Abstract

FORTIS-OLMEDO, Luis Leobardo et al. Resource management in crisis, importance of cognitive aids in anesthesia. Rev. mex. anestesiol. [online]. 2021, vol.44, n.2, pp.143-147.  Epub Oct 04, 2021. ISSN 0484-7903.

Cognitive aids are tools designed to guide the user in crisis situations, such aids provide instructions and ensure that the tasks to be performed during the emergency are carried out with the greatest accuracy and thus avoid the omission of as many steps or tasks during the event. It is demonstrated that cognitive aids increase the performance of anesthesiologists during simulated crisis situations and more when the user is subjected to rare or low incidence clinical cases. We present the case of a 33-year-old woman scheduled for elective surgery, who suddenly presented probable malignant hyperthermia triggered by desflurane. The actions as well as the symptomatic and specific treatment after diagnosis, was guided by a «reader» in charge of reading the cognitive aids during the event. It is currently recommended not to rely on memory in crisis situations as there may be important omissions in diagnosis, treatment and prognosis.

Keywords : Cognitive aids; malignant hyperthermia.

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