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Doody's Review ServiceReviewer: Zdravka Zafirova, MD (University of Chicago Pritzker School of Medicine)
Description: This is the fifth edition of a concise but comprehensive book on the perioperative management of patients undergoing neurosurgical procedures. The well-developed discussions from the previous edition have been updated and new topics have been added to reflect advances in the field.
Purpose: It is intended to provide guidance in the development of safe and effective neuroanesthesia practice by building on a foundation of basic and clinical scientific principles.
Audience: This book is invaluable to anesthesia trainees developing their proficiency in neuroanesthesia and preparing for exams. Experienced practitioners will also benefit from review of the updated information and will find the book useful in their daily practice as well as in reinforcing their fund of knowledge and maintaining their expertise. The editors are recognized as authorities in field and they have assembled a cohort of contributors with a wide range of expertise.
Features: The introductory chapters present the physiological concepts relevant to the central nervous system with an excellent review of the up-to-date knowledge of the cellular and molecular pathophysiological mechanisms. They cover topics such as increased intracranial pressure, neuroradiological imaging, monitoring modalities such as evoked potentials, and transcranial Doppler ultrasonography, and review the implications of anesthetic interventions. Subsequent discussions build on this foundation to address challenges in the perioperative management of neurosurgical patients, including acutely unstable patients and those with severe head injury. Theoretical and practical guidance on a wide range of clinical situations is provided in a series of chapters highlighting the issues related to specific neurosurgical interventions and includes topics reflecting the advances in neurosurgery, such as awake craniotomy, interventional neuroradiological, minimally invasive, and robotic procedures. The concluding chapters review the care of pediatric and adult patients in the intensive care unit and direct attention to future advances in the field. The chapters are well written, and the challenges that multiauthored books pose have not affected the consistency of the discussions. Consideration is given to well-understood as well as debated issues that underlie the care of neurosurgical patients, and the extensive up-to-date references support the discussions. Excellent tables, graphs, and illustrations as well as radiological images of good quality are abundant and enhance the educational value of the book by providing better understanding of the knowledge base.
Assessment: This is an excellent update that synthesizes the current understanding of the theoretical principles and the clinical applications that underlie the practice of neuroanesthesia in a concise but comprehensive format that practitioners in the field at all levels will find invaluable.