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872 Book reviews The author is an experienced certified registered nurse between ethical principles and legal principles and to anaesthetist who hopes to “give the perianesthesia be a book useable by all healthcare professionals and care professional a starting point – a reference for the by lawyers. It well and truly achieves these objectives. care of a patient with an uncommon disease”. The fact that it is written by Australians makes it so The book contains concise information on 91 much more valuable as there can be major differences, uncommon diseases selected by the author and especially in law, which can detract from the relevance presented in alphabetical order from Achalasia of overseas publications. to Zollinger-Ellison Syndrome. The diseases are The first few chapters give a basic but thorough each presented in a standardised format under the introduction to ethics and law and the remainder headings of definition, incidence, aetiology, signs and of the book deals with a very comprehensive list of symptoms, medical management, complications and topics including consent, confidentiality, abortion, anaesthesia implications. The information is generally euthanasia, brain death, organ transplantation, end- brief, coherent and relevant but in many cases loses its of-life issues, aboriginal health and almost any aspect impact due to the author’s penchant for alphabetical of health care where ethical and legal considerations bullet-lists. Thus symptoms, signs and complications are important. are listed alphabetically with no indication of which The book is well set out, well indexed and well are the more common or important in relation to the referenced. The format of the chapters dealing with particular disease, its investigation or management. clinical problems is to start with some brief scenarios The management and recommendations tend to or case histories, then deal comprehensively with the reflect the nature and organisation of anaesthesia ethical issues followed by the legal issues. This works practice in the United States. There are, however, very well and makes the book easy to use as a reference some very useful summary tables and boxes scattered and to find relevant material. There is some repetition throughout the book that provide very concise in topics that spill over to other areas, for example information on aspects of individual diseases. organ donation from a living child is dealt with in Interestingly malignant hyperthermia, while it is both the chapter on children and the chapter on organ mentioned in passing in relation to a few diseases, does not rate a section o
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