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Table of Contents
Year : 2015  |  Volume : 31  |  Issue : 3  |  Page : 433-434

"Understanding PAEDIATRIC ANAESTHESIA" by Dr. Rebecca Jacob

Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

Date of Web Publication29-Jul-2015

Correspondence Address:
Anju Grewal
Department of Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Grewal A. "Understanding PAEDIATRIC ANAESTHESIA" by Dr. Rebecca Jacob. J Anaesthesiol Clin Pharmacol 2015;31:433-4

How to cite this URL:
Grewal A. "Understanding PAEDIATRIC ANAESTHESIA" by Dr. Rebecca Jacob. J Anaesthesiol Clin Pharmacol [serial online] 2015 [cited 2021 Apr 11];31:433-4. Available from:

Title of Book review: "Understanding PAEDIATRIC ANAESTHESIA"
Third Edition
Chief Editor: Rebecca Jacob
Consulting Editor: Jeanette Thirwell
Published by Wolters Kluwers (India) Pvt. Ltd., New Delhi

Anesthetizing the pediatric patient can be a daunting task for both the amateur and the seasoned anesthesiologist. The third edition of "Understanding Paediatric Anaesthesia" aims to update our knowledge and comprehension of this specialized subject thereby aiding us in caring for our children in a safe, scientific and reliable manner.

Dr. Rebecca Jacob, a doyen and champion of safe pediatric anesthesia delivery, has instilled her lifelong practical experiences into this book in a simple, lucid manner. A mentor to many of us, including myself, Dr. Rebecca Jacob has filled this book with pearls of wisdom to demystify the art of providing safe anesthesia care in all clinical scenarios. She is ably supported by yet another eminent pediatric anesthesiologist Jeanette Thirlwell as consulting editor, granting this book an international flavor. All authors of this book are renowned anesthesiologists from across the globe.

The third edition of this book has been comprehensively revised, reorganized, refurbished and updated. It begins with the Principles of pediatric anesthesia, moves on to a well-illustrated chapter on pediatric anesthesia equipment, simplified pharmacokinetics and pharmacodynamics of drugs used in pediatrics, and then to three structured chapters which grant us an insight on the essential differences between neonates and adults, the surgical neonate and neonatal resuscitation. Chapters on fluid management, transfusion therapy and laboratory investigations - what, when and why?, have been my all-time favorite for their clarity and brevity. These are followed by comprehensible chapters on post-anesthesia care, acute pain management, deft handling of the hostile varied non-operating room procedures. The subsequent chapters provide an in-depth knowledge on newer technologies like ultrasound and its application in pediatric regional anesthesia, CPR and major pediatric trauma management including handling a pediatric burns patient. The chapter on ultrasound-guided regional anesthesia is a delight to read, covering an entire gamut of nerve blocks with self-explanatory photographs and illustrations, of sonoanatomy and ultrasound probe usage.

The book encompasses detailed relevant scientific basis of practice and clear concise descriptions of common clinical conditions. It addresses anesthetic considerations for a wide spectrum of surgical conditions in neonate, infant and child like cleft lip/palate repair, hydrocephalus and meningomyelocele , pyloric stenosis, intestinal obstruction, biliary atresia etc. Further on it elucidates the steps to recognize and manage a difficult pediatric airway, provides useful tips and pearls to manage common daunting situations like foreign body aspiration, bleeding tonsil, anaphylaxis, malignant hyperthermia, URI and a tight bag, and reviews protective lung ventilation strategies in a simplified manner.

Ranging from complex situations to common problems, from a difficult neonate to the combative child, the third edition of this book incorporates all aspects of perioperative care of the pediatric patient in an engaging manner.

Few new chapters have been included to highlight newer areas of specialist practice like perioperative management of obese children, anesthetic considerations for pediatric laparoscopic and thoracoscopic procedures, non-cardiac surgeries for congenital heart disease, liver disorders, cirrhosis, hemorrhagic disorders, safety concerns in anesthetizing pediatric patients, and septicemia. The highlights of this book are the two appendices for quick reference: One on Drugs, updated doses with their indications and contraindications and the second one on Syndromes with their anesthetic implications.

This book is systematically organized with self-explanatory illustrations, glossy photographs, line diagrams and tabulated text. Chapters have a contemporary eloquent approach and contain a wealth of practical scientific information which is vital to all pediatric anesthesiologists working in varying clinical settings. I would recommend this book to all Postgraduate students who need to understand the science behind the practice, to the field practitioner for its practicality and to the seasoned academician for the collective evidence it offers.

The most alluring aspect of this edition is the gentle cover picture of twin infants' in blissful slumber which is expressive of their infinite faith in our care. It is time we measure up to their trust and navigate them and their families through a safe peaceful perioperative sojourn by adopting all the pearls and principles engraved in this brilliant book. I wish all readers of this book, a comforting reading and an equally soothing, enjoyable, smooth, safe pediatric anesthesia practice.


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