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Doody's Review ServiceReviewer: Jeanine Walenga, PhD (Loyola University Medical Center)
Description: This book presents an up-to-date, comprehensive description of the clinical management of thrombotic and hemostatic disorders using specific algorithms. Guidelines are based on medical literature evidence or, if not available, on the contributor's personal clinical approach.
Purpose: The purpose is to provide an easy-to-read, quick reference for clinical management. Recently, there has been an exponential growth in understanding the mechanisms involved in these disorders. A text of this type written by experts is critically needed.
Audience: This book is targeted towards internists, hematologists, cardiologists, cardiac and vascular surgeons, and intensivists. In addition, the medical student, resident, and intern would also benefit.
Features: Using concise chapters, a clear and logical approach is maintained that facilitates learning or a quick review. The included CD is a bonus for those more computer literate. By design there are no illustrations; this does not detract from the text but adds to its focus. There are 52 short chapters, averaging 5-8 pages in length, each dedicated to the management of a specific type of thrombosis or bleeding. All known complications are covered including less common disorders such as portal vein thrombosis, retinal ischemia, and thrombosis in the pediatric patient. Drug induced bleeding is described as well as congenital coagulation factor deficiencies.
Assessment: This text is of the highest quality for practical clinical guidelines for any thrombotic or bleeding disorder. The multiple authors are credible with some of the most well-respected, internationally renowned experts among them. Other contributors are the junior staff of these experts; however, there is no detectable difference in the writing style or clinical comprehension. The bleeding guidelines are less detailed than those for thrombosis, but still well covered in specific algorithms. Related books on thrombosis are lengthy texts focused on research rather than clinical practice guidelines as uniquely illustrated here.