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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is a major textbook describing the biology of mechanical ventilation.
Purpose: Provided is a review of applied cardiopulmonary physiology intended to permit skillful application of mechanical ventilation at the bedside.
Audience: The practitioner or senior trainee in an academic institution is the appropriate audience for this work. The editors and contributors represent a veritable "who's who" among contemporary researchers in the practice of mechanical ventilation.
Features: The essential components of breathing begin this text: respiratory muscle function, mechanics of breathing, and gas exchange. A second group of chapters describes general consequences of mechanical ventilation including recent data on ventilator-induced lung injury, dynamic hyperinflation, heart-lung interaction, and patient ventilator dysynchrony. Subsequent chapters describe a physiologic approach to initiation of mechanical ventilation, support of pulmonary function in acute respiratory failure, and various forms of airway disease. It is written by world-wide leaders working in the area of mechanical ventilation and its application. Work of these investigators is described up to two years prior to publication. Chapters are well-written and reference lists exhaustive.
Assessment: Mechanical ventilation is frequently the defining event of patient stay in the critical care unit. This book is the most significant contribution to this area since Principles and Practice of Mechanical Ventilation, edited by Tobin (McGraw-Hill 1994). Chapters are well written and complete. Minor distractions include typographical errors, particularly in the reference lists, and figures that are difficult to read. Nonetheless, as a companion to a clinical text of mechanical ventilation, it can be highly recommended.