Trauma Strategies: Patients With Severe Obesity in the ICU

Concurrent Session Moderator(s)

• WM

  William Miles, MD, FCCM

  Director of Surgical Critical Care Outreach, Co-Director NeuroSurgical ICU
  Carolinas Medical Center
  Matthews, North Carolina

  Disclosure(s): No relevant financial relationship(s) to disclose.

The increasing number of obese patients requiring critical care represents a challenge for intensivists in the trauma ICU. Changes in pulmonary and hemodynamic physiology, pharmacologic drug distribution, physical therapy, nutrition, and unique issues for nursing care must all be considered. This session will tackle the major issues in managing morbidly obese patients in the trauma ICU, including mobilization, respiratory challenges, appropriate nutrition, and adjustment of medications to improve care and prevent complications, as well as tips and tricks for diagnostic and management dilemmas in extremely obese injured patients.

Presentations:

• Shake, Rattle, and Roll: Mobility Maneuvers for Critically Ill Trauma Patients With Severe Obesity
  

  Concurrent Session Faculty: Heidi J. Engel, PT, DPT – University of California San Francisco Medical Center
• The Challenges of Drug Distribution in Patients With High BMIs
  

  Concurrent Session Faculty: Erin M. Roach, PharmD – Carolinas Medical Center
• Help Me, I Can't Breathe: Special Considerations With Intubation, Ventilation, and Weaning the Trauma Patient With Severe Obesity
  

  Concurrent Session Faculty: Richard D. Branson, MS, RRT, FCCM – University of Cincinnati Medical Center
• Why Am I Still Hungry? Important Parameters of Optimizing Nutrition in the Multitrauma ICU Patient With Severe Obesity
  

  Concurrent Session Faculty: Janine W. Berta, MS, , RD-AP, CNSC (she/her/hers) – Stanford Health Care
• Sticks, Stones, and Broken Bones: Diagnostic and Surgical Dilemmas in Managing the Injured ICU Patient With Severe Obesity
  

  Concurrent Session Faculty: Jose J. Diaz, Jr., CNS, MD, FACS, CPE – UMMC, R. Adams Cowley Shock Trauma Center