TY - CHAP M1 - Book, Section TI - Intraoperative Complications and Crisis Management A1 - Smith, Erik B. A1 - Hunsberger, Joann A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSComplications can occur even when we provide excellent care to patients.Successful anesthesia complication and crisis management requires a structured team-based approach.Simulation helps teams practice crisis scenarios in a protected, safe environment. Simulation helps improve performance when actual crisis situations occur. Simulation is especially helpful for situations not commonly encountered in routine practice.Cognitive aids can help prevent complications before they occur and also help manage active crises. Such aids include checklists, protocols, guidelines, and smartphone applications.Complications and bad outcomes must always be discussed fully and honestly with patients and their families.Malpractice lawsuits can arise from complications; therefore, risk managers and attorneys may provide guidance to involved parties.Delivery of bad news must be joint effort between involved surgeons and anesthesiologists. The SPIKES protocol discussed within provides a family-centered framework for bad news discussions.Complications encountered in pediatric anesthesia practice include medication errors, cardiac events, aspiration, laryngospasm, dental injury, and malignant hyperthermia. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176459696 ER -