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Open Access 01-12-2006 | Review

The consequences of obesity on trauma, emergency surgery, and surgical critical care

Authors: Carlos VR Brown, George C Velmahos

Published in: World Journal of Emergency Surgery | Issue 1/2006

Abstract

The era of the acute care surgeon has arrived and this "new" specialty will be expected to provide trauma care, emergency surgery, and surgical critical care to a variety of patients arriving at their institution. With the exception of practicing bariatric surgeons, many general surgeons have limited experience caring for obese patients. Obese patients manifest unique physiology and pathophysiology, which can influence a surgeon's decision-making process. Following trauma, obese patients sustain different injuries than lean patients and have worse outcomes. Emergency surgery diseases may be difficult to diagnose in the obese patient and obesity is associated with increased complications in the postoperative patient. Caring for an obese patient in the surgical ICU presents a distinctive challenge and may require alterations in care. The following review should act as an overview of the pathophysiology of obesity and how obesity modifies the care of trauma, emergency surgery, and surgical critical care patients.

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Title: The consequences of obesity on trauma, emergency surgery, and surgical critical care
Authors: Carlos VR Brown
George C Velmahos
Publication date: 01-12-2006
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2006
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/1749-7922-1-27

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