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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the first edition of a multiauthored hardbound book describing issues defining a standard of care in critical care units.
Purpose: The authors provide an overview of quality assurance, training, and clinical standards guiding practice in the intensive care unit. Limitations of widely accepted technologies and therapies in the intensive care unit are discussed.
Audience: Portions of this book may be useful for hospital managers, theologians, lawyers, support groups and allied health professionals as well as practitioners of intensive care medicine. The authors and editors represent an international group of practitioners and allied health professionals.
Features: This book provides overview statements regarding techniques applied in the provision of critical care support along with staffing and the credentialing guidelines. A third segment of this book describes measurement of propriety and outcome. Concluding is a discussion of ethical issues including access to resources and withdrawing support. Chapters are written from a multinational perspective. Training and qualifications are discussed for both the United States and the United Kingdom. References date to within four years of publication and include original work. The table of contents includes only the chapter titles and authors. A detailed index is provided.
Assessment: As the editors indicate, this book will have appeal to many groups concerned with the management of the critically ill. As a clinician, I found the discussion of technical aspects of critical care to be appropriate and timely. Any reader group may be frustrated by diminished relevance of large portions of this text, however. With added detail, each of the divisions in this book could stand alone as a focused monograph.