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LECTURE NOTES ON OCCUPATIONAL MEDICINE
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~ ~IIII. the bookshelf HANDBOOK OF CRITICAL CARE, 3rd ed. Edited hy JAMES L. Bt:nK and JAMES E. SAMPLlNt:R. Boston: Little, Brown, 1990, 812 pp, $45.00 The third edition of this handbook, though edited and written mostly hy surgeons, hrings in additional c'Ontrihutions from experts in the fields of anesthesiolo~r, medidne, and physiology. The handbook has grown from 688 to 812 pages, 37 to 60 c'ontributors, and 29 to 32 chapters, compared with the previous edition. Some of the contrihutors (S. Ayers, B. Chernow. J. Civetta. J. Seigel, and \\: Shoemaker, to name a few) have themselves edited the definitive reference textbooks on critical care and have therehv added authority to this handbook. . The hook has heen c'Ompletely revised and updated; chapters with outdated material have been omitted. and new chapters have been added. The new chapters include a discussion on ethical issues, in situ monitoring of organs, management of acute coronary occlusion, operative management of acute heart failure, sepsis syndrome, management of immunodeficient patients, perioperdtive care of transplant patients, and endocrine dysfunction and emergendes. The s<,,'ope of topics <,,'overs almost all aspects of <"'ritical care. from the design of intensive care units to the usc of computers in intensive care. Other topics range from the management of cardiac, neurosurgkal, pulmonary, acid-hase, electrolyte, and nutritional prohlems to invasive and noninvasive monitoring techniques. There is no specific fonnat thn)\l~()ut the hook to give it <"'tmsistency. However, the chapters are well written and include adequate illustrations and tahles, which make the presentation clear. One strength of the handbook is that the chapters cover the hasic sciences thoroughly, so that the pathophysiology of critical illness is understood. These hasic con<..'Cpts are then correlated with practical ca~e management. The handhook is not intended to he a <..'omprehensive textbook. It is useful as a practkal handy reference fi)r physicians, medical students, nurses, and allied health personnel involved in the care of the critically ill.
Farill
Aluakka.'isa. A/.D. Jackson. AlississilJpi
f~
DRUG-INDUCED PULMONARY DISEASE (Clinics in Chest Medkine series, vol 11, No.1). Edited hy J. ALLEN D. COOPER, In. Philadelphia: WB SaunderslHar<..'Cmrt Brace Jovanovich, 1990, 194 pp, $29.00 Most physicians, when reading about dnlg-induced pulmonary disease, approach this suhject area with a particular patient or particular prohlem in mind. More often than not, they turn to referenc'Cs on this subject asking the question "Could my patient's symptoms or signs he due to his use of a particular drug?" Most of the articles \\Titten on this topic arc ane<..-rlotal. Reviews are usually encycloIJC
understanding. Richard A. Rosiello and William W. Merrill have put together a very nice chapter on dnlg-induced pulmonary disease; however, readers interested in interstitial pneumonitis complicating hone marrow transplantation will he disappointed that discussion of this entity was not included. Caroline R. Taylor·s chapter on diagnostic imagin~ techniques in the evaluation of dnlg-induced pulmonary disease is well written hut presents no surprises. As might be expected, high-resolution computed tomography and magnetic resonance imaging and are being used to study dnl~-related injury and have heen shown to have enhanced sensitivity in this regard. Beyond such descriptive reports, there <,,'ontinues to he a lack of data regarding the tnle clinkal benefit of applying such powerful tools in this area. For those who have read each of the other chapters, G. J. Walker Smith·s chapter on the histopathology of pulmonary reactions to drugs may seem redundant, since it includes so much clinical information in addition to the histopathology presented. However. if there is time to read only one chapter, make it this one. Not only does it provide a nice overvie\v, but it also certainly highlights the limitations of histopathologic diagnosis in dnlg-related pulmonary disorders. "Pulmonary Disease Due to Antirheumatic Agents:· "Pulmonary Reactions from Illicit Suhstance Abuse:· and "Dnlg-Induced Bronchospasm" are all exc'Cllent. The latter includes a full discussion of aspirin- and hetahlocker-induced bronchospasm, as well as information on hronchospasm ('aused by neun)muscular hlocking agents, hnmchodilator vehicles, and pentamidine. All in all, I found this particular volume in the Clinics in Chest Medicine series to he very enjoyahle. If your attention, like mine, is best kept hy an e<..·lectic menu of topics presented in a sequence that is not readily predicted, I think you will enjoy it as well.
lUchard J Pisani. M.D. Rochester; Minnesota CARDIAC ELECTROPHYSIOLOGY: A TEXTBOOK. Edited by MICflAI-:L R. ROSEN, Mlcn...:L JANSE, and ANDREW L. WIT. Mount Kisco, NY: Futura Publishin~, 1990, 1,195 pp, $160.00 This texthook is a masterly exposition of basic electrophysiology, written hv the leaders in the field. The hook is divided into nine sections. The first chapter is <..'(mc'Crlled \\ith the detenninants of nonnal cardiac rhythm. SuhseCluent chapters deal \\ith automatic rhythms, arrhythmias triggered hy afterdepolarizations, determinants of abnonnal conduction, reentry, ischemia and infarction, and subcellular modification ofcardiac-autonomic interactions. The n)le of autonomic modulation on cardiac rhythm is explored, as well as theories of action of antiarrhythmic drugs. The hook is lucidly \\Titten and offers state-of-the-art knowledge and review of the issues relating to cellular electrophysiology. Illustrations are dear and well presented. This textbook is primarily directed toward the bask electrophysiologist. However, it is a useful texthook for those practicing dinical electrophysiology as well. I would re<..'C)mmend this texthook for all students and practitioners of basic and applied electrophysiology. The price is justified, considering the S{.'()pc and the size of the hook. Igor SiRj!,er; M.B.B.S. Louisville. Kentucky
LECTURE NOTES ON OCCUPATIONAL MEDICINE, 4th ed. By H. A. \V.U.l>nOM. Oxford. En~land: Blackwell Scientific Publications, 1990, 227 pp, $29.95 These lecture notes are designed for the medical student, house officer, or ~eneral internist who wishes to find a synopsis on occupational medicine.
The notes contain no hihliography and a reference list of only 11 general texthooks on occupational medicine. The lecture notes are superficial and are not meant to replace an in-depth study of the field of occupational medidne. The lechlre notes lack depth for most pulmonologists in their <..'t)vera~e of occupational pulmonary disease. They present the author·s opinion on a variety of suhjects, which on occasion is at variance with the reviewer·s understandin~ of the mainstream of thought in occupational medicine. The text is very readahle and provides an overview of the suhject of occupational medicine. DorseH D. Smith. M.D .• F.C.C.P.
Seattle
Continued on page 24 21
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~ ~IIII. the bookshelf HANDBOOK OF CRITICAL CARE, 3rd ed. Edited hy JAMES L. Bt:nK and JAMES E. SAMPLlNt:R. Boston: Little, Brown, 1990, 812 pp, $45.00 The third edition of this handbook, though edited and written mostly hy surgeons, hrings in additional c'Ontrihutions from experts in the fields of anesthesiolo~r, medidne, and physiology. The handbook has grown from 688 to 812 pages, 37 to 60 c'ontributors, and 29 to 32 chapters, compared with the previous edition. Some of the contrihutors (S. Ayers, B. Chernow. J. Civetta. J. Seigel, and \\: Shoemaker, to name a few) have themselves edited the definitive reference textbooks on critical care and have therehv added authority to this handbook. . The hook has heen c'Ompletely revised and updated; chapters with outdated material have been omitted. and new chapters have been added. The new chapters include a discussion on ethical issues, in situ monitoring of organs, management of acute coronary occlusion, operative management of acute heart failure, sepsis syndrome, management of immunodeficient patients, perioperdtive care of transplant patients, and endocrine dysfunction and emergendes. The s<,,'ope of topics <,,'overs almost all aspects of <"'ritical care. from the design of intensive care units to the usc of computers in intensive care. Other topics range from the management of cardiac, neurosurgkal, pulmonary, acid-hase, electrolyte, and nutritional prohlems to invasive and noninvasive monitoring techniques. There is no specific fonnat thn)\l~()ut the hook to give it <"'tmsistency. However, the chapters are well written and include adequate illustrations and tahles, which make the presentation clear. One strength of the handbook is that the chapters cover the hasic sciences thoroughly, so that the pathophysiology of critical illness is understood. These hasic con<..'Cpts are then correlated with practical ca~e management. The handhook is not intended to he a <..'omprehensive textbook. It is useful as a practkal handy reference fi)r physicians, medical students, nurses, and allied health personnel involved in the care of the critically ill.
Farill
Aluakka.'isa. A/.D. Jackson. AlississilJpi
f~
DRUG-INDUCED PULMONARY DISEASE (Clinics in Chest Medkine series, vol 11, No.1). Edited hy J. ALLEN D. COOPER, In. Philadelphia: WB SaunderslHar<..'Cmrt Brace Jovanovich, 1990, 194 pp, $29.00 Most physicians, when reading about dnlg-induced pulmonary disease, approach this suhject area with a particular patient or particular prohlem in mind. More often than not, they turn to referenc'Cs on this subject asking the question "Could my patient's symptoms or signs he due to his use of a particular drug?" Most of the articles \\Titten on this topic arc ane<..-rlotal. Reviews are usually encycloIJC
understanding. Richard A. Rosiello and William W. Merrill have put together a very nice chapter on dnlg-induced pulmonary disease; however, readers interested in interstitial pneumonitis complicating hone marrow transplantation will he disappointed that discussion of this entity was not included. Caroline R. Taylor·s chapter on diagnostic imagin~ techniques in the evaluation of dnlg-induced pulmonary disease is well written hut presents no surprises. As might be expected, high-resolution computed tomography and magnetic resonance imaging and are being used to study dnl~-related injury and have heen shown to have enhanced sensitivity in this regard. Beyond such descriptive reports, there <,,'ontinues to he a lack of data regarding the tnle clinkal benefit of applying such powerful tools in this area. For those who have read each of the other chapters, G. J. Walker Smith·s chapter on the histopathology of pulmonary reactions to drugs may seem redundant, since it includes so much clinical information in addition to the histopathology presented. However. if there is time to read only one chapter, make it this one. Not only does it provide a nice overvie\v, but it also certainly highlights the limitations of histopathologic diagnosis in dnlg-related pulmonary disorders. "Pulmonary Disease Due to Antirheumatic Agents:· "Pulmonary Reactions from Illicit Suhstance Abuse:· and "Dnlg-Induced Bronchospasm" are all exc'Cllent. The latter includes a full discussion of aspirin- and hetahlocker-induced bronchospasm, as well as information on hronchospasm ('aused by neun)muscular hlocking agents, hnmchodilator vehicles, and pentamidine. All in all, I found this particular volume in the Clinics in Chest Medicine series to he very enjoyahle. If your attention, like mine, is best kept hy an e<..·lectic menu of topics presented in a sequence that is not readily predicted, I think you will enjoy it as well.
lUchard J Pisani. M.D. Rochester; Minnesota CARDIAC ELECTROPHYSIOLOGY: A TEXTBOOK. Edited by MICflAI-:L R. ROSEN, Mlcn...:L JANSE, and ANDREW L. WIT. Mount Kisco, NY: Futura Publishin~, 1990, 1,195 pp, $160.00 This texthook is a masterly exposition of basic electrophysiology, written hv the leaders in the field. The hook is divided into nine sections. The first chapter is <..'(mc'Crlled \\ith the detenninants of nonnal cardiac rhythm. SuhseCluent chapters deal \\ith automatic rhythms, arrhythmias triggered hy afterdepolarizations, determinants of abnonnal conduction, reentry, ischemia and infarction, and subcellular modification ofcardiac-autonomic interactions. The n)le of autonomic modulation on cardiac rhythm is explored, as well as theories of action of antiarrhythmic drugs. The hook is lucidly \\Titten and offers state-of-the-art knowledge and review of the issues relating to cellular electrophysiology. Illustrations are dear and well presented. This textbook is primarily directed toward the bask electrophysiologist. However, it is a useful texthook for those practicing dinical electrophysiology as well. I would re<..'C)mmend this texthook for all students and practitioners of basic and applied electrophysiology. The price is justified, considering the S{.'()pc and the size of the hook. Igor SiRj!,er; M.B.B.S. Louisville. Kentucky
LECTURE NOTES ON OCCUPATIONAL MEDICINE, 4th ed. By H. A. \V.U.l>nOM. Oxford. En~land: Blackwell Scientific Publications, 1990, 227 pp, $29.95 These lecture notes are designed for the medical student, house officer, or ~eneral internist who wishes to find a synopsis on occupational medicine.
The notes contain no hihliography and a reference list of only 11 general texthooks on occupational medicine. The lecture notes are superficial and are not meant to replace an in-depth study of the field of occupational medidne. The lechlre notes lack depth for most pulmonologists in their <..'t)vera~e of occupational pulmonary disease. They present the author·s opinion on a variety of suhjects, which on occasion is at variance with the reviewer·s understandin~ of the mainstream of thought in occupational medicine. The text is very readahle and provides an overview of the suhject of occupational medicine. DorseH D. Smith. M.D .• F.C.C.P.
Seattle
Continued on page 24 21