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Doody's Review ServiceReviewer: Muoi A. Trinh, M.D.(University of Chicago Pritzker School of Medicine)
Description: As the title suggests, this update of the definitive textbook in cardiac anesthesiology prominently features the role of transesophageal echocardiography as a monitoring and diagnostic tool in the perioperative period. The previous edition was published in 2006.
Purpose: The purpose is to assist readers in understanding and managing anesthetics in patients with cardiac pathology for both cardiac and noncardiac surgical procedures.
Audience: The authors and editors are the experts in the field and they intend the book not only for cardiac anesthesiologists, but also for trainees, including residents and fellows, as well as general practitioners.
Features: The book covers basic cardiac physiology, pathophysiology, monitoring, perioperative management, and postoperative care of cardiac patients. It highlights the use of transesophageal echocardiography in the perioperative period not only through discussion, but also with corresponding, high quality images and diagrams as well as relevant clinical case discussions at the end of some chapters. Additionally, the entire text, corresponding images, and echo clips are available at a companion website, which is beneficial for those who do not want to carry seven pounds of book around or prefer a multimedia experience.
Assessment: This comprehensive textbook of cardiac anesthesiology integrates basic science with clinically relevant studies to provide an evidence-based approach to the clinical care of cardiac patients. It serves as the authoritative reference for the field and, as such, provides a thorough, referenced, evidence-based treatment of the subject. This edition is a worthy successor to the fifth edition in many respects. First, the advances in the role of transesophageal echocardiography in the perioperative management of cardiac surgery patients almost require enhanced discussion in a new edition. For the most part, the authors have met this challenge. The chapter on intraoperative echocardiography offers new sections on 3-D imaging, functional indices, and speckle imaging, for instance. This integration, however, does not carry over to all sections of the book - a more integrated approach to imaging in valvular heart diseases, for example, would have been a tremendous addition, but perhaps such information is better covered in a dedicated echocardiography book. Second, the authors cover many new advances in cardiac surgery and anesthesia with enhanced discussion of anesthesia for robotic valvular surgery and hybrid procedures. These sections are timely additions that detail the very cutting edge of the field. Third, many sections appear to be noticeably improved in this edition. One example is the chapter on cardiopulmonary bypass management, which has undergone a dramatic reorganization, making it much more practical and readable. Overall, this is a worthy update of a fine textbook that will be valuable to practitioners and trainees in cardiac anesthesia, while serving as a reference for anesthesiologists who care for patients with significant cardiac disease. Of note, the significant revisions in this edition make acquiring it a consideration for owners of previous editions.