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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is a multiauthored, comprehensive textbook of pediatric critical care.
Purpose: Provided is a background of physiology followed by clinical application in critical care management of the child.
Audience: Trainees and senior practitioners in pediatric critical care medicine will find this book useful. While many of the senior contributors are from Children's National Medical Center in Washington, DC, contributors represent major pediatric centers in North America and Europe.
Features: This attractive book is divided into two broad sections. The first section reviews pathophysiology beginning with cellular biology, immunology, and inflammation with applications in infectious disease, pediatric cardiology, and respiratory support. The final 400 pages comprise approximately 55 chapters organized by organ system. Equal weight is given to sections on cardiac, respiratory, endocrine, immunologic, neurologic, renal, and gastrointestinal disorders. Chapters are clearly written and tables and black-and-white line drawings reproduce with excellent quality. Reproduction of radiographs is less consistent and all photographs are black and white, which compromises the presentation of infectious syndromes. Each chapter contains a reference list with the majority of citations coming from primary work in the adult and pediatric literature. However, some chapters give great emphasis to textbooks and include few journal citations. The table of contents divides chapters by content type and provides authorship while the extensive subject index includes separate citations for figures. An appendix includes several pages of conversions, formulas for calculations, and tables of critical drug doses.
Assessment: This is a superb reference for the reader needing a review of basic pathophysiology and clinical applications in the management of the child in the ICU. A particular strength is the review of pathophysiology and general treatment principles in the early chapters. Coverage of injury in children, a significant healthcare concern, is inconsistent at best.