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The cardiac surgical patient: Pathophysiologic considerations and nursing care
Bookreviews
THE CARDIAC SURGICAL PATIENT: PATHOPHYSIOLOGIC CONSIDERATIONS AND NURSING CARE. By Maryann Powers, R.N.! B.S., and Francis Storlie, R.N., M.S., The Macmillian Company, Toronto, Ontario, 1969, 231 pages. Price $7.95. This publication is useful for nurses responsible for the care of cardiac surgical patients. Though brief, it presents the essential problems related to the cardiac states which are concerned with surgery and the care of the patient following operations. Obviously, a book of this sort must be supplemented by lectures and demonstrations, not only by trained and experienced nurses, but by phyGcians as wel!. The physician and surgeon must realize that a knowledge of the content of this book is not adequate. This is well illustrated by the discussion of the electrocardiogram. Nevertheless, this is a very good and useful book for nurses preparing to care for the cardiac patient following surgery. NEW FINDINGS Chr. Cappelen, Norway, 1968,
m
BLOOD FLOWMETRY. Edited Jr., M.D., Universitetsforlaget, 223 pages. Price $21.79.
by
This monograph presents the proceedings of the international Symposium on Electromagnetic Flowmetry held in Oslo. The papers are all very short but are clearly and concisely presented, there being almost 40 papers in 223 pages of text. The subjects discussed by several groups of in\-estigators included techmque, apparatus design, system calibration, evaluation of flowmeters, comparison of techniques, implanted probes in man and other animals, and clinical applications. This is a very good, though highly specialized book. Anyone who is working with blood flow, planning to study flow, or interested in the evaluation of data obtained with arterial flowmeters will find this book useful for study and to own. The participants, in their respective brief presentations, clearly indicate the many problems and applications as well as the difficulties and inaccuracies of the techniques used in measuring crterial blood flow. The discussions and bib!iography are also valuable. ARTERIAL CATHETERIZATION: DIAGNOSTIC, THERAPEUTIC .~ND INVESTIGATIVE. By Howard Richard Bierman, M.D., Charles C Thomas, Publisher. Springfield, Ill., 1969, 602 pages. Price $15.73.
SELECTIVE
l)r.
Bierman has summarized very nicely the subject of selective arterial catheterization for those who are contemplating employment of the procedure. The monograph briefly describes the history, techniques, apparatus, and anatomic considerations. This is followed by a presentation of radio-
graphs of arterial systems for \-arious organs and part3 of the body. The author present> a fairly lengthy dissertation on the use of regional perfusion for malignant diseases. Unfortunately, as is so common, the impression is given that malignant processes are “cured,” when it is well known that a patient is extremely rarely, if ever, cured of a malignant disease by a chemotherapeutic agent, unless it be a small lesion on the surface Iof the body where a corrosive or extremely toxic agent that can chemically destroy the sharply localized lesion by direct application. And even then, surgery is preferable with rare exceptions. However, for those who wish to employ regional perfusion in the management of malignant neoplastic lesions, the techniques are available in this book. The chapter on investigati\re applications of arterial catheterization should be of little value to readers. Anyone who undertakes an)’ mature imestigations should know the necessary techniques. Furthermore, each research program is so individual that the techniques employed must be designed carefully and precir-ely to catisfy the ueeds of the particular study. This is a reasonably good book which should interest those embarking on a study of arterial catheterization. SURGERY Benjamin Publisher, $22.50.
OF ACQUIRED B. Jackson, Springfield,
VASCVLAK I>IS~RI~ERS. B> M.D., Charles C ‘I‘homa>, Ill., 1969, 460 pages. Price
Doctor Jackson summarizes I-ascular surgery briefl? in about 4.50 pages. The important problems are discussed, but the many details of importance are not included, particularly the problem+ related to I-arious diseases which greatly influence the outcome of surgery, such as coronary heart disease, emphysema and chronic bronchitis, o!d age, and many others. These are important. since much of vascular surgery is performed on old people. The discussions of surgical technique and management of aneurysms, occlusive vascular disease, and traumatic disease are good. The sections on obliterative cerebrovascu!ar disease and coronary arter), disease 1eal.e much to be desired from an over-all point of t iew. Unfortunately, the discussions are not critical and fail to emphasize adequately the nonsurgical care of vascular disease. The book does, however, drscribe techniques and can be u$efuI to beginners in surgery- and vascular surgery. The well-trained vascular surgeon or cardiovascular physician will find this book of little value. The illustrations and bibliography are well selected from the surgical standpoint. VASCULAR DISEASES. Bv Prof. M.D., M.Ch., V. V. i
A<. M. J. Tsapogas, I?Ii.C.S.. I;.R.C.S. 570
THE CARDIAC SURGICAL PATIENT: PATHOPHYSIOLOGIC CONSIDERATIONS AND NURSING CARE. By Maryann Powers, R.N.! B.S., and Francis Storlie, R.N., M.S., The Macmillian Company, Toronto, Ontario, 1969, 231 pages. Price $7.95. This publication is useful for nurses responsible for the care of cardiac surgical patients. Though brief, it presents the essential problems related to the cardiac states which are concerned with surgery and the care of the patient following operations. Obviously, a book of this sort must be supplemented by lectures and demonstrations, not only by trained and experienced nurses, but by phyGcians as wel!. The physician and surgeon must realize that a knowledge of the content of this book is not adequate. This is well illustrated by the discussion of the electrocardiogram. Nevertheless, this is a very good and useful book for nurses preparing to care for the cardiac patient following surgery. NEW FINDINGS Chr. Cappelen, Norway, 1968,
m
BLOOD FLOWMETRY. Edited Jr., M.D., Universitetsforlaget, 223 pages. Price $21.79.
by
This monograph presents the proceedings of the international Symposium on Electromagnetic Flowmetry held in Oslo. The papers are all very short but are clearly and concisely presented, there being almost 40 papers in 223 pages of text. The subjects discussed by several groups of in\-estigators included techmque, apparatus design, system calibration, evaluation of flowmeters, comparison of techniques, implanted probes in man and other animals, and clinical applications. This is a very good, though highly specialized book. Anyone who is working with blood flow, planning to study flow, or interested in the evaluation of data obtained with arterial flowmeters will find this book useful for study and to own. The participants, in their respective brief presentations, clearly indicate the many problems and applications as well as the difficulties and inaccuracies of the techniques used in measuring crterial blood flow. The discussions and bib!iography are also valuable. ARTERIAL CATHETERIZATION: DIAGNOSTIC, THERAPEUTIC .~ND INVESTIGATIVE. By Howard Richard Bierman, M.D., Charles C Thomas, Publisher. Springfield, Ill., 1969, 602 pages. Price $15.73.
SELECTIVE
l)r.
Bierman has summarized very nicely the subject of selective arterial catheterization for those who are contemplating employment of the procedure. The monograph briefly describes the history, techniques, apparatus, and anatomic considerations. This is followed by a presentation of radio-
graphs of arterial systems for \-arious organs and part3 of the body. The author present> a fairly lengthy dissertation on the use of regional perfusion for malignant diseases. Unfortunately, as is so common, the impression is given that malignant processes are “cured,” when it is well known that a patient is extremely rarely, if ever, cured of a malignant disease by a chemotherapeutic agent, unless it be a small lesion on the surface Iof the body where a corrosive or extremely toxic agent that can chemically destroy the sharply localized lesion by direct application. And even then, surgery is preferable with rare exceptions. However, for those who wish to employ regional perfusion in the management of malignant neoplastic lesions, the techniques are available in this book. The chapter on investigati\re applications of arterial catheterization should be of little value to readers. Anyone who undertakes an)’ mature imestigations should know the necessary techniques. Furthermore, each research program is so individual that the techniques employed must be designed carefully and precir-ely to catisfy the ueeds of the particular study. This is a reasonably good book which should interest those embarking on a study of arterial catheterization. SURGERY Benjamin Publisher, $22.50.
OF ACQUIRED B. Jackson, Springfield,
VASCVLAK I>IS~RI~ERS. B> M.D., Charles C ‘I‘homa>, Ill., 1969, 460 pages. Price
Doctor Jackson summarizes I-ascular surgery briefl? in about 4.50 pages. The important problems are discussed, but the many details of importance are not included, particularly the problem+ related to I-arious diseases which greatly influence the outcome of surgery, such as coronary heart disease, emphysema and chronic bronchitis, o!d age, and many others. These are important. since much of vascular surgery is performed on old people. The discussions of surgical technique and management of aneurysms, occlusive vascular disease, and traumatic disease are good. The sections on obliterative cerebrovascu!ar disease and coronary arter), disease 1eal.e much to be desired from an over-all point of t iew. Unfortunately, the discussions are not critical and fail to emphasize adequately the nonsurgical care of vascular disease. The book does, however, drscribe techniques and can be u$efuI to beginners in surgery- and vascular surgery. The well-trained vascular surgeon or cardiovascular physician will find this book of little value. The illustrations and bibliography are well selected from the surgical standpoint. VASCULAR DISEASES. Bv Prof. M.D., M.Ch., V. V. i
A<. M. J. Tsapogas, I?Ii.C.S.. I;.R.C.S. 570