"The first edition of Wijdicks' The Comatose Patient brought the discussion of coma to the 21st Century, covering not only pathophysiology and diagnostics but also treatment. The 2nd edition of this comprehensive treatise employs a modern, highly effective format including 100 case descriptions on causes of coma, well organized tables and reformatted videos. There are updated and expanded sections on EEG monitoring, neurorehabilitation and functional MRI as well as new sections on the historical development of prognostication in coma and common problems evaluating coma in the emergency department. The 2nd edition of The Comatose Patient is another outstanding effort by this prolific world authority on coma and a must read for all neurointensivists." Michael N. Diringer, MD, Professor of Neurology, Neurosurgery & Anesthesiology
Chief, Neurocritical Care Section, Washington University School of Medicine
St. Louis, MO
"Wijdicks has taken his usual original approach to the difficult subject of coma. The book is a refreshing change from the codified and stodgy structure of most texts on a single subject. By giving a thorough introduction to the subject of coma that is peppered with his own experiences, and following this by brief vignette-like and highly focused chapters on coma in specific diseases, a new approach is opened up for clinical work. It is a pleasure to read a book that flows and is instructive but can also be used for a reference source in complicated clinical situations." Allan Ropper, MD, Brigham and Women's Hospital, Department of Neurology, Boston, MA
"These days, with infinite amounts of medical information at your fingertips on the internet, one might wonder why medical textbooks are necessary any more. The Comatose Patient, 2nd Edition, by master clinician-scholar Eelco Wijdicks, is the reason why. Authoritative and comprehensive, this gorgeous book covers possible every aspect of coma, including its history, pathophysiology, treatment, outcome, and impact on society at large. Coma is a direct consequence of our efforts to fight death. Nowhere else will you find this level of insight into a medical syndrome that has always fascinated and will increasingly challenge humanity." Stephan A. Mayer, MD, Professor of Neurology and Neurosurgery
Director, Institute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
"This is a defining work on coma. This edition has been extensively revised and expanded..." Doody's Health Sciences Book Review
"[I]f comatose patients are part of your clinical practice, this book is made for you. ... It is well referenced with the current medical literature and serves as a portal to more in-depth reading." JAMA Neurology
"This book is very relevant and timely in current practice. ... This book would make a terrific resource to care providers from a variety of disciplines. However, neurologists, neurosurgeons, and neurointensivists can principally benefit from this text." Critical Care Medicine
"This textbook will serve as an important reference for multiple medical specialists who care for comatose patients."- Anesthesia and Analgesia
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the second edition of a comprehensive, single-author book on the presentation, anatomy, and physiology of coma.
Purpose: It is intended as a comprehensive review of coma, a vital neurological sign.
Audience: Neurologists, neurosurgeons, and critical care personnel with a specific interest in neurological problems are an appropriate audience for this book, which is written by an internationally known neurointensivist from Mayo Clinic.
Features: The 11 chapters provide an overview of medical, legal, ethical and cultural aspects of coma, followed by 100 clinical vignettes. Initial chapters review classic studies describing the anatomy, physiology, and clinical manifestations of this state of impaired consciousness. After a discussion of recent advances in imaging and diagnostic tools, the book provides a summary of medical care including respiratory, cardiac, gastrointestinal, and infection management. Legal cases involving coma, such as the Karen Quinlan case and that of Terry Schiavo, are also presented. Finally, the varied presentation of coma in the media is briefly discussed. The 100 vignettes describing settings in which coma may present make up the largest portion of the book. Vignettes begin with a written description of the patient's condition followed by a discussion of pathophysiology, imaging, treatment plan, and prognosis. Chapters have extensive reference lists and each vignette includes its own reference list. References feature the primary literature and date to within one year of publication. Illustrations and radiographs are frequently used, but, unfortunately, they are of uneven quality. The table of contents lists chapter titles and subheadings and a detailed index includes separate citation for figures and tables.
Assessment: This is a defining work on coma. This edition has been extensively revised and expanded, adding 25 new case vignettes. All chapters have been updated as reflected by reference lists. It could be improved by greater attention to the reproduction quality of the figures.