Bariatrics gone bad

Bariatrics gone bad@rallydoc

Me Set up new service only bypass surgery No major complications or deathsMedian length of stay 32 hours 1

Institute for Heath Metrics and Evaluation via http://vizhub.healthdata.org/obesity/ a

So I can't tell you about the car crashes. 6

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ATTITUDE

ASSESSMENT

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ACTION

LBM = (0.32810 W) + (0.33929 H) 29.5336

LBM = (0.32810 W) + (0.33929 H) 29.5336 LBM = (0.29569 W) + (0.41813 H) 43.2933

LBM = (height 100) + of the difference

Heigh in cm

30

Taking off vs landing Upset effort beginning vs endRemi Des 0.5% - PatienceGood M6Upright Preox and PEEP

32

ATTITUDEASSSESSMENTACTION

ow.ly/1Qw1301gVBdCrosskerry P The Cognitive Imperative: thinking about how we think. ACAD EMERG MED, Nov 2000: 7(11); 1223-1232Foster, GD, Wadden, TA et al Primary Care Physicians Attitudes about Obesity and Its Treatment Obesity Res, Oct 2003: 11(10); 1168-77K. Malterud & K. Ulriksen Obesity, stigma, and responsibility in health care: A synthesis of qualitative studies Int J Qualitative Stud Health Well-being, 2011; 6: 8404- 19Crosskerry P: Diagnostic Failure: A Cognitive and Affective Approach. Advances in Patient Safety, 2005 (Feb): Vol. 2; 241-254C. E. Nightingale, M. P. Margarson, et al Peri-operative management of the obese surgical patient Anaesthesia 2015, 70, 859876 Langeron, O Masso E Prediction of Difficult Mask Ventilation Anesthesiology2000; 92:122936Keterpal S Martin , L et al Prediction and Outcomes of Impossible Mask Ventilation: A Review of 50,000 Anesthetics. Anesthesiology 2009; 110:8917 Chaloub C Yazigi A et al Effect of vital capacity manoeuvres on arterial oxygenation in morbidly obese patients undergoing open bariatric surgery. European Journal of Anaesthesiology 2007; 24: 283288 Dixon BJ, Dixon JB et al Preoxygenation Is More Effective in the 25 Head-up Position Than in the Supine Position in Severely Obese Patients: A Randomized Controlled Study. Anesthesiology 2005; 102:1110 5=Lundstrm,LH Mller, AM et al High Body Mass Index Is a Weak Predictor for Difficult and Failed Tracheal Intubation A Cohort Study of 91,332 Consecutive Patients Scheduled for Direct Laryngoscopy Registered in the Danish Anesthesia Database Anesthesiology 2009; 110:266 74Adams JP and Murphy PG Obesity in anaesthesia and intensive care. British Journal of Anaesthesia 2000; 85 (1): 91-108Ogunnaike, BO, Jones, SB et al Anesthetic Considerations for Bariatric Surgery. Anesth Analg 2002;95:17931805