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Anesthesia for burns, maxillofacial and plastic surgery
375
Book Reviews
Bums (1994,
20, (4), 375
Anesthesia for Burns, Maxillofacial and Plastic Surgery. H. Patel. 1993. 192 pp. f47.50. Edward Arnold, London.
personal anecdote on the subject which strengthens the chapter and illuminates the reader. The book is divided into eight complementary chapters. Of particular interest is the historical overview that each chapter provides. Chapter I, the changing face of maxillofacial anaesthesia, provides an historical account of the field and the author’s experience within it. Chapter 2 contains an excellent summary of the important bum management issues confronting the anaesthesiologist, including the classifications of bums, their pathophysiology and finally the resuscitation and surgical management of bums. Chapter 3 deals with anaesthesia for cleft surgery, in particular the management of the difficult airway. In this chapter the author does an excellent job in organizing the anaesthetic plan from induction to postanaesthesia care. Chapter 4 contains a review of the anaesthetic techniques used in the management of maxillofacial injury. The author reviews the major areas of concern facing anaesthesiologists treating maxillofacial injuries, including the difficult airway and the intubation options. Chapter 5 is an excellent chapter for any anaesthesia resident or staff anaesthesiologist to read. It is full of basic physiology and surgical techniques in craniofacial surgery, the author clearly addresses management issues and complications associated with this type of surgery. Microvascular surgery is the topic of Chapter 6. The author does a thorough job of defining the important anaesthetic issues involved in microvascular surgery. In particular, the author details the importance of the cardiovascular system, particularly blood flow, on the survival of the graft. Anaesthetic considerations in cosmetic surgery are reviewed in Chapter 7. This chapter provides some useful techniques for airway management as well as the types of anesthetics used in several procedures. Chapter 8 reviews the deliberate hypotension technique. Dr Pate1 gives a historical overview and quotes several experts in this field. He describes the technique in great detail and gives the advantages and disadvantages of using this approach. Dr Pate1 recognizes that although this technique is excellent at providing a bloodless field, it is also full of dangers if used by unskilled persons. He effectively highlights these dangers and the importance of vigilance not only in the operating room but, most importantly, during the postoperative period.
An excellent book on this subject. Dr Pate1 has assembled a group of qualified physicians who write well and have researched extensively the topic they address. The book, as pointed out by Dr Patel, is easy to read and is written for the novice to this field. Every chapter has some
In conclusion, we found this book to be a valuable reference for any anaesthesiologist interested in pursuing a career in maxillofacial and plastic or bum surgery or for those interested in a general understanding of the topic. Joaquin Cortiella and J. A. Jeevendra Martyn
The 1993 Year Book of Plastic, Reconstructive & Aesthetic Surgery. Stephen H. Miller et al. 1993.412 pp. f 52.00 Mosby, London. With the increase in the number of journals published it is almost impossible for any individual to read all those relative to his own interests and significant articles may be missed. It is in this situation that publications such as The Year Book can be of value. The journals included for review are 87 in number, and taken over a year’s publications represent a large number of individual papers. Obviously the Year Book can only include a small number and will be those which the Editors consider most important. Inevitably their particular interests will play a part in the selection, but this edition has six Editors, one of whom is mainly responsible for each of the seven sections, which should make for fair representation. This is evident in the overall good constructive editorial comment on individual papers. Of the 308 papers reviewed, 69 are in the Aesthetic Surgery section. In addition, there are 31 articles in the Breast section, most of which are aesthetic in content. Thus more than one-third of the papers included are devoted to this aspect. Only 37 are in the trauma section, 10 being related to burn injury and 29 on flaps, grafts and tissue expanders. This does seem somewhat unbalanced. It may be that additional articles on some topics are included in other Year Books, and an attempt is made to avoid duplication. There are some apparent typographical errors. On page 65 Outpatient Thyroidectomy, on page 22 bleeding controlled by litigation, and the conclusion in the Editorial comment at 6-27 referring the reader to 6-6 is obviously wrong. The main value of this book is probably in its use as a pointer to reasonably up-to-date important articles on a variety of topics, and possible guidance to relative core articles. Anne B. Sutherland
0 1994 Butterworth-Heinemann 03054179/94/040375-01
Ltd
Book Reviews
Bums (1994,
20, (4), 375
Anesthesia for Burns, Maxillofacial and Plastic Surgery. H. Patel. 1993. 192 pp. f47.50. Edward Arnold, London.
personal anecdote on the subject which strengthens the chapter and illuminates the reader. The book is divided into eight complementary chapters. Of particular interest is the historical overview that each chapter provides. Chapter I, the changing face of maxillofacial anaesthesia, provides an historical account of the field and the author’s experience within it. Chapter 2 contains an excellent summary of the important bum management issues confronting the anaesthesiologist, including the classifications of bums, their pathophysiology and finally the resuscitation and surgical management of bums. Chapter 3 deals with anaesthesia for cleft surgery, in particular the management of the difficult airway. In this chapter the author does an excellent job in organizing the anaesthetic plan from induction to postanaesthesia care. Chapter 4 contains a review of the anaesthetic techniques used in the management of maxillofacial injury. The author reviews the major areas of concern facing anaesthesiologists treating maxillofacial injuries, including the difficult airway and the intubation options. Chapter 5 is an excellent chapter for any anaesthesia resident or staff anaesthesiologist to read. It is full of basic physiology and surgical techniques in craniofacial surgery, the author clearly addresses management issues and complications associated with this type of surgery. Microvascular surgery is the topic of Chapter 6. The author does a thorough job of defining the important anaesthetic issues involved in microvascular surgery. In particular, the author details the importance of the cardiovascular system, particularly blood flow, on the survival of the graft. Anaesthetic considerations in cosmetic surgery are reviewed in Chapter 7. This chapter provides some useful techniques for airway management as well as the types of anesthetics used in several procedures. Chapter 8 reviews the deliberate hypotension technique. Dr Pate1 gives a historical overview and quotes several experts in this field. He describes the technique in great detail and gives the advantages and disadvantages of using this approach. Dr Pate1 recognizes that although this technique is excellent at providing a bloodless field, it is also full of dangers if used by unskilled persons. He effectively highlights these dangers and the importance of vigilance not only in the operating room but, most importantly, during the postoperative period.
An excellent book on this subject. Dr Pate1 has assembled a group of qualified physicians who write well and have researched extensively the topic they address. The book, as pointed out by Dr Patel, is easy to read and is written for the novice to this field. Every chapter has some
In conclusion, we found this book to be a valuable reference for any anaesthesiologist interested in pursuing a career in maxillofacial and plastic or bum surgery or for those interested in a general understanding of the topic. Joaquin Cortiella and J. A. Jeevendra Martyn
The 1993 Year Book of Plastic, Reconstructive & Aesthetic Surgery. Stephen H. Miller et al. 1993.412 pp. f 52.00 Mosby, London. With the increase in the number of journals published it is almost impossible for any individual to read all those relative to his own interests and significant articles may be missed. It is in this situation that publications such as The Year Book can be of value. The journals included for review are 87 in number, and taken over a year’s publications represent a large number of individual papers. Obviously the Year Book can only include a small number and will be those which the Editors consider most important. Inevitably their particular interests will play a part in the selection, but this edition has six Editors, one of whom is mainly responsible for each of the seven sections, which should make for fair representation. This is evident in the overall good constructive editorial comment on individual papers. Of the 308 papers reviewed, 69 are in the Aesthetic Surgery section. In addition, there are 31 articles in the Breast section, most of which are aesthetic in content. Thus more than one-third of the papers included are devoted to this aspect. Only 37 are in the trauma section, 10 being related to burn injury and 29 on flaps, grafts and tissue expanders. This does seem somewhat unbalanced. It may be that additional articles on some topics are included in other Year Books, and an attempt is made to avoid duplication. There are some apparent typographical errors. On page 65 Outpatient Thyroidectomy, on page 22 bleeding controlled by litigation, and the conclusion in the Editorial comment at 6-27 referring the reader to 6-6 is obviously wrong. The main value of this book is probably in its use as a pointer to reasonably up-to-date important articles on a variety of topics, and possible guidance to relative core articles. Anne B. Sutherland
0 1994 Butterworth-Heinemann 03054179/94/040375-01
Ltd