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Doody's Review ServiceReviewer: Alexander B. Adams, RRT (Regions Hospital)
Description: This is the second edition of an authoritative review for students and clinicians requiring rationale and basic guidelines for ventilatory care. The previous edition was published in 1996. The new edition can be justified by the introduction of new ventilator modes, changes in the venue of care delivery, and clinical studies verifying the benefits of a lung protective ventilator strategy.
Purpose: This book is about mechanical ventilation care, not ventilators. It is organized to cover principles of care, management of a range of conditions requiring mechanical ventilation, monitoring techniques, and special topics. Since respiratory therapists are often strong on the technical aspects of ventilators and weak on the principles of care, the objectives of are worthy. The objectives are met with this book.
Audience: This book is for clinicians caring for ventilated patients. Both authors are known authorities in ventilator management. While the target audience would be, primarily, respiratory care and nursing personnel, physicians directing ventilator care would benefit from sections of this book.
Features: Basic principles are covered without extensive detailing or referencing. Recommendations on the management of specific disease conditions are uniquely presented. The monitoring of ventilated patients is adequately addressed while the special topics section covers areas that often require several sources. Although the book is unreferenced and opinionated, the opinions are based on decades of experience.
Assessment: This book has no direct comparison since it provides direct instruction on the management of ventilated patients. It lacks the depth of Tobin's comprehensive review books on mechanical ventilation and monitoring. The technical aspects of ventilators are covered elsewhere. As a useful reference or a unique, basic instruction text, this book is quite good. The second edition is justified by rapid changes in the field of ventilator care.