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Eur J Anaesthesiol 2018; 35:240–241

BOOK REVIEW

Ultrasound in Anesthesia, Critical Care, and


Pain Management

Published online 22 December 2017


however, well written and supplement the knowledge
obtained through focused echocardiography courses.
G Arthurs & B Nicholls The eight case summaries provided are of relevance
Cambridge University Press: Cambridge, UK; 2016 to the pre-operative recognition and assessment of
360 pages patients with potential cardiac co-morbidities. Both
ISBN 978-1-107-61832-9 transthoracic (TTE) and transoesphageal (TOE) echo-
cardiography are included interchangeably which could
Ultrasound in Anesthesia, Critical Care and Pain Management
provide some confusion to the novice sonographer. A
is the second edition of the textbook originally published
separate chapter covering TOE would be justified in
under the title Ultrasound in Anesthetic Practice in 2009.
view of its increasing perioperative and critical care
This revised edition by Drs Arthurs and Nicholls has
usage.
been expanded and updated to include the use of ultra-
sound within pain and airway management, including The chapters that follow include the use of ultrasound
contributions from 26 authors with varying clinical back- in critical care, trauma and airway assessment. The
grounds. airway assessment chapter is particularly interesting,
discussing the potential benefits of ultrasound for intu-
The original title was published during a time when the
bation, emergency front of neck access and tracheos-
interest in ultrasound amongst anaesthetists was under-
tomy. The chapters on regional anaesthesia are
going a rapid increase, particularly with the potential
subdivided into adult and paediatric sections. The
advantages for regional anaesthesia and vascular access.
anatomy is first summarized, followed by procedural
Although initial uptake may have been slow, critical care
descriptions. These chapters need to be read in com-
use of both ultrasound and echocardiography is expand-
bination with the on-line material, which provide larger
ing quickly in part due to the development of focused
illustrations than the textbook.
accreditations such as Focused Intensive Care Echocar-
diography (FICE) and Core Ultrasound in Critical Care Apart from the concluding chapter on pain management,
(CUSIC). Ultrasound is certainly becoming embedded as the remaining chapters including cranial ultrasound in
a core competency amongst anaesthetists, critical care the newborn, acute gynaecology and pregnancy, ocular
and pain physicians. ultrasonography and assessment of soft tissue injuries are
The editors have remained faithful to their original interesting but likely to be beyond the practicing scope of
layout, covering all potential applications of ultrasound most anaesthetists.
to the practice of anaesthesia with the addition of two The use of ultrasound has certainly progressed since
new chapters. Rather than a DVD, access to an on-line the first edition of this textbook. Although providing
version of the textbook is available providing colour a relevant overview of the importance of ultrasound
versions of most figures, additional figures not included within anaesthesia, critical care and pain medicine,
in the book and videos of varying quality and relevance. it suffers somewhat from an attempt to satisfy all.
The introductory chapter explains the physics of ultra- Whilst not providing sufficient detail to act as a refer-
sound concisely and is surprisingly easy to read for such a ence textbook, the quality of the images are sub-opti-
challenging topic. Ultrasound to aid vascular access covers mal for it to act as a ‘pocket’ guide. Despite being a
the indications for, advantages and evidence behind the revised and updated edition, it is disappointing that
use of ultrasound for vascular procedures. There was the second edition continues to be let down by its
definite scope to develop this chapter further with the illustrations.
inclusion of ultrasound-guided subclavian and peripher-
Overall Ultrasound in Anesthesia, Critical Care, and Pain
ally inserted central catheter (PICC) access.
Management is a very readable introduction to the
The echocardiography chapters may provide a chal- practical use of ultrasound, providing an emphasis on
lenge to the non-cardiac anaesthetist. They are, image acquisition and optimisation. In combination
0265-0215 Copyright ß 2018 European Society of Anaesthesiology. All rights reserved. DOI:10.1097/EJA.0000000000000764

Copyright © European Society of Anaesthesiology. Unauthorized reproduction of this article is prohibited.


Book review 241

with the on-line material, it provides a valuable aid in may be a more relevant and informative read for the
understanding how ultrasound techniques are utilised physician working within focused areas of anaesthesia.
within our practice. Despite its multidisciplinary
authorship, the extensive but broad review may not
appeal to all. There are an increasing number of Dr Alastair Morgan
ultrasound texts providing high-quality images and Consultant in Anaesthesia & Critical Care
videos within more specific areas of practice. These Sheffield Teaching Hospitals, UK

Eur J Anaesthesiol 2018; 35:240–241


Copyright © European Society of Anaesthesiology. Unauthorized reproduction of this article is prohibited.