The U.S. population is aging rapidly, and the figures are staggering. Currently one-third of surgical patients are over 65 years of age, and this is predicted to rise to 50 percent in the near future. The most common postoperative complication for patients over 65 is delirium.
A patient was undergoing an open reduction and internal fixation of a fracture under general endotracheal anesthesia. The surgeons were playing loud music directly behind me. In between songs, I noticed that the high-pressure alarm was sounding because the endotracheal tube was kinked. I didn’t hear the alarm because the music was so loud.
Anesthesiologists are viewed as experts in resuscitation and crisis management. As lifelong learners, we continuously challenge ourselves to proactively adapt our practice with changing guidelines to improve patient outcomes. It has been shown that cognitive aids can help us realize this goal by improving team coordination and unity.