Post-Traumatic Pulmonary Insufficiency, Pathophysiology of Respiratory Failure and Principles of Respiratory Care After Surgical Operations, Trauma, Hemorrhage, Burns, and Shock

by Francis D. Moore, M.D., Moseley Professor of Surgery, Harvard Medical School, Surgeon-in-Chief, Peter Bent Brigham Hospital; John H. Lyons, Jr., M.D., Assistant Professor of Surgery, Dartmouth Medical School, Director, Graduate Surgical Education, Dartmouth Medical School Affiliated Hospitals, Surgeon, Mary Hitchcock Memorial Hospital; Ellison C. Pierce, Jr., M.D., Clinical Associate in Anesthesia, Harvard Medical School, Senior Associate in Surgery (Anesthesia), Peter Bent Brigham Hospital; Alfred P. Morgan, Jr., M.D., Associate in Surgery, Harvard Medical School and Peter Bent Brigham Hospital; Philip A. Drinker, Ph.D., Research Associate in Physiology in the Department of Surgery, Harvard Medical School, Consultant, Surgery (Engineering), Peter Bent Brigham Hospital; John D. MacArthur, M.D., Instructor in Surgery, Harvard Medical School, Junior Associate in Surgery, Peter Bent Brigham Hospital; and Gustave J. Dammin, M.D., Friedman Professor of Pathology, Harvard Medical School, Pathologist-in-Chief, Peter Bent Brigham Hospital. xix + 234 pages, illustrated. W. B. Saunders Company, West Washington Square, Philadelphia, Pennsylvania 19105; 12 Dyott Street, London W. C. 1; 1835 Yonge Street, Toronto 7. 1969. $12.50

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  • Department of Surgery University of North Carolina School of Medicine, Chapel Hill, North Carolina 27514

Well-documented case material taken from patients with post-traumatic pulmonary insufficiency is presented. The authors cover, in orderly sequence, the clinical problem, the pathology, and a discussion of the altered physiology. They discuss the origin of the abnormality, what the consequences are to the patient, and how to quantitate the abnormality. Separate sections are devoted exclusively to the pathogenesis, prevention, and treatment.

In an attempt to present the many facets of the syndrome, the authors have devoted the initial 98 pages of the book to a series of 10 case reports. Although this section is lengthier than necessary, it gives the reader an appreciation of the severity of pulmonary complications associated with a variety of pathological conditions such as crush injury, aortic aneurysm, and peritonitis.

The authors' division of the syndrome into four phases based on the clinical, metabolic, circulatory, and pulmonary alterations is beneficial in understanding the pathophysiology of this process.