June 1968

Care of the Critically III.

Author Affiliations

New York


By Stephen M. Ayres, MD, and Stanley Gianelli, Jr., MD. Price, $8.50. Pp 256, with illustrations. Appleton-Century-Crofts, 440 Park Ave S, New York 10016, 1967.

Arch Intern Med. 1968;121(6):577-578. doi:10.1001/archinte.1968.03640060091028

This thoroughly useful little book belongs in the library of every internist, house officer, and medical student. The authors have provided a signal service by grounding the clinical discussion firmly on a lucid foundation of physiological and biochemical principles. Thus, the first 85 pages of the book are devoted to normal physiology. This includes respiration, heart, peripheral circulation, electrolytes, and body water as well as the physiology and pharmacology of the sympathetic nervous system. This material is presented in a clear, succinct, and eminently useful way. It leads readily into the second part of the book, which deals with management of the critically ill patient. The basic principles delineated early in the book are reviewed, and their clinical applications are pointed out.

Specific clinical topics include pulmonary insufficiency, shock, and cardiac arrhythmias. Signs and symptoms in the critically ill are reviewed briefly. Techniques for making specific measurements of intravascular pressures,

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