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Medical emergencies during outpatient anesthesia
317
CURRENT LITERATURE
formed in two other patients. Complete response and partial response were observed in 42.7% and 46.3% of the patients, respectively. The rates of reduction in size of the tumor were 35.0% for tumors with complete response and 26.6% for tumors with partial response. In terms of histologic effects, 19 of 59 patients who underwent surgery fell into grade 4 (no evidence of residual tumor cells) or grade 3 (residual tumor cells with no obvious viability), 15 in grade 2B (relatively scarce viable tumor cells), 13 in grade 2A (relatively abundant viable tumor cells), and 12 in grade I (no evidence of tumor cell degeneration) of Shimosato and others’ classifications. The tumors showing grades 3 or 4 response reduced in size by 41.9%. and those showing grade 2B reduced by 33.7%. Of 35 tumors showing partial response, local recurrence was observed more often in the 17 tumors with a grade 1 or grade 2A response than those showing a better response on histologic examination. Therefore, the area of resection should not be determined by the clinical evaluation alone. In seven of 15 tumors with grade 2B response, viable cells were not observed at the margin of the area previously
occupied by the tumor. Including 19 tumors with grades 3 and 4 response, 26 (44.1%) of the 59 surgically resected tumors might have been treated by more conservative resection with a low risk of local recurrence. Local recurrence was not observed in 12 of 18 tumors treated by additional chemotherapy and irradiation. Including 19 tumors with grades 3 and 4 response, the combination therapy alone might have been successful in controlling the tumor in 31 patients (37.8%). The size of the tumor, the growth pattern, and the degree of differentiation were related to the histologic effects of the therapy, which were correctly discriminated in 82.2% of 73 patients with sufficient information by the quantification theory type II described by Hayashi. The analysis, therefore, was found to be useful in predicting the efficacy of the therapy. The 5-year survival rate was 68.0% in this series.-T. NAKAJIMA
Reprint requests to Dr Okamoto: First Department of Oral Surgery, Faculty of Dentistry, Kyushu University, Higashiku, Fukuoka 812, Japan.
3-l-l Maidashi,
New Book Annotations Datahook of Anaesthesia and Critical Care Medicine (ed 4). Foster PA, Roelofse JA. New York, Springer-Verlag, 1987, 204 pages, paperback. This handy-sized book is designed as a practical reference guide that can be used to quickly find a variety of information related to the administration of anesthesia. The material is divided into sections dealing with preanesthetic assessment and preparation; anesthetic physical constants; normal blood, cardiovascular, renal, and CSF values; respiratory parameters, assessment, and support; blood and fluid replacement; drugs and doses; and clinical problems and their solutions. The information is presented in concise outline form and embellished with numerous tables and charts. Oral Surgery. Pedersen GW. Philadelphia, Saunders, 1988, 405 pages, illustrated, paperback, $34.95. This textbook is designed predominantly for use in teaching undergraduate dental students. The basic procedures are well described and illustrated, and the more advanced procedures are discussed at the informational level. Each of 15 chapters begins with an outline and ends with a concise summary. Areas of major importance are emphasized by placement in boxes or tables. Suggestions for additional reading follow each chapter. Medical Abbreviations (ed 4). Davis NM. Huntingdon Valley, PA, Neil M. Davis Associates, 1988, 139 pages, paperback, $7.95. Fifty-five hundred current abbreviations, acronyms, and symbols, and their meanings are listed in this booklet that was compiled to assist in reading medical records and prescriptions. Emphasis is placed on the careful use of abbreviations, and the so-called dangerous ones are followed by an appropriate warning.
Surgery of the Temporomandibular Joint. Kieth DA (ed), with 12 contributors. Boston, Blackwell, 1988,299 pages, illustrated. As the title implies, this book focuses on the surgical management of the various diseases affecting the temporomandibular joint. Thoroughly discussed are congenital and growth anomalies, infections, ankylosis, trauma, dislocation, internal derangement, degenerative disease, and tumors. Chapters are also devoted to diagnostic imaging, physical therapy, and complications. The various chapters are well illustrated and contain current references. Diagnosis and Treatment of Muscle Pain. Kraus H (ed), with 8 contributors. Chicago, Quintessence, 1988, 116 pages, illustrated, paperback. This book is devoted to the broad subject of myofascial pain. There are general chapters on muscle spasm and pain, muscle deficiency, and trigger-points, as well as discussions of musculofascial pain syndromes and myofascial pain of metabolic origin. Although the major emphasis is on regions other than the head and neck, there is a chapter entitled “Cranio-Cervical Mandibular Disorders” that deals mainly with patient evaluation and diagnosis. Medical Emergencies During Outpatient Anesthesia. Jensen G. Fond du Lac, WI, Guy K. Jensen, 1988, 104 pages, paperback, $29.95. This manual discusses the pathophysiology of the various emergencies that can arise before, during, or after the administration of anesthetic agents and suggests appropriate treatments for them. Included are acute allergic reactions, respiratory problems, aspiration, cardiovascular problems, metabolic problems, and malignant hyperthermia. There is also a section on advanced cardiac life support. Most chapters contain a summary of diagnosis and treatment at the end, marked with a page tab, for quick reference.
CURRENT LITERATURE
formed in two other patients. Complete response and partial response were observed in 42.7% and 46.3% of the patients, respectively. The rates of reduction in size of the tumor were 35.0% for tumors with complete response and 26.6% for tumors with partial response. In terms of histologic effects, 19 of 59 patients who underwent surgery fell into grade 4 (no evidence of residual tumor cells) or grade 3 (residual tumor cells with no obvious viability), 15 in grade 2B (relatively scarce viable tumor cells), 13 in grade 2A (relatively abundant viable tumor cells), and 12 in grade I (no evidence of tumor cell degeneration) of Shimosato and others’ classifications. The tumors showing grades 3 or 4 response reduced in size by 41.9%. and those showing grade 2B reduced by 33.7%. Of 35 tumors showing partial response, local recurrence was observed more often in the 17 tumors with a grade 1 or grade 2A response than those showing a better response on histologic examination. Therefore, the area of resection should not be determined by the clinical evaluation alone. In seven of 15 tumors with grade 2B response, viable cells were not observed at the margin of the area previously
occupied by the tumor. Including 19 tumors with grades 3 and 4 response, 26 (44.1%) of the 59 surgically resected tumors might have been treated by more conservative resection with a low risk of local recurrence. Local recurrence was not observed in 12 of 18 tumors treated by additional chemotherapy and irradiation. Including 19 tumors with grades 3 and 4 response, the combination therapy alone might have been successful in controlling the tumor in 31 patients (37.8%). The size of the tumor, the growth pattern, and the degree of differentiation were related to the histologic effects of the therapy, which were correctly discriminated in 82.2% of 73 patients with sufficient information by the quantification theory type II described by Hayashi. The analysis, therefore, was found to be useful in predicting the efficacy of the therapy. The 5-year survival rate was 68.0% in this series.-T. NAKAJIMA
Reprint requests to Dr Okamoto: First Department of Oral Surgery, Faculty of Dentistry, Kyushu University, Higashiku, Fukuoka 812, Japan.
3-l-l Maidashi,
New Book Annotations Datahook of Anaesthesia and Critical Care Medicine (ed 4). Foster PA, Roelofse JA. New York, Springer-Verlag, 1987, 204 pages, paperback. This handy-sized book is designed as a practical reference guide that can be used to quickly find a variety of information related to the administration of anesthesia. The material is divided into sections dealing with preanesthetic assessment and preparation; anesthetic physical constants; normal blood, cardiovascular, renal, and CSF values; respiratory parameters, assessment, and support; blood and fluid replacement; drugs and doses; and clinical problems and their solutions. The information is presented in concise outline form and embellished with numerous tables and charts. Oral Surgery. Pedersen GW. Philadelphia, Saunders, 1988, 405 pages, illustrated, paperback, $34.95. This textbook is designed predominantly for use in teaching undergraduate dental students. The basic procedures are well described and illustrated, and the more advanced procedures are discussed at the informational level. Each of 15 chapters begins with an outline and ends with a concise summary. Areas of major importance are emphasized by placement in boxes or tables. Suggestions for additional reading follow each chapter. Medical Abbreviations (ed 4). Davis NM. Huntingdon Valley, PA, Neil M. Davis Associates, 1988, 139 pages, paperback, $7.95. Fifty-five hundred current abbreviations, acronyms, and symbols, and their meanings are listed in this booklet that was compiled to assist in reading medical records and prescriptions. Emphasis is placed on the careful use of abbreviations, and the so-called dangerous ones are followed by an appropriate warning.
Surgery of the Temporomandibular Joint. Kieth DA (ed), with 12 contributors. Boston, Blackwell, 1988,299 pages, illustrated. As the title implies, this book focuses on the surgical management of the various diseases affecting the temporomandibular joint. Thoroughly discussed are congenital and growth anomalies, infections, ankylosis, trauma, dislocation, internal derangement, degenerative disease, and tumors. Chapters are also devoted to diagnostic imaging, physical therapy, and complications. The various chapters are well illustrated and contain current references. Diagnosis and Treatment of Muscle Pain. Kraus H (ed), with 8 contributors. Chicago, Quintessence, 1988, 116 pages, illustrated, paperback. This book is devoted to the broad subject of myofascial pain. There are general chapters on muscle spasm and pain, muscle deficiency, and trigger-points, as well as discussions of musculofascial pain syndromes and myofascial pain of metabolic origin. Although the major emphasis is on regions other than the head and neck, there is a chapter entitled “Cranio-Cervical Mandibular Disorders” that deals mainly with patient evaluation and diagnosis. Medical Emergencies During Outpatient Anesthesia. Jensen G. Fond du Lac, WI, Guy K. Jensen, 1988, 104 pages, paperback, $29.95. This manual discusses the pathophysiology of the various emergencies that can arise before, during, or after the administration of anesthetic agents and suggests appropriate treatments for them. Included are acute allergic reactions, respiratory problems, aspiration, cardiovascular problems, metabolic problems, and malignant hyperthermia. There is also a section on advanced cardiac life support. Most chapters contain a summary of diagnosis and treatment at the end, marked with a page tab, for quick reference.