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Not long ago, the clinician seeking to purchase a hardbound book dealing with critical care medicine had few choices. Now there are more than half a dozen texts on this topic. The newest entry is Surgical Critical Care, edited by Joseph A. Moylan.
Although this multiauthored book has features to recommend it, Surgical Critical Care is not one of the stronger sources of detailed, authoritative information on the care of critically ill surgical patients. For purposes of illustration, let me consider in detail one clinical problem, the adult respiratory distress syndrome (ARDS). This is a common syndrome characterized by arterial
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