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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This monograph, volume 41 in the Update in Intensive Care and Emergency Medicine series, reviews the quality of evidence surrounding the practice of mechanical ventilation and related critical care management.
Purpose: A critical review and discussion of available clinical evidence surrounding the management of patients with respiratory failure is provided.
Audience: Fellows and senior practitioners providing respiratory critical care are an appropriate audience. The editors and authors represent an international group of thought leaders in various aspects of pulmonary management.
Features: The book begins with a review of the ground rules for the evidence-based approach employed. Using this strategy, approaches to ventilator settings, invasive versus noninvasive ventilation, and associated problems such as the use of sedating agents, airway management, and strategies for venous thromboembolic disorders are discussed. The 15 chapters are brief and well written with texture of type dividing major topics. Tables are frequently used and line drawings occasionally used. Chapters include a reference list of primary sources dating to within two years of publication. The table of contents provides chapter title and authorship while a subject index of approximately six pages provides adequate access to content.
Assessment: This book successfully separates management strategies in respiratory failure which are based on scientifically based trials from those driven by clinician bias. This is a worthy edition to the respiratory bookshelf.