- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This is an update of a compendium of expert recommendations and guidelines on a host of clinical issues that confront anesthesiologists on a daily basis. It is an attempt to provide clear guidelines when conflicting evidence clouds the picture. The previous edition was published in 2009.
Purpose: The purpose is to help guide anesthesiologists in making evidence-based clinical decisions. It also discusses instances where the evidence is not so clear-cut, helping physicians make informed decisions.
Audience: The book is meant for anyone who practices anesthesia, regardless of background. General anesthesiologists will find it much more helpful than specialty anesthesiologists.
Features: The first section explains the process the American Society of Anesthesiologists (ASA) uses to formulate guidelines and recommendations. The section on preoperative issues evaluates 13 different topics from the simple and frustrating, such as routine pregnancy testing, to the technical, such as pacemaker/defibrillator testing. The intraoperative care section tries to answer all sorts of questions anesthesiologists confront daily, from airway issues, fluid management, and different anesthetic techniques to strategies to minimize blood loss, postoperative nausea and vomiting, and major perioperative complications. Another section addresses controversies in regional anesthesia, such as its role in the ambulatory setting, anticoagulation vs. regional anesthesia, and the role of ultrasound. In the last few sections, the focus turns to specialty anesthesia and discussion of different intellectually controversial topics, like the role of thoracic epidural in cardiac bypass surgery, general vs. regional anesthesia for cesarean section, and the value of preemptive analgesia. All the topics the book covers are relevant and practical, and they have no black-and-white answers based on current knowledge. In that sense, the book goes one step further than any other book. By presenting data, the book exposes the limitations of our current understanding and lays the foundation for future studies. Chapter titles pose questions, and the chapters are concise, systematically discussing epidemiology and different options, providing evidence for each one and shedding light on areas of uncertainty. Towards the end, the book tabulates available guidelines by relevant societies. The best part is the author's perspective on how to address the controversial issue. I am not sure I would fully follow the steps these authors propose, but I would certainly ponder them should the situation arise. Every chapter is well referenced, with ready access to the reference online when using the online version of the book.
Assessment: This is an extremely useful book to have on hand to consult on a daily basis. Its recommendations are concise and practical. After reading it, you will feel quite updated on the current thinking in anesthesiology.