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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-induced lung 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, outcome and costs
Ethical issues regarding mechanical ventilation
Long-term outcomes after mechanical ventilation
Healthcare costs.

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