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.

 


SHARE THIS EPISODE

Facebook
Twitter
LinkedIn

SUBSCRIBE

EXPLORE MORE

Current Events

Dysphoria: Current Understanding & Recommendations to Prevent Post-Op Cognitive Decline

Today we’re exploring a topic that goes deeper into the realms of medicine and neuroscience, and it’s something that affects us all: cognitive health post-surgery. Adam Flowe, Chief CRNA at Duke University Hospital, brings his 20 years of experience and a personal connection to the table, discussing the intricate relationship between anesthesia, surgical stress, and the brain. With the aging population and the rise in surgeries, the question of how these procedures affect our cognitive function is more pressing than ever.

LISTEN NOW »
CRNA Careers

Like Mother, Like Daughter: Discover the Unique Bond of a Mother-Daughter CRNA Team

In this heartfelt episode of Beyond The Mask, a story of unique dynamics when working alongside family in the world of anesthesia comes to life. Jeremy and Sharon sit down with a remarkable mother-daughter duo, Melody Secrest and Emily King, both CRNAs, who share their experiences working in the same hospital department. We uncover the challenges and triumphs that come with balancing professional boundaries and personal relationships in the operating room.

LISTEN NOW »
Clinical

Ventilating the Future: CRNAs at the Forefront of Lung Protective Strategies

In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care.

LISTEN NOW »

SUBSCRIBE

NEW EPISODES EVERY WEEK!

Apple PodcastsGoogle PodcastsSpotifyStitcherTuneIniHeartRadio

HAVE A QUESTION OR WANT TO BE GUEST?

RECENT REVIEWS

J. Cross CRNA
Read More
This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
Bill.Nye
Read More
I enjoy listening every morning. Great content and always a pleasure to learn something new.
biggestbaseballfanever
Read More
I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
Trvlgrl1
Read More
I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
doubledownmoney
Read More
If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.
Previous
Next

READ MORE REVIEWS OR LEAVE YOUR OWN!