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Doody's Review ServiceReviewer: Joel C Seidman, MD (William Beaumont Hospitals)
Description: This book broadly addresses the current state of the art of the performance and interpretation of pulmonary function tests. While numerous other books have covered the same territory over the years, are comprehensive, and (some) have been updated with multiple revised editions, their similarities include a primary focus on the hardware and methodology (technician-patient interaction) used for performing ventilatory mechanics, followed by discussions of interpretation of the output. Since the methodology has become well known, the hardware highly integrated and self-contained, and interpretation to a great extent automated by software technology, the author of this book concentrates more on the physiological basis for outcomes, incorporating outstanding graphics (probably among the best in any such publication), correlating the outputs with brief case studies or short quizzes, and providing extensive reference equations. The book also addresses arterial blood gas analysis and exercise physiology testing. Finally, it describes some of the nuances not covered extensively in earlier books, such as the impact of patient temperature upon arterial blood gas parameters and the influence of racial origin upon reference values for ventilatory mechanics. A pervasive issue in similar books, addressed in this book as well, however, is an ongoing debate about how to grade the severity of obstructive, restrictive, or combined ventilatory impairments. The author here acknowledges that his own recommendations, while sensible, are arbitrary and not necessarily concordant with other published guidelines.
Purpose: The book is intended to adopt the observations to provide a comprehensive review of the current state of the art in pulmonary function testing.
Audience: The audience is predominantly pulmonologists in training and beyond, respiratory therapists, and pulmonary physiology laboratory technicians.
Features: The book focuses upon the broad categories in pulmonology function testing and augments selectively the presentation of other such writings. Illustrations and graphics are exemplary. The bibliographies at each chapter end are sufficient, relevant, and timely.
Assessment: For pulmonologists, the book achieves its likely intended goals well. I would consider it an essential resource and would add it to my personal library.