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Tobin, Martin J. MD

doi: 10.1097/01.shk.0000245023.16612.dd
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Bibliographic Data: McGraw-Hill Companies, 2006, ISBN: 0-07-144767-9, 1442 pages, hard cover, $189.95.

Reviewer's Expert Opinion:

Description: This is the second edition of the leading textbook on mechanical ventilation. The first edition was published in 1994 by the same editor. Purpose: A comprehensive and contemporary discussion of mechanical ventilation with recent research is provided. Audience: Fellows and practitioners in multidisciplinary critical care are an appropriate audience for this work. The editor and authors represent a group of international experts in various aspects of mechanical ventilation. Features: After a brief history of mechanical ventilation, modes of ventilation are discussed followed by "unconventional methods" of ventilator support. A series of 10 chapters then reviews specific applications of mechanical ventilation, including needs of the pediatric patient, mechanical ventilation during resuscitation, ventilation of acute respiratory distress syndrome, and the management of ventilatory support in chronic care facilities. The remainder of the 70 chapters covers airway management, complications of mechanical ventilation, adjunctive medical therapies, and problems common to the management of any ventilated patient with particular emphasis on patient-ventilator dyssynchrony. Presentations include significant detail, and each chapter contains an exhaustive reference list with an emphasis on original work dating to 2 years before publication. Black-and-white photographs and line drawings are reproduced with acceptable but not outstanding quality. The table of contents groups chapters by type of content and lists authorship, whereas an extensive subject index of approximately 70 pages includes separate citations for figures and tables. Assessment: This second edition continues the role established by its predecessor as the leading work in the field. Mechanical ventilation, as a defining event of critical care, has seen an explosion of physiologic and outcomes research in the past decade. Our thinking about management of acute respiratory distress syndrome, ventilator-induced lung injury, patient-ventilator interaction, and infectious complications has changed dramatically. All of this recent work is summarized here.


David J. Dries, MD

(University of Minnesota Medical School)

©2006The Shock Society