VITAL RESPONSE: A FIRST RESPONSE TRAINING MANUAL.

VITAL RESPONSE: A FIRST RESPONSE TRAINING MANUAL.

PERINATAL ANESTHESIA AND CRmCAL CARE. Edited by JUlES H. DIAZ. Philadelphia : WB Saunders, 1991,395 pp, $45.00 This book is a unique text in the field...

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PERINATAL ANESTHESIA AND CRmCAL CARE. Edited by JUlES H. DIAZ. Philadelphia : WB Saunders, 1991,395 pp, $45.00 This book is a unique text in the field of perinatal medicine . Despite the emphasis on anesthesia as reflected in the title, the book is a multidisciplinary effort and will appeal to anesthesiologists and nonanesthesiologists alike. Sixteen experts in pediatric surgery, anesthesiology, obstetrics, neonatology, and critical care from throughout the United States address subjects pertinent to health care professionals caring for patients-mother, fetus, and neonatein the perinatal period . The text is a continuum of human development from conception through infancy. The 14 chapters cover a variety of topics and interrelate the influence one subspecialty area has upon the others. The text is well researched with over 1,000 references. Tables and figures appropriately supplement the text. There are several noteworthy chapters. Chapter 1 contains a concise presentation and discussion of data analyzing possible teratogenicity of agents used by anesthesiologists. The chapter on perinatal management of maternal and fetal emergencies contains an exhaustive list of such emergencies and presents organized approaches to intervention. This chapter is by far the lengthiest and has 'l:57 references . Another chapter gives the reader a glimpse at the current status offetal hydronephrosis surgery in utero by reviewing the experience of the University of California, San Francisco, Fetal Treatment Program. To address all current areas in neonatal critical care would be impractical . Therefore, the authors elected to focus on parenteral hyperalimentation and extracorporeal membrane oxygenation in the chapter on critical care . There is a short chapter dealing with the perioperative management of conjoined twins, which is infonnative and fascinating reading. The only area the authors might have considered including is a chapter on ethical issues specific to the perinatal period . The overall quality of this text is excellent. It serves as an anesthesiaoriented supplement to existing texts that address the general care of the maternal-fetal unit . It is an infonnative and useful source of integrated infonnation , well worth its modest price . It should especially appeal to obstetric anesthesiologists, perinatologists, pediatricians, and pediatric surgeons. Lynda] Means, M.D. Indianapolis

VITAL RESPONSE : A FIRST RESPONSE TRAINING MANUAL. By C. MAR" VASU . Grand Rapids, Mich: CordithAssociates, 1992, 227pp, $22.95 In the foreword to this book, fonner President Gerald Ford outlines the existing laws regarding public safety, particularly on the highways, and calls attention to the concept of the vital response program, life cause of the author, C. Mark Vasu. Dr. Vasu in turn calls our attention to the great need for a vital response program at all levels. This is not an extension of cardiopulmonary resuscitation (CPR), but rather a far more sophisticated approach to public safety, which, if properly implemented, might well reduce the number of disasters associated with CPR when rendered "too little and too late." This manual covers a remarkable spectrum of medical , surgical, and other emergencies that can befall individuals or the public. Most important is the classic teaching technique of starting with the obvious and rapidly carrying the student to heights that make him think hard . Clearly, we as physicians have an enonnous responsibility in extending vital response programs. We cannot but feel guilty that this useful discipline has remained so little noted . Medical directors of schools. fire departments, police departments, corporations, and all such must assume a new responsibility toward this new discipline pro bono publico. Obviously, I regard this manual as important, with particular reference to all involved in bealth care and public safety. I hope that the readers of Chest will become similarly inspired. Dwight Emory Harken, M.D.

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Sponsored by PERCUTANEOUS BALLOON VALVULOPLASTY AND RELATED TECHNIQUES . Edited by THOMAS M. BASHORE and CHARLES J. DAVIDSON. Baltimore: Williams & Wilkins, 1991,351 pp, $62.00 This text offers a current evaluation of catheter treatment for both acquired and congenital beart defects. The 29 contributors represent the fields of adult cardiology,pediatric cardiology, cardiovascular surgery, and cardiac pathology. Although the entire field of percutaneous balloon valvuloplasty and related techniques is in its infancy, it is becoming increasingly clear that many acquired and congenital cardiac lesions can be treated without open heart surgery. The authors present a current perspective on the value of catheter treatment of acquired and congenital heart disease . Particular attention is given to the treatment of aortic and mitral valvuloplasty/valvotomy procedures. The clinical evaluation and indications for therapy are outlined in each chapter. In addition to catheter-related procedures, a cardiovascular surgical perspective is presented for halance. A separate section is devoted to reviewing the current treatment of congenital cardiac abnonnalities in the neonate and the older child. The writing of the book is quite clear and concise. The authors' individual opinions are openly and clearly expressed . Multiple photngraphs and illustrations are included throughout the text, all of which are expertly done . This book would be particularly suited to clinicians involved in both adult and pediatric cardiology, cardiovascular nurse specialists, cardiovascular surgeons, and pediatric or adult intensivists.

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