Zakariya Al-Salam
4th February 2010, 17:09
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Hi all,
It gives me a great pleasure to review the book entitled "Hemodynamics and Cardiology: Neonatology Questions and Controversies" published by Sauders in June 2008.
It is a relatively reasonable sized-book (432 pages) with hardcover and good quality figures and printing. The two editors (Charles Kleinman and Istvan Seri) are well-known in the field of neonatology and more specifically neonatal cardiology and hemodynamics. Richard Polin was the consulting editor.
I believe this book is published in response to the major controversies related to the management of PDA, hypotension/blood flow and impact of major neonatal outcomes. Of course, finding the best management to neonatal hemodynamic disturbances would need understanding of evidence related to diagnosis, treatment and outcomes. These aspects were covered very efficiently in a very unbiased format.
The book was divided into two parts; hemodynamics and what I call "classical" cardiology. In order to understand clearly issues related to diagnosis and therapy, authors explained in detail the pathophysiology of shock in neonates, consequences and compensatory mechanisms based on the available literature. The area of controversies and lack of evidence were emphasized.
Major part of the book was devoted for advances in the diagnosis which is probably the most important step in management of neonatal hemodynamic disturbances. New modalities such as functional echo, NIRS and even MRI were discussed in fairly to meet the purpose of this book.
There was extensive review of available evidence to guide therapy. However, due to lack of evidence, there are no clear graded recommendations about best therapy to any specific condition Therefore; the main aim of this book is to highlight available, controversial and even lack of evidence which may guide you indirectly to predict the best intervention for your patients.
The following conditions and interventions were covered in details:
• Systemic and organ blood flow mainly cerebral blood flow
• Hypotension, shock
• PDA: association, diagnosis and management and outcomes
• Intoropes
• Adrenal insufficiency
• Surgical patients with shock and SIRS
This book was complemented by "classical cardiology". This is a very important to staff dealing with neonates. Nowadays, cardiac patients are kept in NICU not only preoperatively but also post-operatively. Good knowledge about presentation and management of major and life threatening cardiac malformation is essential for peri-operative stabilization. This section is relatively concise and supplemented by very nice figures to make understanding easier.
Finally, I highly recommend this book. You can read any chapter in any sequence you want. It is a very nice reference for understanding the neonatal hemodynamics and cardiology but it is not a book about clinical practice guidelines.
Regards,
Zakariya
Hi all,
It gives me a great pleasure to review the book entitled "Hemodynamics and Cardiology: Neonatology Questions and Controversies" published by Sauders in June 2008.
It is a relatively reasonable sized-book (432 pages) with hardcover and good quality figures and printing. The two editors (Charles Kleinman and Istvan Seri) are well-known in the field of neonatology and more specifically neonatal cardiology and hemodynamics. Richard Polin was the consulting editor.
I believe this book is published in response to the major controversies related to the management of PDA, hypotension/blood flow and impact of major neonatal outcomes. Of course, finding the best management to neonatal hemodynamic disturbances would need understanding of evidence related to diagnosis, treatment and outcomes. These aspects were covered very efficiently in a very unbiased format.
The book was divided into two parts; hemodynamics and what I call "classical" cardiology. In order to understand clearly issues related to diagnosis and therapy, authors explained in detail the pathophysiology of shock in neonates, consequences and compensatory mechanisms based on the available literature. The area of controversies and lack of evidence were emphasized.
Major part of the book was devoted for advances in the diagnosis which is probably the most important step in management of neonatal hemodynamic disturbances. New modalities such as functional echo, NIRS and even MRI were discussed in fairly to meet the purpose of this book.
There was extensive review of available evidence to guide therapy. However, due to lack of evidence, there are no clear graded recommendations about best therapy to any specific condition Therefore; the main aim of this book is to highlight available, controversial and even lack of evidence which may guide you indirectly to predict the best intervention for your patients.
The following conditions and interventions were covered in details:
• Systemic and organ blood flow mainly cerebral blood flow
• Hypotension, shock
• PDA: association, diagnosis and management and outcomes
• Intoropes
• Adrenal insufficiency
• Surgical patients with shock and SIRS
This book was complemented by "classical cardiology". This is a very important to staff dealing with neonates. Nowadays, cardiac patients are kept in NICU not only preoperatively but also post-operatively. Good knowledge about presentation and management of major and life threatening cardiac malformation is essential for peri-operative stabilization. This section is relatively concise and supplemented by very nice figures to make understanding easier.
Finally, I highly recommend this book. You can read any chapter in any sequence you want. It is a very nice reference for understanding the neonatal hemodynamics and cardiology but it is not a book about clinical practice guidelines.
Regards,
Zakariya