- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: As with the other books in the Case Files series, the aim of this one on anesthesiology is to use clinical scenarios to teach medical students.
Purpose: The purpose is to impart learning by posing real clinical situations. The idea is to maintain the interest of readers and to stress the importance of the information by keeping it connected to real life.
Audience: The book targets medical students, but even junior anesthesia trainees would find it very compelling. The multiple choice questions at the end of every topic make the book very useful for taking different exams, especially the USLME, but even in-service anesthesia trainee exams. Edited by some very experienced clinicians, the book is successful in achieving its stated objective of providing a quick review for medical students.
Features: The first of the book's three sections describes the steps involved in clinical problem solving, and I have never seen a better explanation of clinical trouble shooting in anesthesia. The nine cases in section two introduce students to basic anesthesia pharmacology, machine setup, basic fluid management, and basic anesthesia monitors. The cases in the next section are used to demonstrate different aspects of anesthesia related to the management of different organ systems or diseases. All in all, there are 53 cases that cover anesthesia topics in obstetrics, pediatrics, trauma, post-anesthesia care units, perioperative cardiac workups, thoracic surgery, neuroanesthesia, regional anesthesia, and even cardiopulmonary bypass. In short, every part of anesthesia is touched upon, in one way or another. Using the same basic format, each chapter covers one broad topic, either basic science or clinical. It starts with narration of a case and ends with series of questions, which are basically the take home-message. The questions are answered briefly in the next paragraph. This is followed by analysis of the whole situation, including different anesthesia options for the management of the patient. The pathophysiology of the disease process as it relates to the patient in the context of surgery and anesthesia is discussed. Key terms are defined and important teaching points are again reinforced by a few multiple choice questions at the end of the chapter. Finally, the chapter ends with a few clinical pearls to impress upon the readers, one more time, the teaching points of the case. Relevant references are provided for more detailed information. The book is short, but impressively comprehensive in the breadth of information it covers. The writing is clear and unambiguous. The information is practical and relevant to the everyday practice of anesthesia. The editors have managed to maintain consistency in language and format throughout the book despite a long list of contributors.
Assessment: Although it has the appearance of a handbook, this book is an overview of clinical anesthesiology. It takes a simulation approach to drive home essential concepts of anesthesia management in different disease conditions. Of all the handy books out there, this is perhaps the only one that teaches anesthesia in the context of real patients rather than merely stating facts. It would be an invaluable aid to medical students doing anesthesia clerkships or junior anesthesia trainees who need a quick review for an emergency case in the middle of the night.