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Doody's Review ServiceReviewer: David B. Glick, MD, MBA (University of Chicago Pritzker School of Medicine)
Description: Like its previous editions (most recent in 2008), this book describes many of the medical conditions that can affect the perioperative management of surgical patients, summarizes standard therapy for surgical comorbidities, and details the implications for anesthetic care.
Purpose: The authors' stated purpose is to give "a concise description of the pathophysiology of disease states and their medical management that is relevant to the care of the patient in the perioperative period." This important objective is met by the contributors, drawn mostly from the department of anesthesia at the Yale University School of Medicine.
Audience: Read cover-to-cover, this book would be an excellent resource for trainees for boards review. It also would be a useful reference for anesthesia practitioners preparing to take care of a patient with a medical disease that they do not encounter regularly.
Features: The book covers medical comorbidities in a system-based fashion, with each chapter devoted to a separate bodily system (e.g., vascular disease, spinal cord disorders, and diseases related to immune system dysfunction). While all the chapters are well written, the chapters on the less common problems (e.g., diseases of the autonomic and peripheral nervous systems, and skin and musculoskeletal diseases) are particularly useful as they tackle topics that are generally less well covered in standard introductory textbooks.
Assessment: This remains a readable and informative book that will be useful to trainees and experienced clinicians alike. This edition has a few new authors and provides updated treatment algorithms and recommendations for care.