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CARDIAC EMERGENCY CARE
THE BOOKSHELF
CARDIAC EMERGENCY CARE, 2nd Ed. By EDWARD K. CHUNG. Philadelphia, Lea & Febiger, 1980, 475 pp, $25.
PRACTICAL FIBEROPTIC BRONCHOSCOPY. By KENxIcm OHO, and RYUTA AMEMIYA. New York, Igaku-Shoin, 1980, $31.50.
This bard cover text on fiberoptic bronchoscopy is based on the authors' extensive personal experience in over 5,000 bronchoscopic procedures. The reader must understand that the authors are stressing their personal techniques and the book describes what works well for them. A stated main purpose of the book is to "promote a deeper basic understanding of bronchoscopic findings" and this goal is achieved in exemplary fashion. The majority of the book is devoted to normal and abnormal bronchial findings as viewed through the ftexible fiberoptic bronchoscope. The color plates are of very good quality and anatomy is clearly depicted. Normal bronchoscopic findings are well illustrated and the international nomenclature of the letter and number system is described by diagram and also shown on each illustration. This nomenclature is becoming more widely used to identify the location of bronchoscopic pathology and this book will aid those who wish to learn this system. The classification of pathologic findings in table form will be helpful to the endoscopist. The table shows which bronchoscopic finding is often associated with each disease entity. Despite the duplication of similar findings in more than one disease, these charts do focus on subtle changes that direct the bronchoscopist's attention to a specific diagnosis. A second listed purpose of the book is to be a practical introduction and manual for those who wish to practice flexible fiberoptic bronchoscopy. The book does have shortcomings in achieving this goal. The authors are dogmatic in their approach to ftexible fiberoptic bronchoscopy and their description of techniques for fiberoptic bronchoscopy are brief. A manual for bronchoscopy should describe the various accepted techniques for performing the procedure along with a clear and precise description of the authors' methods. The authors state that an endotracheal tube is not necessary for the performance of the procedure, yet many endoscopists use the endotracheal tube because of its many listed advantages. The authors also stress the use of the flexible fiberoptic bronchoscope for foreign body removal, but have had experience in only 13 cases, a small number on which to base the recommended use of the ftexible fiberoptic bronchoscope for foreign body removal. The open tube bronchoscope remains the standard to which the ftexible bronchoscope must be compared in foreign body removal and until that standard is reached, both sides should be presented. The equipment of one manufacturer is well described and illustrated, but it would have been helpful to compare the advantages and disadvantages of other instruments. The authors recommend the CLX-F light source, which is advantageous for high quality photographs, but is certainly not required for routine flexible fiberoptic bronchoscopy. Alternate methods of anesthesia are not mentioned and the various anesthetic agents are only briefty discussed. The sections on transbronchial brushing and transbronchial biopsy would benefit from more discussion on technique and a listing of the possible complications to avoid and be prepared for. The book is recommended to help an endoscopist learn normal and pathologic anatomy and also understand the intemational system of letter and number nomenclature for the tracheobronchial tree. However, it cannot be recommended as a manual for the technique of ftexible 6beroptic bronchoscopy. Its easy readability and excellent illustrations make it a good addition to a departmental library. It would probably be of more benefit to have the book in the room where bronchoscopy is being carried out as it would provide a quick and easy reference for normal and pathologic anatomy. L. Penfield Faber, M.D., F.C.C.P.
Chicago,IL
A-22
Cardiac emergencies are discussed by the editor's contributors in a fairly complete and very readable fashion. The topics Dr. Chung chose to include range from such "bread and butter" subjects as cardiac pulmonary edema to more complicated subjects such as artificial pacing in emergency situations and diagnosis and treatment of the sick sinus syndrome. Also included are problems which require immediate attention such as hypertensive crisis or cardiac arrest, as well as topics which are dealt with on an urgent but not emergency basis such as infectious heart disease. The book contains readable hemodynamic explanations (such as the use of the Swan-Ganz catheter) and numerous ECG rhythm strip abnormalities frequently encountered, such as digitalis toxicity and common tachyarrhythmias and bradyarrhythmias. It gives a logical and practical approach to their treatment. If there can be any criticism of the book it is that certain chapters, such as the one on intermediate coronary care, tend to be wordy. Also, the use and problems with the use of the Swan-Ganz catheter could have been more fully dealt with. Only a paragraph is given to the explanation of the intra-aortic balloon pump and a rather short chapter devoted to cardiac tamponade. These shortcomings, however, are overshadowed by the book's wealth of information and logical approach to diagnosis and treatment.
Bruce E. Mi,bach, M.D. Boston, MA CARDIAC PACING: A CONCISE GUIDE TO CLINICAL PRACTICE. Edited by PHILIP VARRIALE and EMIL A. NACLERIO. Philadelphia, Lea and Febiger, 1979, 382 pp, $27.50. This text was planned to present the wide scope of cardiac pacing to an audience ranging from residents to internists, surgeons and bioengineers. It is, as are most recent additions to cardiac pacing, a compilation of contributed chapters, by authors who are active, talented and well known in the field, the editors, also contributors, included. The scope indeed is wide. Beginning with a thoroughly researched capsule history by David Chas. Schecter, it covers indications, equipment, technique of use, rationale for use, electrophysiology, hemodynamics, interference, complications, followup and a very good chapter by Esther Shilling addressing nursing management, which offers much instruction to the physician. The engineer will find the stress clinical, the physician will find sufficient technical information for a working base, the surgeon, clear direction. One of the problems with this book is an occasional discontinuity in chapter sequence, a lack of cross reference between the chapters and an occasional lapse in the index. Having once scanned the well-listed table of contents, however, it is not difficult to find one's way. Another problem is the low profile of programmability, an area which is becoming more useful as it is better understood. The only point of real dispute is in the editors' statement that transvenous catheter electrode malposition 'Cis deemed an inherent feature of the transvenous approach rather than a function of the skill of the operator." On the contrary, skill certainly helps. The chapters on "The Cardiac Conduction System (Williams, chapter 5), "His Bundle Electrocardiography and Intracardiac Stimulation" (Gomes and Damato, chapter 7) and "Cardiac Pacing for Refractory Arrhythmias" (Foster and Zipes, chapter 14) are good; others such are the chapters "Physiologic Basis of Cardiac Pacing" (Furman, chapter 4) , "Electrocardiographic Recording in Cardiac Pacing" (Varriale, Kwa, Naclerio and Niznik, chapter 18) and "Pacemaker Electrocardiography" (Varriale and Kwa, chapter 19). The chapters on "Pacemaker Therapy in Cardiac Surgery" by Byrd, "Organization of a Cardiac Pacing Service" by Parsonnet and Myers, and "Cardiac Pacing in Infants and Children" by Young and Furman are valuable additions. Over all, there is much useful information in this book. Doria 1. W. Escher, MD. Brortt, N etO Yark
continued on page A-23
CARDIAC EMERGENCY CARE, 2nd Ed. By EDWARD K. CHUNG. Philadelphia, Lea & Febiger, 1980, 475 pp, $25.
PRACTICAL FIBEROPTIC BRONCHOSCOPY. By KENxIcm OHO, and RYUTA AMEMIYA. New York, Igaku-Shoin, 1980, $31.50.
This bard cover text on fiberoptic bronchoscopy is based on the authors' extensive personal experience in over 5,000 bronchoscopic procedures. The reader must understand that the authors are stressing their personal techniques and the book describes what works well for them. A stated main purpose of the book is to "promote a deeper basic understanding of bronchoscopic findings" and this goal is achieved in exemplary fashion. The majority of the book is devoted to normal and abnormal bronchial findings as viewed through the ftexible fiberoptic bronchoscope. The color plates are of very good quality and anatomy is clearly depicted. Normal bronchoscopic findings are well illustrated and the international nomenclature of the letter and number system is described by diagram and also shown on each illustration. This nomenclature is becoming more widely used to identify the location of bronchoscopic pathology and this book will aid those who wish to learn this system. The classification of pathologic findings in table form will be helpful to the endoscopist. The table shows which bronchoscopic finding is often associated with each disease entity. Despite the duplication of similar findings in more than one disease, these charts do focus on subtle changes that direct the bronchoscopist's attention to a specific diagnosis. A second listed purpose of the book is to be a practical introduction and manual for those who wish to practice flexible fiberoptic bronchoscopy. The book does have shortcomings in achieving this goal. The authors are dogmatic in their approach to ftexible fiberoptic bronchoscopy and their description of techniques for fiberoptic bronchoscopy are brief. A manual for bronchoscopy should describe the various accepted techniques for performing the procedure along with a clear and precise description of the authors' methods. The authors state that an endotracheal tube is not necessary for the performance of the procedure, yet many endoscopists use the endotracheal tube because of its many listed advantages. The authors also stress the use of the flexible fiberoptic bronchoscope for foreign body removal, but have had experience in only 13 cases, a small number on which to base the recommended use of the ftexible fiberoptic bronchoscope for foreign body removal. The open tube bronchoscope remains the standard to which the ftexible bronchoscope must be compared in foreign body removal and until that standard is reached, both sides should be presented. The equipment of one manufacturer is well described and illustrated, but it would have been helpful to compare the advantages and disadvantages of other instruments. The authors recommend the CLX-F light source, which is advantageous for high quality photographs, but is certainly not required for routine flexible fiberoptic bronchoscopy. Alternate methods of anesthesia are not mentioned and the various anesthetic agents are only briefty discussed. The sections on transbronchial brushing and transbronchial biopsy would benefit from more discussion on technique and a listing of the possible complications to avoid and be prepared for. The book is recommended to help an endoscopist learn normal and pathologic anatomy and also understand the intemational system of letter and number nomenclature for the tracheobronchial tree. However, it cannot be recommended as a manual for the technique of ftexible 6beroptic bronchoscopy. Its easy readability and excellent illustrations make it a good addition to a departmental library. It would probably be of more benefit to have the book in the room where bronchoscopy is being carried out as it would provide a quick and easy reference for normal and pathologic anatomy. L. Penfield Faber, M.D., F.C.C.P.
Chicago,IL
A-22
Cardiac emergencies are discussed by the editor's contributors in a fairly complete and very readable fashion. The topics Dr. Chung chose to include range from such "bread and butter" subjects as cardiac pulmonary edema to more complicated subjects such as artificial pacing in emergency situations and diagnosis and treatment of the sick sinus syndrome. Also included are problems which require immediate attention such as hypertensive crisis or cardiac arrest, as well as topics which are dealt with on an urgent but not emergency basis such as infectious heart disease. The book contains readable hemodynamic explanations (such as the use of the Swan-Ganz catheter) and numerous ECG rhythm strip abnormalities frequently encountered, such as digitalis toxicity and common tachyarrhythmias and bradyarrhythmias. It gives a logical and practical approach to their treatment. If there can be any criticism of the book it is that certain chapters, such as the one on intermediate coronary care, tend to be wordy. Also, the use and problems with the use of the Swan-Ganz catheter could have been more fully dealt with. Only a paragraph is given to the explanation of the intra-aortic balloon pump and a rather short chapter devoted to cardiac tamponade. These shortcomings, however, are overshadowed by the book's wealth of information and logical approach to diagnosis and treatment.
Bruce E. Mi,bach, M.D. Boston, MA CARDIAC PACING: A CONCISE GUIDE TO CLINICAL PRACTICE. Edited by PHILIP VARRIALE and EMIL A. NACLERIO. Philadelphia, Lea and Febiger, 1979, 382 pp, $27.50. This text was planned to present the wide scope of cardiac pacing to an audience ranging from residents to internists, surgeons and bioengineers. It is, as are most recent additions to cardiac pacing, a compilation of contributed chapters, by authors who are active, talented and well known in the field, the editors, also contributors, included. The scope indeed is wide. Beginning with a thoroughly researched capsule history by David Chas. Schecter, it covers indications, equipment, technique of use, rationale for use, electrophysiology, hemodynamics, interference, complications, followup and a very good chapter by Esther Shilling addressing nursing management, which offers much instruction to the physician. The engineer will find the stress clinical, the physician will find sufficient technical information for a working base, the surgeon, clear direction. One of the problems with this book is an occasional discontinuity in chapter sequence, a lack of cross reference between the chapters and an occasional lapse in the index. Having once scanned the well-listed table of contents, however, it is not difficult to find one's way. Another problem is the low profile of programmability, an area which is becoming more useful as it is better understood. The only point of real dispute is in the editors' statement that transvenous catheter electrode malposition 'Cis deemed an inherent feature of the transvenous approach rather than a function of the skill of the operator." On the contrary, skill certainly helps. The chapters on "The Cardiac Conduction System (Williams, chapter 5), "His Bundle Electrocardiography and Intracardiac Stimulation" (Gomes and Damato, chapter 7) and "Cardiac Pacing for Refractory Arrhythmias" (Foster and Zipes, chapter 14) are good; others such are the chapters "Physiologic Basis of Cardiac Pacing" (Furman, chapter 4) , "Electrocardiographic Recording in Cardiac Pacing" (Varriale, Kwa, Naclerio and Niznik, chapter 18) and "Pacemaker Electrocardiography" (Varriale and Kwa, chapter 19). The chapters on "Pacemaker Therapy in Cardiac Surgery" by Byrd, "Organization of a Cardiac Pacing Service" by Parsonnet and Myers, and "Cardiac Pacing in Infants and Children" by Young and Furman are valuable additions. Over all, there is much useful information in this book. Doria 1. W. Escher, MD. Brortt, N etO Yark
continued on page A-23