Abstract
Dr Tisi states his aims in the preface: this book was primarily for the practicing physician; also, the reader need not have a prior foundation in pulmonary physiology. The introductory chapters on pulmonary physiology and acid-base balance and the question-and-answer sections in the appendices are pitched more at the medical student level. Surgeons will find chapter 7, on the preoperative evaluation of pulmonary function, to be clearly written and well referenced; it is undoubtedly the best chapter in the book. Surgeons might take issue with the discussion of oxygen therapy and ventilation. There is insufficient emphasis on the deleterious effects of administering 100% oxygen, including the loss of the cushioning effect of residual nitrogen on alveolar collapse, the accelerated denaturation of surfactant at a high Po2, and progressive damage to endothelial cells with consequent fluid leakage and interstitial edema. Some discussion of the use of prophylactic thoracostomy tubes
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