Surgical Treatment of Congenital Heart Disease (2nd ed)

Surgical Treatment of Congenital Heart Disease (2nd ed)

REVIEW OF RECENT BOOKS Clinical Evaluation of the Critically Injured B y E . Truman M a y s , M . D . Charles C Thomas, Springfield, IL, 1975 450 p p...

382KB Sizes 0 Downloads 81 Views

REVIEW OF RECENT BOOKS

Clinical Evaluation of the Critically Injured B y E . Truman M a y s , M . D . Charles C Thomas, Springfield, IL, 1975 450 p p , illustrated, $29.50 Reviewed b y Kenneth L. Mattox, M . D . This book is destined to become a classic text and reference for medical students, house staff, traumatologists, and emergency physicians. It is specifically directed to the evaluative processes and techniques needed in selecting among alternative forms of therapy. The fifteen chapters may be grouped into three sections: 1. An overview of wounding forces, physiology of injury, and multisystem injury 2. Evaluation process of system areas (chest, abdomen, neurological, urological, musculoskeletal, facial, and skin) 3 . Assessment through operation, sequential monitoring, and angiography

compromise potentially reversible conditions. Finally, the repeated use of two nude women as models becomes distracting, especially when the bare breasts are not necessary to demonstrate a point. Overall, this is a long-awaited compendium to the growing number of books in the trauma field. It will be especially useful to the medical student, the emergency physician, the traumatologist, and the general surgeon, and it should be included in the library of every emergency room.

Houston, T X

Surgical Treatment of Congenital Heart Disease (2nd ed) B y Grady L. Hallman, M . D . , and Denton A. Cooky, M .D. Lea 6 Febiger, Philadelphia, 1975 204 p p , illustrated, $18.50

A special chapter on psychological assessment and Reviewed b y James W. Kilman, M . D . appendices on emergency medical technicians and emergency medical training programs are also appro- This enlarged edition of the classic manual for surgical priate. management of congenital heart disease has the same In relation to the patient with cardiothoracic and format as the first edition but has been expanded to vascular trauma, this book has a number of assets. A include operations for some of the rare surgical probcomprehensive work by a single author reflects a lems encountered by the pediatric cardiac surgeon. breadth of experience and coordinated evaluative The main emphasis in this text is on technical techniques. The book repeatedly emphasizes the operative management of congenital heart problems. need for a team captain to coordinate, evaluate, and The drawings of the procedures are excellent, and the descriptions are clear enough for even the neophyte to treat the entire patient. The approach to the patient with thoracic injury in understand. Each of the eleven chapters has a brief Chapter 5 is, in general, well covered. Chapter 12 introduction consisting of the anatomy, pertinent hiscorrectly decries thoracotomy for evaluation as a tory and physical examination, embryology, diagnosroutine method. Chapter 13 provides an excellent tic findings, and indications for operation. Signifisummary of sequential monitoring techniques and cant hemodynamic information for the more complex points out some commonly encountered problems. lesions is not given and the references are somewhat Chapter 14, on evaluation by arteriorrhaphy, only outdated, though all the important historical referbriefly discusses cardiothoracic angiography. ences seem to be present. The book is well organized There are likewise a number of deficiencies to this and easy to use. volume. Although it is well referenced, the bibliogThe modern techniques for infant cardiopulmonary raphy contains many entries €@are not current and bypass management, including profound hypotherin areas of clear controversy oes not include articles mia, are not discussed, and the section on principles of opposing view. The attempts at an abbreviated and techniques of bypass management could have index scale in Chapter 4 and the comprehensive index been expanded. scale in Appendix C are both somewhat bulky for This book will continue to function as the Bible for most busy trauma centers. The indications for resident trainees in congenital cardiac surgery. It is a thoracotomy in Chapter 5 are incomplete, for not in- valuable guide for pediatricians, cardiologists, medicluded are massive air leak, mediastinal traverse, and cal students, nurses, and technicians. Pediatric carradiographic evidence of esophageal or vessel injury diovascular surgeons should find this manual in(although such are implied at other locations in the teresting and worthwhile to review because of the text). excellent illustrations and demonstrations of operaThe proposed use of external cardiopulmonary re- tive techniques that have been used on a large suscitation in the patient with cardiac arrest and mul- number of children. tiple injuries is considered by some traumatologists to be contraindicated. Such external maneuvers further Columbus, O H

J,

199