Managing Perioperative Crises With a Cognitive Template

 

Check out the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

Crisis management is an important part of the anesthesia job. There are critical times when performing an anesthetic when CRNAs need to diagnose a problem quickly and accurately, and then correctly manage it. Training in crisis management is not standardized and there are only a few learning platforms that explain how to systematically manage a critical event. Until now!

In this episode, Jeremy and Sass review the high points of an article published in the April 2023 AANA Journal by Barry Swerdlow, MD and Lisa Osborne-Smith, PhD, CRNA titled “A Cognitive Template for Management of Perioperative Adverse Events”. This is an episode you won’t want to miss!

Here are some of the things you’ll learn on this show:

  • What is metacognition? [2:29]
  • Six step cognitive checklist [7:31]
  • Step 1: Verifying information is correct. [9:21]
  • Step 2: Generic response [9:45]
  • Step 3: Identification of precipitating event  [10:36]
  • Step 4: Formulation of broad differential diagnosis [13:13]
  • Step 5: Formation of a narrowed differential diagnosis [15:14]
  • Step 6: Selection of targeted response(s) [17:28]
  • Let’s use this six-step process on a case study. [18:37]

Check out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

 

Show Notes & Resources:

Swerdlow B, Osborne-Smith L. A Cognitive Template for Management of Perioperative Adverse Events. AANA J. 2023 Apr;91(2):137-143. PMID: 36951843.

 

I think that’s part of the genius here in this cognitive tip template, and certainly the helpfulness of this organized thought process, in that we can zero in on something, but also consider other potential causes that could be concurrently happening.

 


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