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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This book on cardiac aspects of pediatric critical care practice is part of an earlier comprehensive work, Pediatric Critical Care Medicine: Basic Science and Clinical Evidence, by the same authors (Springer, 2007).
Purpose: Cardiovascular physiology and treatment specific to pediatric patients are highlighted. This aspect of critical care practice is quite different in children than adults.
Audience: Senior trainees and practitioners managing pediatric critical illness are an appropriate audience.
Features: The clear focus is on congenital heart disease and cardiac surgical procedures seen in the pediatric intensive care unit. Anatomy and physiology of developmental cardiovascular abnormalities are emphasized, along with aspects of care particular to support of patients after cardiac surgery. The majority of the book focuses on pediatric patients, but adult data is also provided particularly in discussion of broad topics such as cardiopulmonary interaction, hemodynamic monitoring, and the use of cardiopulmonary bypass. Chapters are well written and amply referenced with citations from primary literature dating from 3 to 4 years or more prior to publication. The book uses a large number of excellent black-and-white line drawings and some tables. Black-and-white photographs reproduce with less quality, but echocardiography and other radiology images are acceptable. The table of contents lists chapters and authorship while a concluding subject index provides adequate access to content.
Assessment: This is an excellent review of the physiology and management of problems treated by pediatric cardiac surgeons. As the editors note, this is a highly technical subspecialty in pediatric critical care.