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ARDS in Obese Patients: Specificities and Management

  • A. De Jong
  • D. Verzilli
  • S. JaberEmail author
Chapter
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)

Abstract

Obesity is a global healthcare problem that has risen to epidemic proportions worldwide [1, 2]. It is now common to admit obese medical or surgical patients to the intensive care unit (ICU) [3]. It is estimated that at least 20% of patients admitted to the ICU are obese [4, 5]. One of the main challenges of the critical care management of obese patients is successful respiratory system management. The negative effects of thoracic wall weight and abdominal fat mass on pulmonary compliance, leading to decreased functional residual capacity and arterial oxygenation, are exacerbated by a supine position and further worsened after general anesthesia and mechanical ventilation. Obese patients are at risk of developing lung de-recruitment and then atelectasis. The incidence of acute respiratory distress syndrome (ARDS) is increased in obese patients [6, 7].

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.PhyMedExpUniversity of Montpellier, INSERM U1046, CNRS UMR 9214MontpellierFrance
  2. 2.Anesthesia and Critical Care Department BSaint Eloi Teaching Hospital, Centre Hospitalier Universitaire MontpellierMontpellierFrance

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