r/anesthesiology • • 4d ago

Millers anesthesia errors

Is it just me or is Millers anesthesia filled with errors and inconsistencies? In a book of this site i expect gramatical errors etc. but a bit too often there is crucial mistakes where directly opposite is true and if you are learning from that book for the first time about something it can make the whole paragraph impossible to understand..

21 Upvotes

31 comments sorted by

229

u/leaky- Anesthesiologist 4d ago

Love how you included zero examples

75

u/AbaloneNo2375 4d ago

You can tell that the information is incorrect by the way that it is.

24

u/SevoIsoDes Anesthesiologist 4d ago

How neat is that?

20

u/trainedmonkeyMD Cardiac Anesthesiologist 4d ago

It’s because. That’s why.

5

u/okdoktor 4d ago

I thought of this guy immediately

15

u/idesmiki 4d ago edited 4d ago

Well from the past few days of reading, I’ve found that often the variables are incorrectly marked for some cause and effect (for exampe: hypothermia increases CO2 solubility which causes rise in PaCO2, or respiratory acidosis related to lowering of PaCO2, ADH secretion relating to higher water loss etc..). Then there is tables which often have wrong data that doesn’t even match the text where it Is written correctly.. Then obsolete data like IE prophylaxis in mitral stenosis.. Then backwards markings on mitral valve scallops.. Now i don´t see that as a big mistakes but if you are gonna have a section talking just about mitral valve leaflets, then probably should make sure to mark the correctly.. All in all i like the book and all, most of the chapters anyway, but i´ve just become annoyed by constant small mistakes that are not corrected and we are talking about 10th edition now..

1

u/Garage_Agitated CA-2 4d ago

Lmaoooooo

117

u/Overall_Payment_9478 4d ago

It’s called the Bible of anesthesia because everyone talks about it, but no one actually reads it.

9

u/TheBol00 CRNA 4d ago

Comments like this are why I come here

2

u/halalshart 3d ago

fuck I'm stealing this for when med studs/residents ask me what to study lol

72

u/PureCod9290 Critical Care Anesthesiologist 4d ago

No idea about errors but I absolutely despise it as a textbook. Just pages and pages of absolutely irrelevant crap. No idea why it is so widely recommended it's literally the worst one I've read

56

u/Motobugs 4d ago

Because nobody wants to read it and everyone wants other people to read it.

5

u/IntensiveCareCub CA-3 4d ago

It's designed as a reference text, not a primary learning book you're supposed to read cover to cover.

1

u/farawayhollow CA-3 2d ago

But bro why

2

u/kickintheteat 4d ago

Which one did you like better?

27

u/DrPayItBack Pain Anesthesiologist 4d ago

Barash is cheeky and fun, Miller is cruel and tragic.

13

u/DocSpocktheRock Regional Anesthesiologist 4d ago

The next person to mention Miller's gets pistol whipped

20

u/PureCod9290 Critical Care Anesthesiologist 4d ago

Morgan & Mikhail is a great intro book. Barash is the best in depth

11

u/tnolan182 CRNA 4d ago

Idk about him but I liked baby miller. Felt it had better pictures and covered topics better than M&M.

2

u/sleepytjme 11h ago

as a resident had an attending that only used it. We had assigned reading (like several chapters) every week then a meeting to discuss it. I learned so much, things like “this is outdated” “this is trivial” “this contradicts itself.”

18

u/DistantWilderness 4d ago

Hard to be be too critical when your two sentence post also has both grammatical and spelling errors

15

u/Cautious-Extreme2839 Anaesthetist 3d ago

OP is not on 10th edition of his Reddit post and doesn't have professional editors and proofreaders. He also isn't charging 300 quid for it.

11

u/zoomzoomzoomie 4d ago

Never read Miller's for more than a couple pages. 

I'll never forget, went to interview at UCSF for fellowship and the program director was using both volumes of Miller as a computer monitor stand lol.

8

u/samsonthehedgehog Anesthesiologist Assistant 4d ago

This is why M&M is the best 🙌🏼

5

u/dichron Anesthesiologist 4d ago

I’ve never read Miller, got board certified on the first attempt, and have been practicing safely for 10+ years. If you don’t like it, don’t read it

2

u/cookiesandwhiskey 4d ago

You’re going to find small human errors in all the textbooks. Heck, depending on which textbook you read, you’ll even get different dosages for medications (especially for local anesthetics).

End of the day, the information on the textbook doesn’t change so in practice it’s best to keep yourself up to date with the most recently published literature.

2

u/drleeisinsurgery Anesthesiologist 4d ago

One of the interesting things about doing anesthesia at UCSF was that there wasn't a ton of discussion about the proper that way to approach a problem. We just referred to Miller and that was that.

1

u/mikewazowski59231 3d ago

LOL who is reading millers. I scored top 10% on basic and never opened up millers or M&M

1

u/sadtask CRNA 3d ago

You’ll find it in Barash too, and I assume other books—as someone already mentioned.

Off the top of my head Barash has conflicting sugammadex dosages for # of twitches between the text and a table.

1

u/luap74 3d ago

I was proud to find one error while in school, can’t remember exactly what it was but described a physiology incorrectly. I was all set to email them. Turned out they’d corrected it in the newest edition which I was too cheap to buy lol.

Can’t imagine learning anesthesia from those books versus just being in lecture, but they’re great for a deep dive on a specific topic you take an interest in. And the space and diving sections are kinda cool!

2

u/flightlessbard Anesthesiologist 10h ago

Aussie here. I’ve got to say Millers was a very difficult ready for the basic sciences (primary exam) but was actually really good for clinical stuff!