Critical care

Critical care

f John H. van de Leuv, MD, CM - - e d i t o r Lake Orion, Michigan Respiratory Failure M.K. Sykes, M.W. MeNiehol, EJM Campbell, ed 2. Blakewell Scie...

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John H. van de Leuv, MD, CM - - e d i t o r Lake Orion, Michigan

Respiratory Failure M.K. Sykes, M.W. MeNiehol, EJM Campbell, ed 2. Blakewell Scientific Publications, London, 1976.

rary. Overall, this is a useful book that could serve as a source of references for a physician who is not a specialist in respiratory care.

George Podgoruy, MD JACEP Editorial Board

This second edition of Respirato~ Failure is, as most British medical writings, lucid and succint. It is generally well w r i t t e n and of value to physicians involved in respiratory care.

Critical Care

The first section approaches the paraphysiology of respiratory failure in a practical m a n n e r , b e g i n n i n g with simple s t a t e m e n t s and progressing to detailed description. Here, chapters deal with mechanics of respiration, ventilation, circulation, oxygen transport, and acid base balance. T h e q u e s t i o n of the s u r f a c t a n t is d i s c u s s e d briefly b u t plainly.

Of the m a n y books I have reviewed, this is one of the better organized. It is m e a n t to educate those who care for critical p a t i e n t s a n d is excellent for the critical care specialist - - be it a n u r s e or a physician. The book can be a great help in inservice t r a i n i n g .

The second section deals with the general principles of treatment: oxygen therapy, clearance of the secretions, endotracheal i n t u b a t i o n and tracheostomy. The discussion on tracheostomy is less t h a n complete and the indications for tracheostomy as presented are r a t h e r questionable. The last section focuses on t r e a t m e n t of specific conditions. An especially i n t e r e s t i n g chapter deals with the respiratory care of status epilepticus, t e t a n u s , and even poliomyelitis. Finally, there is a useful appendix of various formulae.

Respiratory Failure is well i l l u s t r a t e d with simple and well presented diagrams. The most s t r i k i n g f i n d i n g is the total absence of i l l u s t r a t i o n s of radiographs. This is very unusual for a n y book dealing with respiratory illness a n d I do not know if this is necessarily a welcome respite. The majority of references are to British l i t e r a t u r e and may not be readily available i n an average medical lib-

J ~ P 6;10 (oct) 1977

Zeb L. Burrell, Jr., Lennette Owens BurrelL C. V. Mosby, St. Louis, ed 3, 1977, 427 pages, $11.75.

S u p e r b l y organized, each section starts with a brief discussion of the a n a t o m y and physiology of the system dealt with in the section. The subsequent chapters are clearly divided into clinical findings, pathogenesis, t r e a t m e n t , etc. The m a t e r i a l is easy-to-read E n g l i s h . The i n f o r m a t i o n is up-to-date a n d accurate. An i n t e r e s t i n g feature is the list of films available on the topic at the end of each section. The last section is a useful description of e q u i p m e n t and drugs. In this section each drug is briefly b u t adeq u a t e l y described. A glossary a n d bibliography r o u n d out the textbook. E v e n the i m p o r t a n t aspect of i n f o r m a t i o n for patients a n d relatives is not forgotten. The authors are to be c o n g r a t u l a t e d for this fine work. The book is h i g h l y r e c o m m e n d e d for the e m e r g e n c y d e p a r t m e n t library.

John H. van de Leuv, MD, CM J A C E P Book Review Editor

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