Cognitive Aids for the Management of Thoracic Anesthesia Emergencies: Consensus Guidelines on Behalf of a Canadian Thoracic Taskforce

J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt A):2719-2726. doi: 10.1053/j.jvca.2021.10.032. Epub 2021 Oct 28.

Abstract

A cognitive aid is a tool used to help people accurately and efficiently perform actions. Similarly themed cognitive aids may be collated into a manual to provide relevant information for a specific context (eg, operating room emergencies). Expert content and design are paramount to facilitate the utility of a cognitive aid, especially during a crisis when accessible memory may be limited and distractions may impair task completion. A cognitive aid does not represent a rigid approach to problem-solving or a replacement for decision-making. Successful cognitive aid implementation requires dedicated training, access, and culture integration. Here the authors present a set of evidence-based cognitive aids for thoracic anesthesia emergencies developed by a Canadian thoracic taskforce.

Keywords: bronchopleural fistula; cardiac herniation; cognitive aid; esophageal disruption; hypoxemia during one-lung ventilation; massive hemoptysis; mediastinal mass; tracheoesophageal fistula.

Publication types

  • Review

MeSH terms

  • Anesthesia*
  • Canada
  • Cognition
  • Decision Support Techniques
  • Emergencies*
  • Humans