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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This manual describes the reading of radiographic studies in the critical care setting. A case-based format is used with control images. The material is organized to prepare the reader for the radiologic component of examination for designation as fellow of the Royal College of Anaesthetists (FRCA).
Purpose: Common pathology encountered in hospital anesthetic and critical care practice is described including core radiological requirements for the FRCA examination.
Audience: Senior trainees, teachers, and practitioners may benefit from this work. Editors and authors come from programs in the U.K. and Canada.
Features: Seven chapters and an index are included in approximately 300 pages of this softbound work. After a description of the FRCA examination, the reader is given an overview on reading plain radiographs including the chest and abdomen, along with other evaluations including CT scans of the torso and head. Separate chapters are used to describe MRI technique and ultrasonography. Content is organized around a presentation of common findings and utilization of each study. Each chapter then presents cases discussing not only radiologic findings but also related aspects of clinical management. An abundance of radiographic reproductions are used. For the most part, these are of excellent quality. Surprisingly, detail in some of the plain radiographs is not as good as CT scans and MRI. Only a limited reference list is provided at the beginning of the book. A table of contents describes chapters, subheadings and authorship while a detailed index of approximately 10 pages concludes.
Assessment: This is an excellent introduction to common imaging modalities used in the management of seriously ill patients. Obviously, not all problems are discussed, but trauma and principles surrounding the utilization of each technique are nicely summarized and a case-based presentation format enhances recollection of material. Additional references would be beneficial.