Article ID Journal Published Year Pages File Type
2771190 Seminars in Anesthesia, Perioperative Medicine and Pain 2007 5 Pages PDF
Abstract

Crisis management is part and parcel of anesthesia practice. Cognitive science research and also common sense tell us that no one thinks clearly in a crisis. Taking example from other high-stress occupations, this paper describes the development of an anesthesia crisis management manual, based on data from 4000 anesthesia incidents reported anonymously by practicing anesthetists in Australia and New Zealand. Beginning with a “core algorithm” mnemonic, COVER ABCD A SWIFT CHECK, for routine monitoring and also for rendering any crisis situation “safe,” the anesthetist then chooses 1 of 24 specific, internally validated “sub-algorithms” to diagnose and correct the problem.

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