March 1992

Intensive Care Medicine

Author Affiliations

Dallas, Tex


2nd ed, edited by James M. Rippe, Richard S. Irwin, Joseph S. Alpert, and Mitchell P. Fink, 2071 pp, with illus, $155, Boston, Mass, Little Brown & Co Inc, 1991.

Arch Surg. 1992;127(3):362. doi:10.1001/archsurg.1992.01420030140031

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The size of this one-volume text makes it cumbersome and certainly excludes its use as a handy reference in a patient care setting. It is best described as a major reference on critical care issues. The foreword indicates that intensive care is multidisciplinary, and this text should provide a working knowledge of intensive care for all physicians who care for critically ill patients. It adds that this text should be valuable in helping candidates prepare for certification as specialists in critical care.

This book is certainly comprehensive, although its breadth compromises the depth with which each topic is covered. Its organization is similar to that of many large medical texts and deals with specific disease entities. Some of the topics deal specifically with intensive care issues, while others deal with the disease process in general terms. A physiologic approach to critically ill patients is not evident in most of the

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