Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: Heavyweight problems in the intensive care unit? | Available online http content 12 6 197 Commentary Recently published papers Heavyweight problems in the intensive care unit Lui G Forni1 2 1 Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing BN11 2DH UK 2Brighton Sussex Medical Schools University of Sussex Brighton BN1 9PX UK Corresponding author Lui G Forni Published 10 December 2008 Critical Care 2008 12 197 doi cc7138 This article is online at http content 12 6 197 2008 BioMed Central Ltd Abstract The management of the obese patient in intensive care is fraught with difficulty or so conventional wisdom would have us believe. Two recent studies add to the growing evidence that the obese patient is not significantly disadvantaged in terms of outcome following intensive care admission. Another study highlights the increasing burden of end-stage renal disease on intensive care unit resources with some interesting results. And there is more on citrate the new anticoagulant Thou seest I have more flesh than another man and therefore more frailty. William Shakespeare The imbalance between the haves and the have nots is no more striking than when one considers nutrition. Obesity is an increasing problem in most of the western world with approaching 300 million people being classified as obese whereas starvation affects almost one-half of the global population. Indeed the obesity epidemic is highlighted here in the United Kingdom where over the period between 1980 and 1997 the obesity rates in adults trebled 1 . As a consequence we are often faced with the management of such patients in our intensive care units ICUs and their inherent problems. Obese patients are viewed as more complex to manage for a variety of reasons they are difficult to intubate difficult to ventilate difficult to wean difficult to move - the list goes on. And on. But are these generalisations justified in the majority of cases Two studies reported recently in .
