M. Cross and E. Plunkett Cambridge University Press , ISBN 978-0-521700-44-3 , 248 pp. Price £27.99 (US$56.00 ) In this new addition to the catalogue of FRCA revision books, the authors have endeavoured to pull together the key basic science concepts that form the major part of the primary, and to a lesser extent the final, examination. This is a clearly presented and well laid-out book, with chapters covering physics, pharmacology and physiology as expected. In addition, there are excellent sections on mathematical principles and statistics plus a useful appendix containing tables of the physical/pharmacological properties of anaesthetic agents. In the introduction, the authors make it quite clear that this book is to be used as a revision aid, particularly aimed at the viva part of the examinations, and is not intended to be a definitive or comprehensive textbook on the basic sciences relevant to anaesthesia. This is a useful distinction, which can often be overlooked by the trainee when choosing which textbooks to purchase. The first four pages, while not really containing any hard facts about the basic sciences, are perhaps the most useful of the book, as they set the tone for the forthcoming chapters. The focus on these pages is a practical and logical approach to answering viva questions, with the emphasis on being able to quickly and accurately draw graphs and pictorial representations pertinent to the question being answered. The thrust of the book is then immediately clear; the reader is not being taught the finer points of respiratory physiology, but rather being shown how best to answer a viva question about dead space. Each chapter is divided into subsections, usually a couple of pages long, discussing a basic theme, such as the gas laws, shunt equation, or pulse oximetry. In each case, clear diagrams, equations and definitions are presented, with tips on how to reproduce accurate graphs, as well as pitfalls to avoid when answering questions. The breadth of the subject matter is wide, and this book is particularly useful as it has chapters on all three major basic science subject areas. There are also sections on topics such as pain, monitoring of neuromuscular block, calibration, and pharmacokinetics – subjects that are not always found together in one revision book. Despite its breadth of coverage and its clear, exam-oriented focus, this book is not a substitute for the weightier tomes of formal textbooks. The candidate who struggles with the derivation of the shunt equation is unlikely to find enlightenment here. This book is, after all, a revision guide, and it is assumed that the topics have been mastered earlier in the process of exam preparation. Similarly, there are topics that are not addressed; although capnography and pulse oximetry are covered, there is no section on gas and vapour analysis, for example. This is only a minor quibble – a revision guide must by necessity be focused and succinct, otherwise it becomes no more useful than a larger textbook. These pages represent the pared down revision notes that an extremely well prepared candidate may have made over many months of exam preparation – clear, distilled, rich in graphs and diagrams, and focused towards quickly and accurately conveying that information in the viva situation. Drs Cross and Plunkett have produced a most useful book and we commend it to all those facing the FRCA.
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