Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the sixth edition of one of the standard pharmacy references for anesthesiology and critical care.
Purpose: An immediate summary is provided for medications available to the operating room and intensive care unit patient.
Audience: Pharmacists, nurses, and practitioners in the intensive care unit at all levels are an appropriate audience for this work. The authors and editorial advisory panel represent leaders in clinical pharmacy. Data is gathered from leading American centers to compile utilization recommendations.
Features: An alphabetical listing of medications along with an appendix of over 400 pages is included in a softbound pocket work of over 1,700 pages. The majority of the book is devoted to an alphabetical presentation of drugs using both trade and generic nomenclature. Cross-referencing is provided to identify other drugs of a particular class or by mechanism of action. Individual drugs are described by names, utilization, mechanism of action, pharmacokinetics, dosing, pregnancy risk, and adverse reactions. Where appropriate, specific references describing medication use are provided. Following the listing of individual drugs, a number of special topics are presented including pharmacologic management of organ failure, conscious sedation, the cardiac patient requiring noncardiac surgery, and stress replacement of corticosteroids. The appendix includes standard measurement tables, comparison of drugs in various classes, laboratory values, and recommendations for common problems including hypertension, heart failure and epilepsy. An international brand name index allows cross-referencing between English and international terms for common drugs.
Assessment: This is a leading tool of bedside pharmacy support in our intensive care units. Extensive indexing allows a variety of means to use the information and compare various drugs. PDA databases are also available for Palm and Windows powered devices.
3 Stars from Doody
This third edition, softbound monograph is designed for the practitioner's pocket. In it critical care and anesthesiology drugs and their common usage are described, and other clinical data are provided to facilitate drug use. This is a review of basic concepts with descriptions of medications used in the critical care population and in the operating room. The student, postgraduate trainee, or senior practitioner may benefit from this work. The editors are senior pharmacists with roots in the Chicago area. A broad group of editorial consultants, based in North America, support the editorial group. Approximately 1400 pages are divided into several parts in this pocket handbook. Seventy percent of the work is a description of individual agents organized in alphabetical order. For each drug brand name, mechanism of action, dosing, pharmacokinetics, pregnancy information, precautions, and adverse interactions are reported. In many cases, a reference list is provided with each drug. References date to the mid 1990's and represent original work or important reviews of pharmacology. Concluding sections include overviews of pharmacologic management of perioperative topics including the patient with liver or renal disease, pain management, hypertension, allergic reactions, obstetric and geriatric patients, and substance abuse. Concluding sections include a large number of comparative drug action charts and drug listings by therapeutic category and international brand name. The material in this work is broken down by content type in the table of contents. This is a worthy companion to the busy practitioner. The comparative tables and extensive indexing facilitate the location of variousagents. The inclusion of review topics on common perioperative and ICU problems allows for appropriate assessment of combinations of agents. References as provided allow access to original work supporting conclusions drawn.