Coll Surg203: 533-38.
3.
Brown CV, Velmahos GC2006. The consequences of obesity on trauma, emergency surgery, and surgical critical care. World J Emerg Surg1: 27.
4.
Christmas AB, Reynolds J., Wilson AK, Franklin GA, Miller FB, Richardson JD, Rodriguez JL2007. Morbid obesity impacts mortality in blunt trauma. Am Surg73: 1122-5.
5.
Ciesla DJ, Moore EE, Johnson JL, Burch JM, Cothren CC, Sauaia A.2006. Obesity increases risk of organ failure after severe trauma . J Am Coll Surg203: 539-45.
6.
Dossett LA, Heffernan D., Lightfoot M., Collier B., Diaz JJ, Sawyer RG, May AK2008. Obesity and pulmonary complications in critically injured adults. Chest134: 974-80.
7.
Jeevanandam M., Young DH, Schiller WR1991. Obesity and the metabolic response to severe multiple trauma in man. J Clin Invest87: 262-9.
8.
Joffe A., Wood k.2007. Obesity in critical care. Curr Opin Anaesthesiol20: 113-18.
9.
Neville AL, Brown CV, Weng J., Demetriades D., Velmahos GC2004. Obesity is an independent risk factor of mortality in severely injured blunt trauma patients. Arch Surg139: 983-7.
10.
Peltola EK, Lindahl J., Hietaranta H., Koskinen SK2009. Knee dislocation in overweight patients. AJR Am J Roentgenol192: 101-6.
11.
Rocha AT, De Vasconcellos AG, Da Luz Neto ER, Araujo DM, Alves ES, Lopes AA2006. Risk of venous thromboembolism and efficacy of thromboprophylaxis in hospitalized obese medical patients and in obese patients undergoing bariatric surgery. Obes Surg16: 1645-55.
12.
Sifri ZC, Kim H., Lavery R., Mohr A., Livingston DH2008. The impact of obesity on the outcome of emergency intubation in trauma patients. J Trauma65: 396-400.
13.
Zhu S., Layde PM, Guse CE, Laud PW, Pintar F., Nirula R., Hargarten S.2006. Obesity and risk for death due to motor vehicle crashes . Am J Public Health96: 734-9.