The medical student or junior house officer is often thrust into the midst of a busy thoracic surgical service with little or no previous thoracic experience. This sturdy soft-cover manual is ideally suited to the needs of physicians and nurses new to the field. The authors admirably fulfill their stated purpose of providing "a practical guide for those engaged in the day-to-day management of thoracic surgical patients." Such a pithy, didactic manual, devoted entirely to the practice of thoracic surgery, fills a real void.
The 18 chapters of the manual can be roughly divided into the following categories: general principles (radiology, respiratory insufficiency, diagnostic procedures); the pleura and empyema; pulmonary resection; mediastinal tumors; esophagus and diaphragm; heart and great vessels; tuberculosis; and cardiac arrest. It is devoted almost entirely to the preoperative and postoperative management of thoracic surgical patients. The techniques of thoracic surgical operations are omitted entirely, although description