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Anesthesia and Co-Existing Disease, 4th Edition

Robert K. Stoelting, Stephen F. Dierdorf (Eds). Churchill Livingstone, New York, 2002. 798 pages. $115 USD. ISBN 0-443-06604-3

Cleveland, Ohio

This is the fourth edition of the classic work by Stoelting and Dierdorf. The current edition, published a decade after the third edition in 1993, retains the same succinct style as previously, emphasizing the pathophysiological basis of diseases, and their anesthetic implications. The book has been carefully updated, with new information on heart disease, asthma, immune system disorders, diabetes, obesity, and much more. I found the book to be a well-written, well-illustrated work with numerous illustrations, tables, and figures to assist in learning. Discussions on the anesthetic management of many syndromes are supported by case reports that make the material more interesting and easy to apply. In many respects this textbook serves as a bridge between medicine and anesthesiology that enables the anesthesiologist to be a true perioperative physician. It is the best source I have ever read to summarize the anesthestic management of pediatric, geriatric and obstetric patients in an easy yet comprehensive manner.

Of course, like any text, there are flaws. New recommendations by the American College of Cardiology - American Heart Association concerning the preoperative management of cardiac patients for non-cardiac surgery are missing. Information on the anesthetic implications of managing subarchnoid hemorrhage by endovascular coiling are absent. Also in the same chapter there is no mention of the mechanisms for developing vasospam after subarchnoid hemorrhage and the new modalities for its treatment. Similarly, in the chapter discussing aortic aneurysm management, there was no mention about the anesthetic management of endovascular treatment of aortic aneurysm.

All in all, this book is a very good source for the anesthetic management of most medical syndromes. I would recommend this book for preparing for the anesthesia fellowship (board) examination.

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