Praktische Lokalanasthesia: ein Kompendium

Praktische Lokalanasthesia: ein Kompendium

INHALATION ANAESTHESIA FOR DENTISTRY IN THE CHAIR Driscoll, E. J., Christenson, G. R., and White, C L. (1959). Physiologic studies in general anesthes...

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INHALATION ANAESTHESIA FOR DENTISTRY IN THE CHAIR Driscoll, E. J., Christenson, G. R., and White, C L. (1959). Physiologic studies in general anesthesia for ambulatory patients. Oral Surg., 12, 1496. Evans, T. W. (1869). Correspondence. Amer. J. dent. Sci., p. 525. Goldman, V. (1967). Oral Surgery, p. 453. Copenhagen : Munksgaard. Cornwell, W. B., and Lethbridge, V. R. E. (1958). Blood pressure under anaesthesia in the sitting position. Lancet, 1, 1367. Harris, P. (1963). Intravenous induction of anaesthesia in the dental chair. Brit. dent. J., 114, 62.

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Goldman, V., and Kennedy, P. (1964). A non-barbiturate intravenous anaesthetic Anaesthesia, 19, 424. Herbert, C L., and White, C. L. (1967). Oral Surgery, p. 439. Copenhagen: Munksgaard. Hewitt, F. W. (1893). Anaesthetics and their Administration, p. 68. London: Griffin. (1897). The Administration of Nitrous Oxide and Oxygen for Dental Operations. London: C, Ash. Latham, J. W., and Parbrook G. D . (1967). A premised gas machine. Anaesthesia, 22, 316.

Praktische Lokalanasthesia: ein Kompendium. By Dr. Hans Giorg Auberger, Koln. Published by Georg Thieme Verlag, Stuttgart. Price D.M. 8,40. Local anaesthesia is often covered in large volumes or in separate monographs on different procedures. Here is a small book at reasonable cost which has enough line drawings to clarify the anatomy. The drugs are listed and the general problems discussed before passing to individual nerve blocks, techniques for all parts of the body being covered. The description of the cranial nerves pays special attention to the eye and teeth areas. Brachial plexus blockade by supraclavicular and axillary routes is well treated, with mention of the complications. Pudendal and caudal analgesia for obstetrics also receive prominent treatment. Finally, spinal and estradural techniques are briefly described, concentrating on practical points of management. This book is certainly a useful practical guide to nerve blockade. R. S. J. Clarke

Acute Barbiturate Poisoning: Treatment with Modem Methods of Resuscitation. By S. J. Loennecken (translated by Barbara and Helmtrud Hammer). Published by John Wright & Sons Ltd., Bristol, 1967. Pp. 78; indexed; 26 illustrations. Price 175. 6d. Doctor Loennecken has a very wide experience of the treatment of barbiturate poisoning, and the excellence of his results at Cologne make him an authority to be treated with respect. The scope of this monograph, however, is limited, as the author explains in his preface to the English edition, so that "the subject should be presented in as clear and concise a manner as possible". For this reason a summary only is given of forced diuresis and extracorporeal haemodialysis, and many controversial points are avoided. The result is somewhat unsatisfactory. It is on the controversial points that we would most like to hear Doctor Loennecken's opinion. He does indeed come down authoritatively on the side of the conservative ("anaesthetic") management of barbiturate intoxication, as opposed to treatment with analeptics. Largely due to the efforts of himself and people like him he is now

preaching to the converted, and there must be few workers in this country who do not accept his view. Though there is broad agreement on the principles of treatment, there is much room for debate on their practical application, and indeed this application depends, to no small extent, on the availability of equipment and, of course, on fashion and local custom; much of what is written in this monograph on the practical details of the treatment and monitoring of patients will, therefore, be strange to British anaesthetists. The English translation is generally good, despite the occasional infelicity. There are several statements which are dubious; for example it is alarming to read that the "ultra-short effect of some barbiturate derivatives (e.g. pentobarbitone, thiopentone) is due to the very quick disintegration of these compounds", even when some qualification of this statement follows. J. E. Utting

Tetanus: Aktuelle Probleme in der Ckirurgie: 2. By Hans Stirnemann. Published by Hans Huber, Bern and Stuttgart. Pp. 168; 14 illus. Price D.M. 27. This is a full consideration of the disease for anyone with a good knowledge of German. The references, of which there are over 500, are drawn from all over the world and the author is at pains to be comprehensive in discussion of alternative theories and methods of management. There are chapters on the incidence and causes, the mode of onset and the diagnosis of the disease. The management is described in detail, the main points being wound excision, the use of human antitoxin, sedation, tracheostomy, ventilation, antibiotics and nutrition. Other methods of treatment such as periston, hyperbaric oxygen and corticosteroids are eliminated, as is intermittent suxamethonium though this drug is of value in permitting full passive movements of joints. Diallyl-nor-toxiferine has been found to be less depressant to the gastro-intestinal tract than tubocurarine. The complications and causes of death are listed, with chest infection heading the tables, and again the references make this survey of the problems very valuable. Finally, immunization and other means of prophylaxis are discussed. Altogether it is an essential book for any unit thinking and writing about Tetanus. R. S. J. Clarke

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