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Book Review: Stoelting's Anesthesia and Co-existing Disease

This is the seventh edition of the text, first published in 1983 with the aim of providing a “concise description of the pathophysiology of disease states...that is relevant to the care of the patient in the perioperative period”. It was written as a companion volume for Stoelting’s introductory text Basics of Anesthesia but is now essentially written by Yale University Department staff. This edition is similar to the last (2012), with further revised updates on content, references and practice guidelines in line with recent clinical management developments. As well, there are now two additional chapters added at the front of the chapter index on sleep apnoea and critical illness medicine. The latter is itself the subject of many far greater weightier texts—not merely a 25-page chapter. It is unclear why these two additional chapters were not placed with the other related chapters. The management recommendations are current for a wide range of conditions, but regrettably, drug doses are often absent. The improved change of format with layout and illustrations has been retained, and again there are the useful ‘Key Points’ summaries at the end of each chapter —often more generic in nature than fine in detail. Online full text availability is retained as a useful feature. With the internet-based competition for knowledge, traditional allencompassing texts of anaesthesia have become almost encyclopaedic. Subspecialty texts have risen in importance in the search for more detailed answers to difficult clinical problems. The book remains a unique time-honoured text, but I believe it now best belongs in the reference library of major departments. The content offers little that cannot be already found in the current major multi-volume anaesthesia texts. The popular handbooks of anaesthesia offer a more useable and portable format for trainees learning to acquire the basics of safe practice. The text is expensive for what it is, currently postulated to sell (as with the previous edition) at around A$200 or more, depending on supplier.