anaesthesia for open heart surgery

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ANATOMY AND PHYSIOLOGY APPLIED TO NURSING, second edition, by Janet T. E. Riddle, 151 pages, The Williams h Wilkins Company, Baltimore, 1966. Price $4.75. This book is directed toward the nursing student in England, and is based on a series of lectures the author gives to students dur- ing their first year of training at Killearn Hospital, Stirlingshire, England. The author states that the nurse needs no more than an elementary knowledge of anatomy and physiology for “State Enrolment” in Eng- land. Following this premise, the author has condensed the book to a mere 151 pages, containing a total of 11 chapters. At the end of most chapters is a group of review ques- tions which the student can use to test her knowledge on the material covered. Though its format and content are good, this book is limited in both depth and breadth. It might be of value in the training of the operating room technician, but it is of limited value to the student nurse in the United States. JOSEPH W. EHARDT, R.N. Oak Park, Illinois ANAESTHESIA FOR OPEN HEART SUR- GERY by Lillian E. Fredericks, M.D. and Dryden P, Morse, M.D., 80 pages, Charles C. Thomas, Springfield, Illinois, 1966. $5.50 Eighteen years after the first successful intracardiac surgery was performed in Phila- delphia, a symposium was held in which twenty distinguished anesthesiologists and cardiac surgeons participated. This slim vol- ume of essays consists of the edited transcrip- tions of their taped remarks. All factors involved in cardiac surgery and its necessary anesthesia techniques are con- cisely represented. The immediate post-an- aesthetic and recovery period are discussed. This information is extremely valuable and should be of interest to the recovery room nurse and her colleagues in the Intensive Care Units. Throughout the book constant refer- ence is made to the roles of those entrusted to care for cardiac patients. It is pointed out that ventilators, and the rest of the sophisti- cated aramentarium involved in the surgery and post-surgical care of the cardiac patient are only as good as the staff who must main- tain and watch over them. Similarly, labora- tory facilities must be of the finest, because of the narrow margin of safety inherent in the ultimate recovery of the patient. Blood gas saturation must be accurately measured and results must be reliable. The presentation of this material is not above the comprehension of the professional nurse, and should certainly be of use to her. LORA CRAIG, R.N. Winter Park, Florida BOOKIETS The following publications will prove to be valuable additions to the reference shelf. “Suture Use Manual,” available free upon request from Ethicon, Inc., Somerville, New Jersey. Aimed at those persons who are involved with the use of sutures, this manual is di- vided into four sections and includes discus- sion of organizational structure in surgery, aseptic technique and suture use, the sur- geon and suture use, and surgical terminol- ogy. This comprehensive guide should lead to a greater understanding of supplying, preparing and placing sutures in the patient’s tissues. “Hospital Housekeeping Review,” avail- able free on request by executive house- keepers on their hospital’s letterheads. To obtain, write Huntington Laboratories, P.O. Box 710, Huntington, Indiana 46750. This second edition of Hospital House- keeping Review contains 25 articles on the various phases of housekeeping which have appeared in recent hospital and housekeep- ing publications. It is a comprehensive di- Continued on page 64 February 1967 61

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Page 1: Anaesthesia for Open Heart Surgery

ANATOMY AND PHYSIOLOGY APPLIED TO NURSING, second edition, by Janet T . E . Riddle, 151 pages, The Williams h Wilkins Company, Baltimore, 1966. Price $4.75.

This book is directed toward the nursing student in England, and is based on a series of lectures the author gives to students dur- ing their first year of training at Killearn Hospital, Stirlingshire, England. The author states that the nurse needs no more than an elementary knowledge of anatomy and physiology for “State Enrolment” in Eng- land. Following this premise, the author has condensed the book to a mere 151 pages, containing a total of 11 chapters. At the end of most chapters is a group of review ques- tions which the student can use to test her knowledge on the material covered.

Though its format and content are good, this book is limited in both depth and breadth. I t might be of value in the training of the operating room technician, but it is of limited value to the student nurse in the United States.

JOSEPH W. EHARDT, R.N. Oak Park, Illinois

ANAESTHESIA FOR OPEN HEART SUR- GERY by Lillian E . Fredericks, M.D. and Dryden P , Morse, M.D., 80 pages, Charles C. Thomas, Springfield, Illinois, 1966. $5.50

Eighteen years after the first successful intracardiac surgery was performed in Phila- delphia, a symposium was held in which twenty distinguished anesthesiologists and cardiac surgeons participated. This slim vol- ume of essays consists of the edited transcrip- tions of their taped remarks.

All factors involved in cardiac surgery and its necessary anesthesia techniques are con- cisely represented. The immediate post-an- aesthetic and recovery period are discussed. This information is extremely valuable and should be of interest to the recovery room nurse and her colleagues in the Intensive Care Units. Throughout the book constant refer-

ence is made to the roles of those entrusted to care for cardiac patients. It is pointed out that ventilators, and the rest of the sophisti- cated aramentarium involved in the surgery and post-surgical care of the cardiac patient are only as good as the staff who must main- tain and watch over them. Similarly, labora- tory facilities must be of the finest, because of the narrow margin of safety inherent in the ultimate recovery of the patient. Blood gas saturation must be accurately measured and results must be reliable.

The presentation of this material is not above the comprehension of the professional nurse, and should certainly be of use to her.

LORA CRAIG, R.N. Winter Park, Florida

BOOKIETS The following publications will prove to be valuable additions to the reference shelf. “Suture Use Manual,” available free upon request from Ethicon, Inc., Somerville, New Jersey.

Aimed at those persons who are involved with the use of sutures, this manual is di- vided into four sections and includes discus- sion of organizational structure in surgery, aseptic technique and suture use, the sur- geon and suture use, and surgical terminol- ogy. This comprehensive guide should lead to a greater understanding of supplying, preparing and placing sutures in the patient’s tissues.

“Hospital Housekeeping Review,” avail- able free on request by executive house- keepers on their hospital’s letterheads. To obtain, write Huntington Laboratories, P.O. Box 710, Huntington, Indiana 46750.

This second edition of Hospital House- keeping Review contains 25 articles on the various phases of housekeeping which have appeared in recent hospital and housekeep- ing publications. It is a comprehensive di-

Continued on page 64

February 1967 61

Page 2: Anaesthesia for Open Heart Surgery

Continued from page 61 gest of current thinking on the problems encountered by executive housekeepers in the hospital and includes articles on clean- ing techniques, training, budgeting, relations with other services, work scheduling and job descriptions.

“Control of Cross Infection,” $5 each (if more than 10 are ordered, price is reduced to $3.50 per copy). Available from Hospital Bureau, Inc., 201 Park Avenue South, New York, N. Y. This 68-page report is an updated and

completely revised version of “Preventive Procedures for Combating Cross-Infection,” which was published by the Bureau in 1961, It lists specific prophylactic procedures to prevent the spread of cross infection in hos- pitals in areas that are most suspect, and places particular emphasis on air sanitation, hand washing, disinfectants, environmental sanitation, food sanitation, sterilizing tech- niques, and syringe and needle sterilization. The report also covers such topics as dis- posables, floor and wall cleaning, glove handling, disposal of soiled instruments and dressings, showering, shoes and thermome- ters. A useful bibliography of 232 refer- ences is appended.

“Patients, Surgeons, and Hospitals,” avail- able free from the American College of Sur- geons, 55 East Erie Street, Chicago, Illinois 60611.

This provocative booklet discusses the role of surgeons in caring for hospital pa- tients in order to acquaint key members of governing bodies of hospitals with the surgeons’ view as to what constitutes good surgical care in hospitals. The goal of this unprecedented statement by the American College of Surgeons is to educate nonpro- fessional trustees of hospitals in the staunch principles of the quality surgeon’s role, re- sponsibilities and conduct. The booklet points

out the trustees, doctors and administrators form a “hospital trinity” which affects and determines the quality of care every patient in the hospital receives. It is hoped that this statement of policies by the College will aid in strengthening the relationships of the three groups and that care of surgical pa- tients can be improved by better under- standing within the trinity.

“Basic Surgical Skills: A Manual with Ap- propriate Exercises,” W50 each. Available from Frederick Unger Publishing Company, New York, or Davis and Geck, Danbury, Conn.

Dr. Robert Tauber is the author of this monograph which should prove a valuable aid in helping train the surgeon in the tech- niques of tying surgical knob and placing different types of stitches. All techniques are illustrated.

“Principles and Practice of Ethylene Oxide Sterilization,” available free if requested on hospital or professional letterhead, from Aseptic-Thermo Indicator Company, 11471 Vanowen St., North Hollywood, Calif. 91609.

Brief, non-technical discussions of the newest techniques of ethylene oxide steriliza- tion and the use of sterilization controls are featured in this 16-page manual, which lists articles that oan be sterilized by ethylene oxide, general procedures and causes of in- efjicient sterilization. This handbook should be valuable for instruction purposes and for use by personal operating ethylene oxide sterilizers.

“Current Medical Terminology,” $94 each ($3 for medical students, interns and resi- dents). Available from Circulation and Rec- ords Dept., AMA, 535 N. Dearborn, Chi- cago, 60610.

More than 3,000 diseases and conditions are defined in this third edition, with each definition listing the preferred term for the

Continued on page 66

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Page 3: Anaesthesia for Open Heart Surgery

disease, additional terms, related diseases and conditions, the etiology, signs, symp- toms, complications, laboratory data, X-ray findings and pathology. There is an alpha- betized listing of 2500 alternate terms with reference to the preferred term and its full description. Additionally, there is a glossary of brief definitions of more than 500 sup- plementary terms, an alphabetical listing of commonly used medical abbreviations and an index which notes by name and type the most important surgical operations and their preferred names. This valuable book should help to standardize record keeping and serve as a rapid review of diseases, their causes and symptoms.

“Osmolality, Background to Bibliography,” 504 each (available free to users and PO-

tential users of Advanced Osmometers) . For copies write to Mr. John Abele, Advanced Instruments, Inc., 45 Kenneth St., Newton Highlands, Mass.

The fourth such bibliography published since 1956, this compilation contains a list- ing of important selected articles on osmom- etry and a referenced discussion on the origin and definition of the word “osmolal- ity.” It is organized by fields so one can quickly find those listings of pertinent in- terest. Categories include urine osmolality and kidney disease, clinical uses and tech- nical background; reprints of many of the articles in these categories are available.

“Rehabilitative Aspects of Nursing, Part I, Physical Therapeutic Nursing Measures, Unit I, Concepts and Goals,” $1.75 each (discount of 20 per cent on orders of ten or more). Available from the National League for Nursing, 10 Columbus Circle, New York, N. Y. 10019.

The first of a projected series of pro- grammed nursing texts, this book has been prepared especially for inservice education of nursing st& and for self-instruction by

individual nurses. It is designed to enable nurses, learning at their own rate of speed, to gain substantial new facts and skills in this aspect of nursing. This first unit is devoted to general concepts and goals of rehabilitative nursing and to the rationale of treating the patient as a whole person. It is a 50-page book of text frames, diagrams, questions, and a teaching panel, along with suggestions for use, and a selected bibliog- raphy. Future units to be published will deal with range of joint motion, muscle condi- tioning, body positioning, and the assess- ment process in rehabilitative nursing.

“Masters Education : Route to Opportunities in Modern Nursing,’’ 254 each (20% dis- count on orders of 10 or more). Available from National League for Nursing, 10 Co- lumbus Circle, New York, N.Y. 10019.

Nursing’s most critical need today is for qualified teachers, clinioal specialists, super- visors and administrators-positions requir- ing graduate preparation. This booklet pro- vides general information about sources of financial assistance for such graduate edu- cation and it lists, with detailed information about each, the colleges and universities of- fering masters programs accredited by the National League for Nursing.

“College Education: Key to a Professional Career in Nursing,” 254 each (20% dis- count on orders of 10 or more). Available from the National League for Nursing, 10 Columbus Circle, New York, N.Y. 10019.

A companion piece to the above mentioned book, this is addressed to prospective stu- dents, registered nurses and nursing students who wish initial senior college preparation in nursing. It gives general information about collegiate education in nursing, ex- plains the importance of selecting an ac- university programs accredited by the Na- credited school, and lists senior college and

tional League for Nursing. U

66 AORN Journal