Comprehensive Textbook of Perioperative Transesophageal Echocardiography.
Article Type: Book review
Subject: Books (Book reviews)
Author: Sidebotham, D.
Pub Date: 07/01/2011
Publication: Name: Anaesthesia and Intensive Care Publisher: Australian Society of Anaesthetists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 Australian Society of Anaesthetists ISSN: 0310-057X
Issue: Date: July, 2011 Source Volume: 39 Source Issue: 4
Topic: NamedWork: Comprehensive Textbook of Perioperative Transesophageal Echocardiography (Textbook)
Persons: Reviewee: Savage, R.M.; Aronson, S.; Shernan, S.K.
Accession Number: 264921649
Full Text: Comprehensive textbook of perioperative

transesophageal echocardiography. Second

edition. R. M. Savage, S. Aronson, S. K. Shernan.

Lippincott Williams and Wilkins, Suite 303, 55

Mountain Street, Braodway, NSW 2007; $251.90;

220 x 283 mm; pp. 770; ISBN 978-1-605-47246-1.

Comprehensive textbook of perioperative transesophageal echocardiography has undergone extensive restructuring for the second edition, greatly improving the book. The original eight sections have been rationalised to three (basic echocardiography, critical care echocardiography, and advanced applications), providing a simple and logical progression from the simple to the complex.

New chapters on ultrasound for vascular access, chest wall ultrasound, epicardial and epiaortic imaging, endovascular stent grafting and new imaging modalities are welcome additions. In particular, the increasingly important field of perioperative three-dimensional echocardiography is well covered.

Most chapters are extensively and beautifully illustrated. In particular, the schematics of the mitral valve in Chapter 30 are excellent. However, the use of low quality images and reproduced PowerPoint slides detracts from several chapters.

As with many multi-authored works, the book suffers from problems of repetition, inconsistency and variable coverage. For instance, assessment of haemodynamic instability is similarly covered in two chapters in the Critical Care section, neither very well. By contrast, in other chapters there is extensive discussion of material not directly related to echocardiography (e.g. the epidemiology of coronary artery disease in Chapter 27). There are several curious omissions. For instance, lung transplantation and extracorporeal membrane oxygenation are not addressed, while cardiac transplantation and ventricular assist devices are extensively covered. One important inconsistency is the width of the vena contracta that defines severe mitral regurgitation. A value of greater than 0.6 to 0.8 cm is used (correctly) in Chapter 30 while a value of greater than 0.5 cm is used in Chapter 13. A more meticulous approach to editing would solve these problems.

Despite these criticisms, this text provides an up-to-date and comprehensive review of perioperative echocardiography written by experts. The book would be a useful addition to any departmental library, and, while perhaps a little daunting, contains all the information required for those preparing for the PTEeXAM.

Declaration of Interest: Dr Sidebotham has recently contributed to a book on the same topic.


Auckland, New Zealand
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