Users Online: 319 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Login 

RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
Kindly email your affirmation for print copies to preferably by 30th June 2019.


Table of Contents
Year : 2017  |  Volume : 33  |  Issue : 1  |  Page : 139-140

“MORBID OBESITY: Anesthesia and perioperative management” edited by Aparna Sinha

Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

Date of Web Publication15-Mar-2017

Correspondence Address:
Dr. Anju Grewal
Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joacp.JOACP_65_17

Rights and Permissions

How to cite this article:
Grewal A. “MORBID OBESITY: Anesthesia and perioperative management” edited by Aparna Sinha. J Anaesthesiol Clin Pharmacol 2017;33:139-40

How to cite this URL:
Grewal A. “MORBID OBESITY: Anesthesia and perioperative management” edited by Aparna Sinha. J Anaesthesiol Clin Pharmacol [serial online] 2017 [cited 2020 Aug 5];33:139-40. Available from:

Title of Book reviewed: "Morbid Obesity: Anesthesia and Perioperative Management"

First Edition 2016

Editor: Aparna Sinha

Co-editors: Lakshmi Jayaraman, Dinesh Punhani

Published by: Byword Books Pvt. Limited, New Delhi

Anesthetizing the morbidly obese patient can be a daunting task for the anesthesia trainee or the seasoned anesthesiologist. As a large population across our country marches toward an obesity epidemic, and the world moves onto a super morbid obese pandemic, it becomes pertinent that we update ourselves with the requisite knowledge and skills needed for safe perioperative care of morbidly obese. The first edition of “MORBID OBESITY: ANESTHESIA AND PERIOPERATIVE MANAGEMENT” has been compiled comprehensively by Dr. Aparna Sinha aptly supported by Dr. Lakshmi Jayaraman, Dr. Dinesh Punhani et al. who all are stalwarts and champions of safe anesthesia delivery.

Indeed, the editors have collated their enormous cumulative experience into this book in a simple, lucid manner, with pearls of wisdom highlighted aptly, making it an engaging read.

The book begins with a chapter on “Evaluation, Prehabilitation and Enhanced recovery after surgery (ERAS),” which is the foundation and pillar of optimal anesthesia outcome, especially when facilitating the concept of ERAS for the morbidly obese. This chapter befittingly focuses on identifying and optimizing a host of varied comorbidities that besiege a morbidly obese patient, thereby preempting perioperative complications and preventing adverse outcomes. The clinical pathway of ERAS has been logically interwoven with the concept of comprehensive evaluation and prehabilitation. Chapters on changing perspectives in anesthesia and anesthetic considerations apprise the reader of all aspects of the systems-based approach to perioperative anesthetic care including the principles of pharmacokinetics and fluid management in this special group of patients. Overriding omnipresent concerns of airway-related issues are aptly addressed in two comprehensive chapters on airway management and extubation strategies. The highlights of these chapters have been well laid out in the form of self-descriptive images and boxed salient points. The crucial elements of patient preparation and positioning, availability of experienced personnel, airway cart with rescue devices, and formulation of strategies and backup plans both during induction and emergence have been addressed. The next chapter on postoperative pain management stresses on multimodal opioid-sparing techniques especially on the emerging role of ultrasound-guided regional anesthesia techniques. As clinical deterioration occurs rapidly in morbidly obese, the subsequent chapter dwells on the physiological basis, early identification, preventive strategies, and treatment of perioperative complications. The challenges of obstructive sleep apnea and sleep disordered breathing disorders, ranging from pathophysiological changes, risk assessment and reduction and anesthetic implications for entire perioperative management have been thoroughly addressed with great attention to all specific details thereby ensuring easier implementation and safer outcomes. The challenges of morbid obesity to day care procedures and pregnancy have also been dealt with comprehensively. The addition of chapters on bariatric surgical options, imaging challenges, nutritional aspects, and appendices on bariatric setup, references to weight and dosages have indeed ensured comprehensiveness to this valuable book.

The book encompasses detailed relevant scientific basis of practice and clear, concise management approaches. Clinical pathways and protocols have been suggested based on peer-reviewed scientific literature in almost all areas of perioperative management of morbidly obese patients.

This book is systematically organized with self-explanatory illustrations, glossy photographs, and boxed salient highlights. Chapters have a contemporary eloquent approach and contain a wealth of practical scientific information which is vital to all anesthesiologists working in varying clinical settings. I would recommend this book to all postgraduate students who need to understand the pathophysiological basis of perioperative care, to an amateur for safe set up of bariatric anesthesia practice and also to an academician for the vast evidence of clinical pathways and protocols ensuring optimal and better patient outcomes in this highly specialized skillful art and science of caring for morbidly obese.

I wish all readers of this book, a comforting reading, and an equally smooth, safe, and excellent care of the morbidly obese.


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article

 Article Access Statistics
    PDF Downloaded555    
    Comments [Add]    

Recommend this journal