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CASE REPORT
Cognitive aids: ’a must' for procedures performed by multidisciplinary sedation teams outside the operation room?
  1. Susanne Eberl,
  2. Lena Koers,
  3. Maartje Van Haperen,
  4. Benedikt Preckel
  1. Department of Anesthesiology, AMC, Amsterdam, The Netherlands
  1. Correspondence to Professor Benedikt Preckel, b.preckel{at}amc.uva.nl

Summary

The human brain might not perform optimally during stressful situations. Cognitive aids can help in such situations to carry out all necessary treatment steps in a correct order. We present the case of a severe anaphylactic reaction during a percutaneous radiological intervention to drain an echinococcosis cyst on the radiology suite outside the operation room (OR), in which cognitive aids were successfully used to optimise patient care by a multidisciplinary team. Cognitive aids do not replace experience and skills of the individual caregivers, but can be invaluable tools for multidisciplinary teams dealing with crisis situations outside the OR.

  • healthcare improvement and patient safety
  • interventional radiology
  • sedation

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Footnotes

  • Handling editor Seema Biswas

  • Contributors SE is responsible for drafting the manuscript. SE, LK, MVH and BP are responsible for revising the manuscript. All authors have read and approved the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.