Current Concepts in Pediatric Critical Care-17: The Obese Child in the ICU

Video Transcription

Video Summary

The presentation provides a comprehensive overview of managing obesity in pediatric acute care and critical illness. The speaker outlines the impact of obesity on multi-organ systems and highlights the prevalence of obesity among U.S. children, emphasizing higher rates in specific demographics. Key challenges include airway management, where obesity complicates bag-mask ventilation and intubation. The presentation also examines pharmacology, stressing appropriate dosing based on body weight types to prevent complications. Respiratory, cardiovascular, renal, and nutritional systems are scrutinized, noting specific management strategies for complications like respiratory failure, cardiac arrest, and renal dysfunction. The talk also mentions the need for strategic nutritional support and highlights the increased risk of thromboembolism, diabetes, and complications in surgical and burn patients. Despite links to increased ICU length of stay and multi-organ dysfunction, obesity doesn't significantly elevate mortality in pediatric cases. The speaker urges for further research due to limited pediatric-focused data.

Keywords

pediatric obesity

critical illness

airway management

pharmacology dosing

multi-organ dysfunction

thromboembolism risk

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