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ISSN: Print -2349-0977, Online - 2349-4387

 Table of Contents  
Year : 2014  |  Volume : 1  |  Issue : 3  |  Page : 252-253

Miller's Anesthesia

Department of Anesthesiology and Intensive Care, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Date of Web Publication27-May-2015

Correspondence Address:
Harish C Sachdeva
Department of Anesthesiology and Intensive Care, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Sachdeva HC. Miller's Anesthesia. Astrocyte 2014;1:252-3

How to cite this URL:
Sachdeva HC. Miller's Anesthesia. Astrocyte [serial online] 2014 [cited 2020 Jul 16];1:252-3. Available from: http://www.astrocyte.in/text.asp?2014/1/3/252/157779


Ronald D. Miller, MD, Lars I. Eriksson, Lee A. Fleisher, MD, Jeanine P. Wiener-Kronish, MD, Neal H. Cohen, MD

Publisher: Saunders (Elsevier)

Edition: 8th edition

Pages: 3,576 (2-Volume Set)

Trim Size: 8 3/4 X 11 1/16 in

ISBN: 978-0-7020-5283-5

Year: 2015

From fundamental principles to advanced subspecialty procedures, Miller's anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation.

Miller's anesthesia has been considered to be the standard text in the field of anesthesia for over three decades.

It was in 1987, when I came across the 2nd edition of anesthesia by R. D. Miller as a student of anesthesia, when the book had just come into print - even at that time one could appreciate the effort, sincerity, and dedication of the author and his team to compile a comprehensive textbook for the reader. The anesthetist had to consult different texts and reference books, for example obstetrics anesthesia, Cardiac anesthesia as many sub specialties have evolved in the last 30 years. These new fields were indeed challenging as new frontiers are always challenging. With newer drugs, newer equipment, advanced techniques, and treatments evolving in surgical specialties, the increased human travelling across the world, also man's venture into areas never explored; and at the same time, the rapid expansion and availability of the internet have made the task challenging for the anesthesiologist.

The seventh edition is a dedicated, meticulous effort by the authors to keep the reader informed of the current practice of anesthesia and its extended coverage care - e.g., perioperative medical care, pain relief, critical care, transplantation organs, etc. It is a thoroughly revised new edition - the most comprehensive textbook available for anesthesia. The new editorial team led by R. D. Miller and assisted by Lars I. Eriksson, Lee A. Fleisher, Jeanine P. Wiener-Kronish, William L. Young has meticulously reviewed and updated the chapters. A need had been felt over the last decade that management of critically ill patients is available in anesthesia text. The authors have indeed arisen to the challenge and five chapters - nitric oxide, clinical care protocols, neurocritical care, renal replacement therapy, and prehospital emergency and trauma care have been added in addition to the existing trauma chapters. These chapters give the reader a great insight and understanding of the issues involved in the management of these patients from the accident site to the long-term care and outcome of these patients.

Trauma care, particularly neurotrauma is gaining more attention as medical services are able to reach out in the field more quickly than ever before. The focus is now largely on brain preservation strategy. Not only in trauma but even in patients having suffered cardiac arrest due to cardiac disease - the focus is on brain preservation; that the A, B, C resuscitation sequence has been changed to C, A, B - restoring blood supply to brain being priority. Mild hypothermia appears to be protective for the brain - though still controversial - the authors have addressed this aspect too. Renal replacement therapy is more increasingly being used in the treatment of the critically, and early intervention by its use appears to be beneficial - though a debate continues over the modality, duration, and frequency. Standardization of clinical care - which, in other words, means development of protocols, is becoming a standard feature and its practice has come as a welcome feature and indeed makes the practice simplified and clear.

Implication of general anesthesia on memory, its recall and conscious level in the postoperative period particularly in the elderly had many anesthetists, surgeons, the elderly patients, and their relatives concerned - both for the short-term and the long-term effects. This new chapter throws light on this aspect. This issue is indeed more important to understand as we know that worldwide the aging population is increasing, and this is likely to have more implications if not properly understood and practiced.

Obesity has become a major concern in developed in countries across the world. It is increasingly finding more attention in developing countries also - particularly urban areas. There are now dedicated medical centers catering to these overweight patients. The managements of these patients both for bariatric surgical procedures and surgical procedures performed as a sequel of obesity - cardiovascular diseases, orthopedics disorders, etc., needs specialized care and equipment as well has been comprehensively addressed by the authors. Disorders of coagulation are being recognized increasingly by the anesthesiologist in the perioperative period, necessitating its treatment using more and more blood products; this is all the more important because of the patients acquiring septicemia, adult respiratory distress syndrome, disseminated intravascular coagulation. Management of these patients is indeed a challenge which the authors explain in the chapter coagulation.

Ultrasound has increasingly found usage in the operating room and critical care units. It has also gained importance in assessing the patient arriving in a trauma unit, particularly with chest and abdominal injuries which many a times can have a devastating effect if not tackled quickly. Anesthesiologists worldwide are increasingly relying on ultrasound guidance for the diagnosis, assessment, and intervention of the ongoing therapy. The evolution of echocardiography and its utilization in the perioperative period necessitated the incorporation of chapter on t.e.e. in the 5th edition - a very welcome step. The authors have kept the reader updated with its usage that the new entrant is able to appreciate its use for both cardiac and noncardiac surgical patient and also in the intensive care units.

As the spread of information continued at a hectic pace due to the penetration of internet and more and more information being put online and the increasing number of publications coming up across the globe - making it difficult for the readers to get the relevant information both for clinical as well as for research purposes - this aspect has also been addressed by the authors - how to look for relevant information, by incorporating a chapter: Finding professional information on the internet. To make the concept clear and more understanding - more and more color illustrations have been added (introduced first time in the 4th edition). The introduction of CD-ROMs which explained the clinical procedures by incorporating videos - simplified the understanding of the subject matter and promoting its usage extensively. As expected, this development was very widely appreciated and therefore the subsequent editions have incorporated features like - code blue simulation, needle cricothyroidotomy, etc., which again proved to be a huge success. The 6th edition provided an entirely new dimension of providing "e-edition"; this feature provided weekly updates from experts in the field, therefore, making the knowledge of the anesthesiologists current and up-to-date easily and moreover providing linkages to the newly published articles in the field. The current edition has gone one step ahead by providing two options to the reader - basic and premium, to keep the reader informed.

The exhaustive revision carried out by the authors in each edition for over three decades have made it the most comprehensive text (no wonder) and deservedly necessitated change in the title to Miller's anesthesia in the previous edition.


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