RT Book, Section
A1 Smith, Erik B.
A1 Hunsberger, Joann
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459696
T1 Intraoperative Complications and Crisis Management
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459696
RD 2022/08/17
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.