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Doody's Review ServiceReviewer: Thomas W. Cutter, MD, MAEd (University of Chicago Pritzker School of Medicine)
Description: This is an attempt at a how-to manual for a topic that is not easy to learn except at the bedside. As such, it should be considered as a supplement to hands-on experience. The book is divided into three parts: presedation patient care issues, sedation patient care issues, and postsedation patient care and monitoring issues. Taken together, these three areas have obviously filled many prior books and this version should be taken as an overview rather than a definitive treatise. It can serve to provide continuing education credit. The first edition was published in 1998.
Purpose: The author hopes to enrich the learner's fundamental knowledge of sedation patient care. The book can be regarded as an additional resource for those not formally trained in anesthesia.
Audience: It is appropriately aimed at the nonanesthesia healthcare provider, which includes physicians, students, and nurses. Although the author includes administrators as an audience, their lack of medical or nursing knowledge makes this book less useful to them. The author's credentials lend credibility to his authority, although his placing benzodiazepines outside the category of sedative-hypnotics gives me pause.
Features: The book provides a comprehensive overview of the issues surrounding the safe provision of patient sedation by nonanesthesia healthcare providers, including patient and procedure selection, patient preparation, monitoring, and recovery, medication administration, and the management of untoward events. It provides many useful tables and lists that can act as unified references. The self assessments at chapter's end aid in reassuring the learner that the important material has been absorbed. The post-tests also provide for this and can be used for continuing education credits granted by the author's company, Specialty Health Education, Inc.
Assessment: This book can serve as a reference for a course in sedation and analgesia for the nonanesthesia healthcare provider. It should not be considered as a standalone resource and should be supplemented by instruction and supervision by those with expertise in the field. The new edition is valuable because it provides updates on medications and also on revised standards imposed by various sanctioning organizations (e.g., Joint Commission on Accreditation of Healthcare Organizations).