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Textbook of Echocardiography for Intensivists and Emergency Physicians, 2nd ed.

e40 www.anesthesia-analgesia.org February 2020 • Volume 130 • Number 2 DOI: 10.1213/ANE.0000000000004566 O the last couple of years, there has been an increasing interest in the use of point-of-care ultrasonography in the acute and critical care setting.1–3 The editors of the “Textbook of Echocardiography for Intensivists and Emergency Physicians,” Armando Sarti and F. Luca Lorini, are aware of this interest and initially wrote a book to help intensivists incorporate echocardiography in their clinical practice, published in 2012. Now this book has been extensively revised for a second edition, which is available both in hardcover and eBook. This new edition features more images and 10 more chapters on various techniques and applications of echocardiography, and is suitable for all aspects of acute care. The editors (as do most authors of the textbook chapters) derive from Italy, where they both work as chairs of anesthesia and intensive care departments. They have published multiple papers on anesthesia and intensive care in national and international literature. However, this restriction to Italian authors implies 2 limitations of the book: international experts in the field are not involved, and the text sometimes signifies that it is not written by native English speakers. The book is divided into 5 parts. The first part consists of a single chapter that explains the physics and mathematics behind the ultrasound technique. The second part focuses on the standard examination of the acute care patient via both the transthoracic and the transesophageal approach. This part also explains the optimal patient position for transthoracic echocardiography, a comprehensive transesophageal echocardiographic examination, and gives insights into the newest echocardiography technologies such as 3-dimensional (3D) echocardiography or speckle tracking. The third part explains the normal anatomy of the heart and the great vessels in detail, as well as images and descriptions of important pathology findings that can be encountered during the examination. This part is not restricted to ultrasound applications in adult patients but also involves essential pediatric applications. The fourth part combines the individual examinations explained in the third part and introduces various types of assessments and monitoring during different clinical scenarios in the intensive care unit (ICU), the operating room (OR), or in the emergency department. Pathophysiology is explained and the added value of the different echocardiography assessments is explained in detail. The fifth part handles a number of specific situations in the ICU where ultrasound can be applied and includes techniques such as transcranial Doppler, renal color Duplex sonography, and ultrasoundguided regional anesthesia in the ICU. Typical ICU problems such as venous thrombosis or ICU-acquired weakness are explained, and the role that echocardiography or ultrasound, in general, can play in these pathologies is discussed. Most chapters start with a general introduction to the topic being discussed, followed by a number of specific applications. Almost all chapters are richly illustrated with echocardiographic images and easyto-understand flow charts or tables. In summary, this is a useful but not “must-have” book for intensivists and acute care physicians, where the focus still is on the care of critically ill patients in the ICU. Intensivists who are already familiar with the basics of echocardiography may appreciate this book the most for all the possibilities it shows. For the more general user, there are already several highquality textbooks on the market.