- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This is one of a series of six volumes under the senior editorship of Dr. Richard Polin that address the major issues faced by clinicians practicing high level neonatology. This volume attempts to combine discussions of fetal and neonatal cardiovascular physiology with disease pathophysiology and relate these discussions to controversial subjects in neonatal care such as shock and target blood pressures for very low birth weight infants. The series is modeled after the Major Problems in Pediatrics series published by Saunders between 1964 and 1979.
Purpose: The intent is to present complete discussions of major controversial clinical issues by reviewing the basic physiology and pathophysiology as well as the available clinical evidence. While not trying to completely cover the field, the book emphasizes areas of controversy with fairly complete reviews. Although the organization is somewhat confusing, for the most part the book meets the goals.
Audience: Sophisticated practitioners in neonatology or pediatric cardiology are the intended audience. Most of the writing is too advanced for students, nurses, and even residents, although some chapters such as the one by Dr. Engles on the definition of normal blood pressure will have universal appeal to all levels of practitioners. While some of the chapters are quite clinical, others are very basic science and research based. The editors and contributors are well known authorities in the field.
Features: The book is divided into two parts and five sections. Part one reviews hemodynamic issue, concentrating primarily on neonatal shock. Part two reviews cardiologic issues such as obstetric management of fetuses with congenital heart disease, fetal interventions, and new diagnostic and interventional techniques. The discussions of neonatal shock are probably the most comprehensive anywhere in the literature. The chapter on functional echocardiography has clear and well annotated figures to illustrate the text and raises many issues of how neonatology will use this technique in daily clinical management in the next decade. However, the organization of the first section on hemodynamics is confusing and requires readers to go to many different chapters in different areas to get the full picture of the pathophysiology and treatment of neonatal shock.
Assessment: This is an excellent book written at a very sophisticated level for neonatologists and cardiologists. It addresses difficult and controversial topics with excellent reviews of the pathophysiology and treatment literature. While Polin et al.'s Fetal and Neonatal Physiology, 3rd edition (Elsevier, 2004), is comparable in the basic science, the combination of physiology and clinical treatment recommendations in this book has no rival at this time.