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Near Misses in Neuro-Anesthesia

Garfield B. Russell, Arthur J. Cronin, Stephen Longo, Terri W. Blackburn (Eds.). Butterworth-Heineman 2002, 194 pages. $34.99 US. ISBN 0-7506-7065-7

London, Ontario

It is unfortunate that the title of this book will likely narrow the potential readership as the majority of subject matter in fact has broad general applicability. After all, the differential diagnosis and management of high airway pressure, low saturation or arrhythmias are common to all branches of anesthetic practice.

This book is the third in the "Near Misses" series. The book is divided into four sections - Airway Events, Cardiac Events, Miscellaneous Perioperative Events and Neurophysiological Events. There are further divisions into categories such as Alterations in Airway Pressures, Awake Intubation, Alterations in Blood Pressure and Electrocardiogram, Changes in Somatosensory Evoked Potentials. There are total of 50 cases each divided into three segments - The Case Scenario, the Solution and the Discussion. The editors have attempted to maintain the relatively informal flavour of departmental morbidity and mortality rounds or a one on one discussion between consultant and trainee. This makes the book easy, interesting and at times entertaining reading but does also unfortunately allow for unevenness in the quality and quantity of information in the Discussion. The Discussion would have benefited from a greater use of tables or algorithms and the references, while appropriate, are almost all to other standard textbooks.

This book provides food for thought and makes learning easy. It was enjoyed, found informative and recommended by the sampling of colleagues, residents and OR nurses who looked at it with me.

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