BOOK REVIEWS
ications. A class of "therapeutic or-
phans" resulted. Although the Fed-
eral Drug Administration has stated
that labeling is not intended "either
to preclude the physician from using
his best judgement in the interest of
the patient, or to impose liability if he
does not follow the package insert,"
some courts have held that the pack-
age insert is prima facie evidence of
the standard of due care. Thus, the
physician using these drugs in chil-
dren may be subject to malpractice
litigation.
Who should read this book? Prob-
ably all institutional review board
members, many of whom I suspect
have no clear idea of their board's
historic development or change, and
certainly all basic or clinical scientists
who delve into human research, as
well as those who control it. As Levine
states, "a competent clinical re-
searcher need never have heard of
Doctors Sydenbam, Bichat, Bernard,
Osler, or even Beecher, not to men-
tion Aristotle, Immanuel Kant, Tal-
cott Parsons or Benjamin Cardozo.
But there are those who are pleased
that they have."
Robert R. Kirby, MD, Col, MC,
USAF
Chairman
Department of Anesthesiology
Wilford Hall USAF Medical Center
Lackland AFB, TX
Chest Physiotherapy in
the Intensive Care Unit,
by C. F. Mackenzie, N.
Ciesla, P. C. Imle, and N.
Klemic, Baltimore, Wil-
liams & Wilkins Co., 1981,
260 pp, $23.00.
This text succeeds in providing an
in-depth description of chest physical
therapy services provided at the
Maryland Institute for Emergency
Medical Service Systems. All aspects BOOKS RECEIVED
of such therapy are amply covered
including a review of respiratory
anatomy; the indications, precautions, Handbook of Critical Care, Second Edi-
and contraindications of therapy; and tion, edited by 1. L. Berk and J. E. Sampli-
physiologic alterations during and ner, Boston, Little, Brown and Co, 1982,
following therapy. Excellent discus- 688 pp, $24.50.
sions pertaining to specific patient
populations such as spinal cord inju- Cardiac Anesthesia, by T. J. Conahan,
ries and pediatrics are included. Menlo Park, CA, Addison-Wesley Pub-
If any weakness exists in this text, lishing Co, Inc, 1982, 340 pp, $29.95.
it lies within the limitation of the
patient population discussed. The
Respiratory Failure in the Child, edited
vast majority of patients in the au-
by G. A. Gregory, New York, Churchill
thors' institution are men between the
Livingstone, Inc, 1981, 205 pp, $32.50.
ages of 16 and 30 years. Therefore,
the information given in the text gen-
erally pertains to young, previously Obstetric Anesthesia: The Complicated
healthy, traumatized patients. This Patient, by F. M. James and A. 5. Wheeler,
limits the usefulness of the text with Philadelphia, FA Davis Co, 1982, 346 pp,
regard to elderly and chronically dis- $40.00.
eased medical patients. The authors
purposely make no attempt to relate Persistent Pain: Modern Methods of
the therapies as carried out in their Treatment, Volume 3, edited by S. Lipton
institution to other accepted treat- and J. Miles. New York, Gmne & Stratton,
ment regimens popularized in other 1981, 260 pp, $48.00.
patient populations.
The text is well written and the
illustrations and chest radiograms add
greatly to its instructional value. We
feel this book is of benefit to all
professionals concerned with the res-
piratory aspects of critically ill pa-
tients even though it deals exclusively
with physical therapy modalities as
applied to the respiratory care patient.
Pamela 0.Harman, RPT
Assistant Director
Respiratory Physical Therapy
Northwestern Memorial
Hospital
Barry A. Shapiro, MD
Professor of Clinical Anesthesia
Director
Division of Respiratory
Critical Care
Department of Anesthesia
Northwestern University
Medical School
Chicago, IL
ANESTHESIA AND ANALGESIA
Vol61, No 5, May 1982 481