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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 26. Special Situations > |
Chapter 296. The Morbidly Obese Patient
Sections: The Morbidly Obese Patient: Introduction, Pathophysiology, Management of Specific Medical Issues Due to Altered Physiology, Complications of Bariatric Surgery, Recommendations for Altered Medication Dosing in Obese Patients, Procedures, Equipment Problems Specific to ED Care, Acknowledgments, References.
Topics Discussed: obesity; obesity, morbid.
Excerpt:"Obesity is the condition of an excess proportion of adipose tissue
to total body weight (TBW). The prevalence of obesity in the U.S.
has doubled in the past 20 years, with 34% of adults being
obese in 2006.1 The U.S. has the highest prevalence
of obesity worldwide, but rapid increases in the prevalence of obesity
have occurred in most economically developed countries and many
developing countries. Obesity rates >20% have been reported
in the United Kingdom, China, and Mexico. Because body fat is difficult
to measure, body mass index (BMI) is used to define obesity. BMI
is calculated by dividing the patient's weight in kilograms
by the square of their height in meters. For example, an average
male with a weight of 80 kg and a height of 1.80 m has a BMI of
25 kg/m2. Obesity is defined as a
BMI >30 kg/m2; morbid obesity is
defined as a BMI >40 kg/m2...."
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