Resuscitanon and Cardiac Pacing

Resuscitanon and Cardiac Pacing

514 BOOK REVIEWS Resuscitation and Cardiac Pacing. Edited by G. G. Shaw, G. Smith and T. J. Thomson. Published by Cassell, London. Pp. 256; index; ill...

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514 BOOK REVIEWS Resuscitation and Cardiac Pacing. Edited by G. G. Shaw, G. Smith and T. J. Thomson. Published by Cassell, London. Pp. 256; index; illus. Price 30s.

Techniques de Denudation Veineuse. By J. Fontanclle and A. Toudoire. Published by Masson & Cie, Paris. Pp. 66, illus. Price 7 F. Parenteral administration of fluids is now recognized as essential in the management of severely injured patients. This monograph deals with the establishment and maintenance of venous perfusions. It is divided into three principal sections. Part I discusses the indications and the general technique of inserting a catheter by the cut-down method stressing the need for dealing with it as a surgical operation. Part II describes the anatomical details of nine areas suitable for cut-downs. The problems associated with infants are also discussed. This section is adequately illustrated with line drawings of the anatomy and includes some veins not often utilized. The final section deals with the accidents associated with the technique of cut-downs. It is somewhat surprising that no mention is made of the, now not so new, percutaneous insertion of cannulae with the many trochars, needles and plastic devices available on the market which have tended to replace the insertion of a catheter by direct vision. Judging from the literature a further monograph could easily be devoted to this aspect of oarenteral therapy. " J. C. Geddes

THE FOURTH CONGRESS OF THE WORLD FEDERATION OF SOCIETIES OF ANAESTHESIOLOGISTS The fourth Congress of the World Federation of Societies of Anaesthesiologists will be held in London in the second week of September 1968. The host society is the Association of Anaesthetists of Great Britain and Ireland, and the following are the members of the Organizing Committee: Dr. Dr. Dr. Dr. Dr. Dr. Dr.

G. Ellis (Chairman). P. J. Helliwell. D. D. C. Howat (Secretary). C B. Lewis. C. F. Scurr. F. G. Wood-Smith (Treasurer). R. B. Wright.

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Resuscitation and Cardiac Pacing is an account of the proceedings of a conference held in Glasgow in March 1964 under the auspices of the Glasgow Postgraduate Medical Board. Twenty-seven papers were presented in six sessions in this conference and almost all of them have some interest for anaesthetists. In particular the first three sessions which include discussions on the pathology of the arrested circulation, on causative factors in circulatory arrest and on the management of circulatory arrest are recommended to all anaesthetists. Of special interest is the paper on drowning and resuscitation, which gives a valuable account not only of the various processes involved in drowning but also of their management. Anyone who is ever likely to have to deal with drowning accidents—and that probably includes all of us^should read this paper. Some of the contributions are rather short and could reasonably have been amplified for the benefit of the non-specialist reader. Similarly, more references would have been an advantage; certainly some of the contributions have very useful bibliographies but in others they are either meagre or non-existent. There was a deplorable tendency too for some authors to refer to textbooks; this is highly unsatisfactory since it is unlikely that original work will ever appear for the first time in a textbook and it is particularly exasperating when the reference is not even accurate, as happened when one was consulted. Nevertheless the book provides under one cover a reasonably comprehensive review of information, not only on the immedi-

ate resuscitation of the arrested heart but also on after-care and long-term management, and as such is to be recommended. The publishers are to be congratulated on producing a volume which, though in paper-back form and therefore correspondingly cheaper, has nevertheless stood up well to prolonged use. J. P. Payne