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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: Pulmonary issues including mechanical ventilation and pediatric respiratory disease are the focus of this softcover book, a component of an earlier comprehensive work, Pediatric Critical Care Medicine: Basic Science and Clinical Evidence, by the same authors (Springer, 2007).
Purpose: An overview of pulmonary dysfunction and support in the critical care unit is provided.
Audience: Senior trainees and practitioners managing critical ill children are an appropriate audience for this work, which has editorial leadership from pediatric critical care programs at the University of Cincinnati and the University of Michigan.
Features: Pertinent physiology for intensivists is reviewed, followed by procedures and therapies including conventional and high frequency mechanical ventilation. Other therapies with specific applications to pediatrics, such as surfactant, nitric oxide, and extracorporeal life support are also discussed. The final chapters focus on congenital abnormalities, asthma, bronchiolitis, pneumonia, and neuromuscular disorders. A brief chapter updates readers on pediatric lung transplantation. Chapters are clearly written and line drawings and tables reproduce well, although black-and-white photographs are less clear. A small number of bronchoscopic images are in color. Most, but not all, chapters are referenced with citations featuring original work dating back to three to four years prior to the date of publication. The table of contents lists chapters and acknowledges authorship while the brief subject index provides adequate access to content.
Assessment: This book provides an excellent review of critical care physiology in a discussion of mechanical ventilation and other therapies. The authors effectively blend adult and pediatric data. Acute respiratory failure accounts for half of all admissions to pediatric critical care units. Thus, the importance of this work.