• Obesity surgery · Feb 2001

    Review

    Care of the obesity surgery patient requiring immediate-level care or intensive care.

    • J E Davidson and C Callery.
    • Pomerado Hospital, Poway, California 92064, USA. Jed2@pphs.org
    • Obes Surg. 2001 Feb 1; 11 (1): 93-7.

    AbstractMost bariatric surgery patients are triaged directly to the medical surgical floor postoperatively. However, patients at high risk due to comorbid factors, who have failed postoperative extubation or have suffered intraoperative complication, may require intensive care unit (ICU) or intermediate-level care (IMC). The special needs of the morbidly obese IMC/ICU patient include: triage, mobility, visiting, fluid resuscitation, management of sleep apnea, airway management, transporting for out of ICU procedures, and preventing pressure ulcers. Traditional approaches to nursing care require new thought when dealing with the massively obese. Our experiences with the special needs of these critically ill morbidly obese bariatric surgery patients are described.

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