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Patients with extreme obesity undergoing surgical procedures need specific perioperative management. This new edition gives clear guidance on clinical management.
Written by international experts in the field, this comprehensive book covers all aspects of obesity that may impact upon the practice of the anaesthetist, intensivist or other healthcare professional dealing with the obese patient. The information is presented in a logical manner--opening chapters cover the underlying pathophysiology of obesity and move on to discuss general risk factors, legal and ethical aspects of anaesthesia, changes in pharmacokinetics and pharmacodynamics, pre-operative assessment and management. The main section of the book then focuses on specific problems such as renal function, DVT, patient positioning, airway management and ventilation, pulse oximetry, TOE, brain monitoring and BIS, general, spinal and epidural anaesthesia, volatile anaesthetics and drug delivery. A final section includes chapters that detail the nursing, ICU and trauma management of the obese patient, and covers key topics such as anaesthesia for caesarean section, ECG, infection control, haemodynamic monitoring, post-anaesthetic care and postoperative analgesia.
The world is experiencing an obesity epidemic. In both industrialized and emerging countries, the percentage of adults and children with obesity is increasing annually. It is no longer unusual to encounter a patient with extreme or morbid obesity in the operating room; these patients are routinely scheduled for every type of surgical procedure. Everyone involved in the peri-operative management of the surgical patient with morbid obesity – surgeons, anesthesiologists, internists, psychologists, nurses, nutritionists, respiratory therapists – must be aware of the special needs of these patients. Morbid Obesity: Peri-operative Management, 2nd edition considers the perioperative care of the morbidly obese patient, from preoperative preparation to intraoperative management and through to their postoperative course. Edited by leading experts in the management of the morbidly obese surgical patient, Morbid Obesity: Peri-operative Management, second edition, provides clear, practical clinical guidance on the management of the extremely obese surgical patient.
A collection of short essays and stories, Defending Latina/o Immigrant Communities: The Xenophobic Era of Trump and Beyond focuses on one of the most vilified, demonized, and scapegoated groups in the United States: Latina/o immigrants. Using his rigorous academic training, public policy knowledge, and community activist background, as well as his personal and familial experiences as the son of Mexican immigrants, Alvaro Huerta defends and humanizes los de abajo / those on the bottom. He skillfully re-frames how Latina/o immigrants should be viewed as productive and important members in this country, debunking the xenophobic tropes, lies, and myths about Latina/o immigrants as criminals, social burdens, and national security threats. Accompanied by the brilliant art of an internationally acclaimed artist, Salomon Huerta, and powerful photos of two established photographers, this book also investigates intersectional issues related to race, class, place, and state violence.
It's 1895. Amid laundry and bruises, Rina Pierangeli Faccio gives birth to the child of the man who raped her – and who she has also been forced to marry. Unbroken, she determines to change her name; and her life, alongside it. 1902. Romaine Brooks sails for Capri. She has barely enough money for the ferry, nothing for lunch; her paintbrushes are bald and clotted... But she is sure she can sell a painting – and is fervent in her belief that the island is detached from all fates she has previously suffered. ... In 1923, Virginia Woolf writes: I want to make life fuller – and fuller. Sarah Bernhardt – Colette – Eleanora Duse – Lina Poletti – Josephine Baker – Virginia Woolf... these are just a few of the women sharing the pages of a book as fierce as it is luminous. Lush and poetic; furious and funny; in After Sappho, Selby Wynn Schwartz has created a novel that celebrates the women and trailblazers of the past – their constant efforts to push against the boundaries of what it means, and can mean, to be a woman – that also offers hope for our present, and our futures.
We Make Each Other Beautiful focuses on woman of color and queer of color artists and artist collectives who engage in direct political action as a part of their art practice. Defined by public protest, rule-breaking, rebellion, and resistance to governmental and institutional abuse, direct-action "artivism" draws on the aims, radical spirit, and tactics of the civil rights and feminist movements and on the struggles for disability rights, queer rights, and immigrant rights to seek legal and social change. Yxta Maya Murray traces the development of artivism as a practice from the Harlem Renaissance to Yoko Ono, Judy Baca, and Marsha P. Johnson. She also studies its role in transforming law and society. We Make Each Other Beautiful profiles the work and lives of four contemporary artivists —Carrie Mae Weems, Young Joon Kwak, Tanya Aguiñiga, and Imani Jacqueline Brown—and the artivist collective Drawn Together, combining new oral histories with sharp analyses of how their diverse and expansive artistic practices bear important aesthetic and politicolegal meanings that address a wide range of injustices.
Based on the 4th edition of the renowned textbook of the same name, this softcover manual focuses on the information necessary to make clinical decisions in the ICU. It begins with a crucial section on responding to emergency situations in the ICU. It proceeds to cover the most relevant clinical infomation in all areas of critical care including critical care monitoring, techniques and procedures, essential physiologic concers, shock states, pharmacology, surgical critical care, and infectious diseases. The manual also contains thorough reviews of diseaes by organ system: cardiovascular diseases, repiratory disorders, neurologic and gastrointestinal disorders, renal, endocrine, skin and muscle diseases, and hematologic/ oncologic diseases. This essential new resource is written in an easy-to-read style that makes heavy use of bulleted lists and tables and features an all-new full color format with a color art program. All critical care providers will find this a useful clinical resource.