A book stressing anesthetic management of patients with uncommon diseases is a welcome addition to the literature. The editors have divided the text into 15 chapters, written by 26 contributors. Many authors have extensively reviewed pathophysiology and have appropriately related their recommendations to the disease process. The chapters, in general, follow a body system-oriented approach; but one is devoted to infants, others to genetic and metabolic diseases, and environmental and behavior disorders.
The chapter by Thomas B. Caldwell III, MD, on the epidemiology and anesthetic management of the narcotic addict and other drug abusers is a worthy inclusion. Intraoperative and postoperative management of the addict, and the problems of postoperative withdrawal symptoms challenge the anesthesiologist.
The treatise by Richard I. Mazze, MD, treatise on renal function and anesthesia is superb and succinct; it includes a section on renal transplantation. Unfortunately, this discussion on renal disease is not matched with an