The Washington Manual of Critical Care by Marin H. Kollef, Timothy J. Bedient, Warren Isakow

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Synopsis

Prepared by residents and faculty at the Washington University School of Medicine, this pocket manual contains easy-to-read algorithms for the management of more than 80 medical and surgical problems arising in the intensive care unit. Chapters focus on specific problems and the algorithms provide straightforward approaches to the management of these issues. Coverage includes a section on procedures commonly performed in the intensive care unit. Appendices include common equations in the ICU, drug-drug interactions, and common drug dosages and side effects.

Doody Review Services

Reviewer:David J. Dries, MD(University of Minnesota Medical School)
Description:This is the latest edition of a softbound pocket-sized manual of critical care last released in 2001.
Purpose:A set of concise treatment algorithms for use at the bedside is provided.
Audience:Trainees or teachers needing an introductory tool are an appropriate audience for this work, which originates from a mixture of house officers and teaching faculty at Washington University School of Medicine in St. Louis.
Features:The book begins with cardiopulmonary collapse, an overview of mechanical ventilatory support and strategies for shock. Subsequent chapters are organized by organ system. After three brief chapters devoted to surgical problems, the final group of 10 chapters describes common procedures, including arterial and venous catheterization, intubation, chest tube placement, and pulmonary artery catheter insertion. Concluding appendixes review drug interactions and dosages and summarize common equations. Chapters are succinct and make impressive use of tables and treatment diagrams. Occasional black-and-white line drawings are included, that like the treatment algorithms and tables, reproduce well and are effective communication aids. Detailed discussion of pathophysiology is not emphasized. Chapters conclude with a small number of references, frequently in an annotated bibliography. References typically reflect primary literature, but reviews rather than the most current papers are presented. The table of contents lists chapters and authorship. The concluding subject index of nearly 30 pages includes separate citations fortables. It truly is small enough to fit in a lab coat pocket.
Assessment:This is an excellent pocket manual for medical students or postgraduate trainees facing that ICU rotation. Surgical topics receive limited emphasis but appendixes provide excellent summary information. Although there are some editorial inconsistencies, they are relatively minor and don't detract from the strong commitment to efficient visual organization of information. The manual may be compared to the Critical Care Handbook of the Massachusetts General Hospital, 4th edition, edited by Bigatello, et al. (Lippincott Williams & Wilkins, 2006).

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