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Cowan J, Hutton M, Owen A, Lam D, Bracco D, Hurdle H, Lohser J, Hirshberg J, Cory J, Chow L, McDonald S, Haber J. Cognitive Aids for the Management of Thoracic Anesthesia Emergencies: Consensus Guidelines on Behalf of a Canadian Thoracic Taskforce. J Cardiothorac Vasc Anesth 2021; 36:2719-2726. [PMID: 34802832 DOI: 10.1053/j.jvca.2021.10.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 10/18/2021] [Accepted: 10/20/2021] [Indexed: 11/11/2022]
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.
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Affiliation(s)
- Jayden Cowan
- Department of Anesthesiology, University of Calgary, Calgary, Alberta, Canada.
| | - Meredith Hutton
- Department of Anesthesiology, University of Calgary, Calgary, Alberta, Canada
| | - Andrew Owen
- Department of Anesthesiology, McGill University. Montreal, Quebec, Canada
| | - Darren Lam
- Department of Anesthesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - David Bracco
- Department of Anesthesiology, McGill University. Montreal, Quebec, Canada
| | - Heather Hurdle
- Department of Anesthesiology, University of Calgary, Calgary, Alberta, Canada
| | - Jens Lohser
- Department of Anesthesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jonah Hirshberg
- Department of Anesthesiology, University of Manitoba, Max Rady College of Medicine, Winnipeg, Manitoba, Canada
| | - Julia Cory
- Department of Anesthesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Lorraine Chow
- Department of Anesthesiology, University of Calgary, Calgary, Alberta, Canada
| | - Sarah McDonald
- Department of Anesthesiology, University of Toronto, Toronto, Ontario, Canada
| | - Julia Haber
- Department of Anesthesiology, University of Calgary, Calgary, Alberta, Canada
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Sakuraba S, Omae T, Kawagoe I, Koh K, Inada E. Respiratory failure caused by impending tension pneumothorax after extrapleural pneumonectomy: a case report. JA Clin Rep 2018; 4:45. [PMID: 32026087 PMCID: PMC6967187 DOI: 10.1186/s40981-018-0184-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 05/30/2018] [Indexed: 11/10/2022] Open
Abstract
Background Case presentation Conclusions
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Zhao Y, Liu S. Acute Cardiac Herniation After Left Intrapericardial Pneumonectomy. J Cardiothorac Vasc Anesth 2017; 31:270-273. [DOI: 10.1053/j.jvca.2016.04.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Indexed: 12/29/2022]
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Alimi F, Marzouk M, Mgarrech I, Chemchik H, Limayem F. Cardiac herniation after left intrapericardial pneumonectomy. Asian Cardiovasc Thorac Ann 2015; 24:590-2. [PMID: 26045490 DOI: 10.1177/0218492315589199] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Postoperative cardiac herniation is a rare fatal complication that requires urgent surgical reduction and closure of the pericardial defect. Cardiac herniation occurred 8 h after a left intrapericardial pneumonectomy. Although the patient was completely asymptomatic, acute hemodynamic failure with electrocardiographic changes occurred. Chest radiographs were not helpful in showing cardiac herniation. The patient was immediately brought back to the operating room. Cardiac herniation was found to be caused by a pericardial defect, and the heart was strangulated at the atrioventricular groove level. The heart was repositioned, but hemodynamic instability inherent to ischemic strangulation lesions persisted despite extracorporeal membrane oxygenation.
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Affiliation(s)
- Faouzi Alimi
- Department of Cardiothoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Mohamed Marzouk
- Department of Cardiothoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Imen Mgarrech
- Department of Cardiothoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Haythem Chemchik
- Department of Anesthesiology and Critical Care, Sahloul University Hospital, Sousse, Tunisia
| | - Faouzi Limayem
- Department of Cardiothoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
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Terauchi Y, Kitaoka H, Tanioka K, Kubo T, Imamura S, Baba Y, Kawada Y, Noguchi T, Okawa M, Yamasaki N, Yabe T, Doi Y. Inferior acute myocardial infarction due to acute cardiac herniation after right pneumonectomy. Cardiovasc Interv Ther 2012; 27:110-3. [DOI: 10.1007/s12928-011-0089-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Accepted: 11/17/2011] [Indexed: 10/28/2022]
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