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Reducing Mortality in the Perioperative Period, 2nd ed

Singh, Harjot FRCA; O’Leary, Ryan FRCA, FFICM, DipIMC

doi: 10.1213/ANE.0000000000002366
Books, Multimedia, and Meeting Reviews

Published ahead of print August 8, 2017.

Featherstone Department of Anaesthesia and Intensive Care Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom,

Published ahead of print August 8, 2017.

The result of web-based collaboration and a consensus conference involving 500 physicians across a broad range of medical specialties from 61 different countries, Reducing Mortality in the Perioperative Period (2nd ed) is a commendable effort by the editorial panel, collating the evidence regarding interventions seen to have an impact in reducing perioperative mortality, and presenting said evidence in a concise, well-referenced, and easy-to-read book.

This book details the process by which the relevant interventions were identified and researched in detail, followed by an in-depth look at the 13 treatment modalities in question. Each chapter is laid out in such a way that the reader is able to identify the key learning points associated with each intervention, with the evidence both for and against the use of said strategy in different clinical contexts presented clearly. Sources are readily identifiable to allow further reading about each subject; this will be particularly useful for those readers who wish to dive further into the evidence base available as due to the inevitable constraints associated with summarizing such a large pool of information, some of the analyses and papers covered are presented rather concisely. The conclusions drawn at the end of each chapter serve as a useful aide-mémoire and quick reference guide to review the salient points covered; this is further reinforced by the addition of summary tables.

Although generally well presented and referenced, there are some errors within the editorial process itself. Incorrect referencing to figures and tables within the text such as that seen in Chapter 6, for example, necessitates that the reader exercise heightened vigilance when reading this book for the first time. While a minor annoyance, however, this does little to detract from the educational value of the title itself.

The editors should also be applauded for their attention to ensuring the book remained as up to date and relevant as possible. Perioperative mortality is a subject of particular interest within the research community for obvious reasons, with a rapid turnover of new clinical information. While the book itself deals with interventions highlighted as a result of an international consensus conference undertaken in 2015, a number of papers have been published since the completion of this conference, and those felt worthy of inclusion and mention have been neatly summarized in a separate chapter at the end of the book. Where applicable, these have been separated into studies enhancing information already referenced, and those that are being mentioned within the text of this work for the first time. This serves to further enhance its worth as a reference material for those interested in reducing perioperative mortality.

This title is largely based around the analysis and consideration of academic papers published elsewhere, including meta-analysis from groups both directly connected with the editorial board of the book and those from elsewhere. However, there is no other readily available work that presents, passes commentary on, evaluates, and draws conclusions from such a wide pool within the field of perioperative mortality. In addition, the book serves as a notable expansion on the 2 papers previously published by the group,1,2 with the obvious benefits of having a larger volume in which to disseminate information effectively.

There is good clinical distinction made throughout the text between the effects of interventions on the cardiac surgical population and the noncardiac surgical population. Each intervention is considered as it applies to cardiac surgery, followed by its application to noncardiac surgery. Where good quality evidence exists in a particular surgical population, it is presented well and without bias.

This book is a thoroughly useful reference guide for those working within the field of perioperative medicine, bringing together a wealth of useful clinical information into a handy compendium.

Harjot Singh, FRCARyan O’Leary, FRCA, FFICM, DipIMCFeatherstone Department of Anaesthesia and IntensiveCare MedicineQueen Elizabeth HospitalBirmingham, United

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1. Landoni G, Rodseth RN, Santini F, et al. Randomized evidence for reduction of perioperative mortality. J Cardiothorac Vasc Anesth. 2012;26:764–772.
2. Landoni G, Pisano A, Lomivorotov V, et al. Randomized evidence for reduction of perioperative mortality: an updated consensus process. J Cardiothorac Vasc Anesth. 2017;31:719–730.
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