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Canadian Journal of Anesthesia 48:1050 (2001)
© Canadian Anesthesiologists' Society, 2001


Book Review

Day Care Anesthesia

I. Smith (Ed.). BMJ Publishing Group, BMJ Books 2000. 251 pages. ISNB 0-7279-1422-7

Frances Chung, MD

Toronto, Ontario

There has been rapid expansion in day care surgery in the United States, Canada, Europe and Australia. Other countries are also expanding their day care surgery programs. Thus, there is a need for an up-to-date and authoritative review of the principal clinical topics in day care anesthesia. The 251 page book covers the fundamentals of day care anesthesia but also emphasizes recent development of controversial issues.

This book on day care anesthesia is intended as a convenient and practical guide for anesthesiologists starting out in day surgery or trying to set up a day surgery unit. It is also beneficial to anesthesiologists who may want to modify, update or improve their techniques in day care surgery. The book is intended to be practical with tips in favourite anesthesia techniques by international experts on day care anesthesia.

The book is organized into ten chapters and covers the most common topics in day care anesthesia. The topics are: patient selection, assessment and preparation, principles of general anesthesia; inhalational anesthesia, iv anesthesia, regional anesthesia, sedation, postoperative pain and emesis, a systemic approach, assessment of recovery, discharge, and late follow-up; the pediatric day case in the future of day surgery.

The chapter by Dr. Jean Millar on patient selection, assessment and preparation gave the medical criteria, surgical criteria, and social factor in patient selection. It also gave a review on patient preoperative assessment.

The chapter on inhalation anesthesia by Drs Angela Freschini and Ian Smith gave an overview on inhalational anesthesia. The volatile induction and maintenance (VIMA) technique using a tidal breathing induction method and vital capacity inhaled induction techniques were described in detail.

The chapter on postoperative pain and emesis: a systemic approach by Dr. Jan Jakobsson is very useful as it provided a rational approach to postoperative pain care and emesis by strict structured guidelines and protocols.

The chapter on assessment of recovery, discharge and late follow-up by Dr. Ian Jackson is very well written. It provided information on discharge scoring system and postdischarge follow-up. Both are important components to success in day care surgery.

Overall, this is a comprehensive and practical book which will be very useful for both established anesthesiologists and residents.





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