PULMONARY EDEMA IN MAN AND ANIMALS

PULMONARY EDEMA IN MAN AND ANIMALS

whiskey are persistently regarded as part of the initial home treatment of PE and hospital procedures such as dialysis, assisted circulation (excludin...

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whiskey are persistently regarded as part of the initial home treatment of PE and hospital procedures such as dialysis, assisted circulation (excluding cardiopulmonary bypass) and corrective surgery for left sided lesions (excluding mitral commisurotomy) are ignored. Probably this reviewer expected too much from the book; I cannot recommend it to physicians engaged in the management of patients with PE; researchers of the field may find it interesting, but brief. Carlos Ibarra-Perez, M.D. Mexico City, Mexico

The Bookshelf Continued

PULMONARY EDEMA IN MAN AND ANIMALS. By ALDO A. LUISADA. \Varren H. Green, Inc., St. Louis, 1970, 154 pp, $10.50 It may appear audacious and pretentious to review a book on pulmonary edema ( PE ) by Luisada, a man who probably has forgotten more things about the subject than many of us will ever know, especially when the review is less than favorable. The first noticeable thing is that the publishers did dot strain themselves reviewing this small book: it is bound with paper of different quality, with frequent typographic errors (among them, the dose of cedilanid is mistaken on pages 117, 119 and 120), lines are missing on page 64 and are misplaced on pages 29 and 51, the use of asterisks is not progressive on pages 28, 101 and 116, and on page 98 the term hyperdynamic is used instead of hypodynamic. Another striking feature is the unevenness of the approach to the problem of PE: while the chapter on the clinical episode has less than seven pages and one illustration of questionable artistic and medical value, and the chapter on roentgenology (one chest x-ray) electrocardiography has less than four pages, and the two dealing with drugs and therapy deserve 25 pages-( figures 17 and 18 are meaningless), the chapter on experimental PE has 28 pages and 13 figures, representing the strong part of the book; this probably reflects the author's particular inclinations. For the sake of completeness, the chapter dealing with etiology could have included well recognized causes of PE such as left atrial tumors, myocardiopathy, congenital pulmonary venous obstruction, supravalvular ring of the left atrium, total anomalous pulmonary venous drainage, cor triatriatum, oxygen toxicity, etc. Among other ignored aspects are: the distinction between predominantly interstitial and alveolar edema, important according to some people; the role played by the shift of blood from the peripheral to the central circulation, in the pathogenesis of high altitude PE; the recommendation to include such traditional procedures as a chest roentgenogram and a central venous pressure measurement in the routine management of patients with PEt Although many of the aspects dealt with in the last three chapters are debatable, it is difficult to understand why furosemide and ethacrynic acid are mentioned in five lines and are not mentioned in the chapter on therapy, while "defoaming and antifoaming" are discussed in five pages; why brandy and

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