Bookshelf |

Practical Paediatric Respiratory Medicine FREE TO VIEW

Naim S. Bashir
Chest. 2003;123(5):1777-1778. doi:10.1378/chest.123.5.1777-a
Text Size: A A A
Published online


By M. Silverman and C. L. O’Callaghan, eds. London, UK: Arnold Publications, 2001; 302 pp; $49.50

Practical Paediatric Respiratory Medicine is a concise treatise that brings the reader in touch with the wide spectrum of issues encountered in the practice of pediatric pulmonary medicine. The book’s two parts encompass a broad range of primarily pulmonary topics as well as related topics in critical care, allergy, and immunology.

The chapters are generally well organized, with subtitles clearly delineating topics being discussed in the following text. Most chapters begin with background information on the subject being covered and end, after documentation of current knowledge and practices, with insights on future research. They conclude with appropriate references and recommendations for further reading. These will prove particularly helpful to the reader interested in further pursuing a career in pediatric pulmonary medicine.

The evaluation and management of acute respiratory emergencies, including the use of mechanical ventilatory support, is outlined in a manner that insures that the reader will be prepared to better deal with these issues when such problems are encountered in clinical practice. Important aspects of chronic pulmonary disease assessment are discussed in the chapter “Measuring Chronic Illness at Home and at School,” while management of chronic pulmonary disease is emphasized by dedicated chapters that focus on the various aspects of inhalation therapy, oxygen therapy, and physiotherapy. Inasmuch as the mere prescription of therapy is often not sufficient to guarantee patient and family adherence to treatment, important concepts related to improving doctor-patient communication and for enhancing patient compliance with therapy are outlined. Practical measures to reduce allergen exposure in sensitive individuals, as well as self-management guidelines for the asthmatic child, oxygen therapy weaning in chronic neonatal lung disease, and tracheostomy care are some of the topics discussed in relation to management of pediatric respiratory disease at home. Importantly, the last two chapters of the first part focus on certain crucial aspects of pediatric medicine that have received increasing recognition in recent years. These include the impact of chronic respiratory disease and its therapy on the child’s quality of life, along with management of behavioral problems that may surface as a result of the diagnosis and treatment of a chronic childhood illness.

Clinical vignettes are used throughout the book to aid in the understanding of important concepts. Illustrations enhance the reader’s comprehension of vital topics such as resuscitation and endotracheal intubation. Furthermore, illustrations of bronchoscopic findings, postural drainage technique, and radiologic imaging help the reader better recognize the role of these modalities in the evaluation and treatment of patients with respiratory disease. Respiratory structure and function are well described, when necessary, to aid in understanding diagnostic techniques. The algorithm for investigating chronic cough impressed me as particularly helpful for the reader who is new to the field of pediatric pulmonology.

Practical Paediatric Respiratory Medicine is a very good review by experts in this field. The authors have generally focused on the current state of the art and have been impartial where controversy exists (eg, whether children whose only symptom is cough could have asthma), appropriately citing opposing views as published in contemporary literature. This book would serve as a good introductory resource for those who are interested in pursuing a career in pediatric pulmonology, such as pediatric pulmonary fellows, pediatric pulmonary nurses, and anyone else interested in a “bird’s-eye view” of pediatric respiratory medicine.




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543